2003-118A.1 - Laserfiche WebLink

Home Browse Search

t ti ACORDTM .'T N CERTIFICATE OF LIAY INSURANCE ' °06/02/203 ) PRODUCER 828-236- 1000 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION SURETY AGENCY , LLC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 20 S . SPRUCE STREET HOLDER. THIS CERTIFICATE DOES NOT AMEND , EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW , SUITE 301 ASHEVILLE , NC 28801 INSURERS AFFORDING COVERAGE INSURED INSURER A: ZURICH AMERICAN INSURANCE COMPANY DICKERSON FLORIDA , INC . INSURER B : AMERICAN -GUARANTEE AND LIABILITY INS CO P . O . BOX 719 INSURER C : —_ STUART , FL 34995 INSURER D : 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 . INSRPOLICY EFFECTIVE POLICY EXPIRATION LTR TYPE OF INSURANCE POLICY NUMBER LIMITS GENERAL LIABILITY PEACH OCCURRENCE $ _ 19000 , 000 - I A rX 1COMMERCIAL GENERAL LIABILITY GLO 3865923 06/01 /03 06/01 /04 FIRE DAMAGE (Any one fire) $ _-_ 1 , 000 , 00_0 ! CLAIMS MADE X OCCUR ! MED EXP (Any one person ) $ 55 , 000 PERSONAL & ADV INJURY $ 1 ,000 , 000 — GENERAL AGGREGATE _$ 2 , 000 , 000 j G�EN'L AGGREGATE LIMIT APPLIES PER : j j PRODUCTS - COMP/OP AGG $ 23000 , 000 j POLICY X^I PRO- JEC, LOC ! I 1 AUTOMOBILE LIABILITY j COMBINED SINGLE LIMIT j $ 2 , 000 , 000 A X ANY AUTO BAP 3865924 06/01 /03 06/01 /04 I (Ea accident) ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS , (Per person ) l HIRED AUTOS BODILY INJURY X NON-OWNED AUTOS (Peraccdent) $ I(�I I I I ! 1 PROPERTY DAMAGE r—y (Per accident) ! $ j 1 GARAGE LIABILITY ! AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC ~ $ AUTO ONLY: AGG ' $ I EXCESS LIABILITY EACH OCCURRENCE $ 25 , 000 , 000 1 B !I, T OCCUR CLAIMS MADE AUC 9374501 00 06/01 /03 06/01 /04 1 AGGREGATE $ 25 ,000 , 000 F— $ — DEDUCTIBLE $ x I RETENTION $ 0 $ WC STAT U- ' OTH- ; i WORKERS COMPENSATION AND I TORY LIMITS I j ER _ I I EMPLOYERS' LIABILITY ! rE . L. EACH ACCIDENT $ _- ! ! I . E . L. DISEASE - EA EMPLOYEE $ _ I I j E . L. DISEASE - POLICY LIMIT $ OTHER I i DESCRIPTION OF OPERA TIONS/LOCATIONSA/EHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS East Gifford Stormwater Improvements DFI Job # 3349 Certificate Holder is Listed as Additional Insured CERTIFICATE HOLDER ADDITIONAL INSURED ; INSURER LETTER: CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Indian River County DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN 2625 19th Avenue NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Vero Beach , FL 32960 - 3335 IMPOSE NO OB ATION OR LIA77 ANY KIND UP HE INSURER, ITS AGENTS OR REPRE4 TIVES. AUTH ED REPRESENTATIV Karen Beard ACORD 25-S (7/97) O ACORD CORPORATION 1988