2005-090 - Laserfiche WebLink

Home Browse Search

ACORD. CERTIFICATE OF LIABILITY INSURANCEDATE (MMIDD/YY) 03/29/2005 PRooucai Serial # B11685 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION 4HE SIMKISS AGENCY, INC . ONLY AND CONFERS NO RIGHTS UPON THE , CERTIFICATE O PAOLI OFFICE PARK HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. PO BOX 1787 PAOLI PA 19301 -0826 INSURERS AFFORDING COVERAGE INSURED DANELLA COMPANIES , INC . INSURER A: AMERICAN CONTRACTORS INSURANCE CO . 201 NW 12TH AVENUE INSURER B: DISCOVER PROPERTY & CASUALTY INSURANCE POMPANO BEACH , FL 33069 BB INSURERc: ACID INSURANCE COMPANY INSURER D: HARTFORD FIRE INSURANCE COMPANY INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED . NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN , THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES . AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTRNSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION DATE (MWDDIYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 21000 , 000 A X COMMERCIAL GENERAL LIABILITY 04044005 * 6/1 /2004 6/1 /2005 FIRE DAMAGE (Any one fire) $ 100 , 000 CLAIMS MADE OCCUR MED EXP (Any one person) $ 5 , 000 PERSONAL & ADV INJURY $ 21000 , 000 GENERAL AGGREGATE $ 41000 , 000 GEN' LAGGREGATE LIMITAPPLIES PER: PRODUCTS - COMP/OPAGG $ 41000 , 000 POLICY X PRO- JECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT A X ANY AUTO AD04044001 6/1 /2004 6/ 1 /2005 (Ea accident) $ 21000 , 000 B ALL OWNED AUTOS D093A00009 6/ 1 /2004 6/1 /2005 SCHEDULED AUTOS BODILY INJURY $ (Per person) HIRED AUTOS NON-OWNED AUTOS BODILY INJURY $ (Per accident) PROPERTY DAMAGE $ (Per accident) GE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO EA ACC $ OTHER THAN AUTO ONLY: qGG $ EXCESS LIABILITY EACH OCCURRENCE $ OCCUR F-1 CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION AND WD04044015 6/1 /2004 6/1 /2005 X WCSTATU- OTH- C EMPLOYERS' LIABILITY WG04044001 6/ 1 /2004 6/ 1 /2005 TORY LIMITS ER • E. L. EACH ACCIDENT $ 110001000 E. L. DISEASE - EA EMPLOYEE $ 11000 , 000 OTHER E . L. DISEASE - POLICY LIMIT $ 1 , 000 , 000 DESCRIPTION OF OPER4TIONSILOCATIONSIVEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS * INDIAN RIVER COUNTY IS INCLUDED AS AN ADDITIONAL INSURED WITH RESPECT TO THIS POLICY, THIS CONTRACT. RE : INDIAN RIVER COUNTY BID #7033 WATER, SEWER & RECLAIM WATER LINE REPLACEMENT/EXTENSION & MISC . LABOR CONTRACT (ANNUAL LABOR CONTRACT) CERTIFICATE HOLDER ADDITIONAL INSURED; INSURER LETTER: CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN INDIAN RIVER COUNTY NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL C/O BOARD OF COUNTY COMMISSIONERS IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR '�1r► 1840 25TH STREET, ROOM 118 REPRESENTATIVES. VERO BEACH , FL 32960 A1m+nR17Fn FPRFSFNTATIVF ACORD 25-S (7197) © ACORD CORPORATION 1988