Laserfiche WebLink
ACORO0 CERTIFICATE OF LIABILITY INSURANCE <br />DATE (MM/DDIYYYY) <br />6/29/2021 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br />this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />Wallace Welch &Willingham, Inc. <br />300 1 st Ave. So., 5th Floor <br />Saint Petersburg FL 33701 <br />CONTACT <br />NAME: Certificates/Commercial Lines <br />PHONE FAX <br />. 727-522-7777(AIC,Not: 727-521-2902 <br />ADDRESS: certificates@w3ins.com <br />INSURERS AFFORDING COVERAGE NAIC # <br />6/29/2021 <br />INSURERA: United Specialty Ins. Co. 12537 <br />EACH OCCURRENCE $1,000,000 <br />INSURED ATLAROO-01 <br />INSURER B: Auto -Owners Insurance Company 18988 <br />Atlantic Roofing II of Vero Beach Inc <br />Atlantic Metal II of Vero Beach Inc <br />INSURERC: <br />INSURER D: <br />4310 45th St <br />Vero Beach FL 32967 <br />INSURER E: <br />INSURER F: <br />AUTOMOBILE <br />X <br />X <br />IAUTOS <br />COVERAGES CERTIFICATE NUMBER: 930820518 REVISION NUMBER: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />IPOLICY <br />LTR <br />TYPE OF INSURANCE <br />iNsp <br />wvr) <br />POLICY NUMBER <br />MM DDMfYY <br />EXP <br />MM/DD/YYYY <br />LIMITS <br />A <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE FKOCCUR <br />Y <br />ATN2158246 <br />6/29/2021 <br />6/29/2022 <br />EACH OCCURRENCE $1,000,000 <br />DAMAGE SI RENTED <br />PREMISES Ea ocourtenoe $ 50,000 <br />MED EXP (Any one person) $ 0 <br />PERSONAL & ADV INJURY $ 1,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />POLICY � JE T LOC <br />OTHER: <br />GENERAL AGGREGATE $ 2,000,000 <br />PRODUCTS -COMP/OP AGG $ 2,000,000 <br />$ <br />B <br />AUTOMOBILE <br />X <br />X <br />IAUTOS <br />LIABILITY <br />ANY AUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />HIRED X NON -OWNED <br />ONLY AUTOS ONLY <br />Y <br />53-418940-00 <br />6/29/2021 <br />6/29/2022 <br />COMBINED SINGLE LIMIT $1,000,000 <br />Ea accident <br />BODILY INJURY (Per person) $ <br />BODILY INJURY (Per accident) $ <br />D $ <br />PROPERTYAMAGE <br />Per accident <br />A <br />X <br />UMBRELLALIAB <br />EXCESS LIAB <br />X <br />OCCUR <br />CLAIMS -MADE <br />BTN2127639 <br />6/29/2021 <br />6/29/2022 <br />EACH OCCURRENCE $1,000,000 <br />_ <br />AGGREGATE $ 1,000,000 <br />DED RETENTION $ <br />$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY Y / N <br />ANYPROPRIETOR/PARTNER/EXECUTIVE ❑ <br />OFFICER/MEMBEREXCLUDED? <br />(Mandatory In NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />NIA <br />PER OTH. <br />STATUTE ER <br />E.L. EACH ACCIDENT $ <br />E.L. DISEASE - EA EMPLOYEE $ <br />E.L. DISEASE - POLICY LIMIT $ <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />Indian River County is additional insured with respect to General Liability and Auto Liability if required by written contract subject to terms, conditions, and <br />exclusions of the policy. <br />CERTIFICATE HOLDER CANCELLATION <br />©1988-2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />Indian River County <br />1801 27th Street <br />AUTHORIZED REPRESENTATIVE <br />Vero Beach FL 32960 <br />©1988-2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />