My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
2003-085
CBCC
>
Official Documents
>
2000's
>
2003
>
2003-085
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
9/28/2016 11:27:36 AM
Creation date
9/30/2015 6:27:21 PM
Metadata
Fields
Template:
Official Documents
Official Document Type
Agreement
Approved Date
04/08/2003
Control Number
2003-085
Agenda Item Number
11.C.1.
Entity Name
Ninety Five South, Inc.
Subject
Piggy back to SWDD Agreement/Janitorial services IRC Admin Building
and Purchasing Warehouse
Archived Roll/Disk#
3160
Supplemental fields
SmeadsoftID
3208
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
7
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
AC . Tm CERTIFICATE OF LIABILITY INSURANCE OPID C DATE (MM/DD/YY) <br /> PRODUCER INF001 03 / 04 / 03 <br /> Huckleberry Sibley & Harvey THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> CommercialIns of Brevard LLC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> 5005 Wickham Road HOLDER, THIS CERTIFICATE DOES NOT AMEND , EXTEND OR <br /> ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> Melbourne FL 32940 <br /> Phone : 321 - 751 - 3737 Fax : 321 - 751 - 3738 INSURERS AFFORDING COVERAGE <br /> INSURED <br /> INSURER A: Mount Vernon Fire Insurance Co <br /> Ninety Five South , Inc . INSURER B: Florida Retail Federation <br /> Mr , Joseph Kleinpeter INSURER C: <br /> P . O . Box 110040 <br /> Palm Bay , FL 32911 INSURER D: <br /> INSURER E: <br /> COVERAGES <br /> THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br /> ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br /> MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br /> POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> IN R <br /> LTR TYPE OF INSURANCE POLICY NUMBER DATE MM/DD/YY E DATEYMMPDD� N LIMITS <br /> GENERAL LIABILITY <br /> EACH OCCURRENCE $ 1 r OOO r OOO <br /> A X COMMERCIAL GENERAL LIABILITY CL2257413 03 / 01 / 03 03 / 01 / 04 FIRE DAMAGE (Any one fire) $ 100 , 000 <br /> CLAIMS MADE a OCCUR MED EXP (Any one person) $ 11000 <br /> PERSONAL & ADV INJURY $ 1 r 000 r 000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE s2 , 000 , 000 <br /> —1 PRODUCTS - COMP/OP AGG $ Included <br /> POLICY JECT LOC <br /> AUTOMOBILE LIABILITY <br /> ANY AUTO COMBINED SINGLE LIMIT $ <br /> (Ea accident) <br /> ALL OWNED AUTOS <br /> I <br /> I SCHEDULED AUTOS BODILY INJURY $ <br /> (Per person) <br /> HIRED AUTOS <br /> NON-OWNED AUTOS BODILY INJURY $ <br /> (Per accident) <br /> PROPERTYDAMAGE $ <br /> (Per accident) <br /> GARAGE LIABILITY <br /> ANY AUTO AUTO ONLY - EA ACCIDENT $ <br /> I <br /> OTHER THAN EA ACC $ <br /> AUTO ONLY: AGG $ <br /> EXCESS LIABILITY EACH OCCURRENCE <br /> EXCESS <br /> 1:1CLAIMSMADE AGGREGATE <br /> $ <br /> DEDUCTIBLE <br /> RETENTION $ <br /> $ <br /> WORKERS COMPENSATION AND <br /> EMPLOYERS' LIABILITY X TORY LIMITS ER <br /> B 24545 03 / 01 / 03 03 / 01 / 04 E . L. EACH ACCIDENT $ 100 , 000 <br /> i <br /> E . L. DISEASE - EA EMPLOYEE $ 100 r OOO <br /> OTHER - <br /> E . L. DISEASE - POLICY LIMIT $ 50Q r 000 <br /> I <br /> I <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br /> Janitorial Services <br /> CERTIFICATE HOLDER N I ADDITIONAL INSURED; INSURER LETTER: CANCELLATION <br /> IRCNTYA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br /> Indian River County DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN <br /> Indian River County NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br /> Administration Building <br /> 2 625 19th Avenue IMPOSE NO OBLIGATION OR ITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br /> Vero Beach FL 32960 - 3361 REPRESENTATIVES. <br /> AUTHORIZED REPRESENTATI <br /> Scott M . Steel <br /> ACORD 25-S (7/97) © PMbPbf5F1PORAjON 1988 <br />
The URL can be used to link to this page
Your browser does not support the video tag.