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Home My WebLink AboutCertificate of InsuranceFLORDES-02 LGLEASON CERTIFICATE OF LIABILITY INSURANCE DATE IMM;L)DNYYY) 1 28,27/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the pollcy(ios) mustbe-endorsed. If SUBROGATION IS WAIVED, sub)ect to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such enclorsement(s). PRODUCER Collinsworth, Alter, Lambert, LLC 23 Eganfuskee Street Suite 102 Jupiter, FL 33477 CONT NAWcT I -Ori B. Gleason Ext): (561) 776-9001 (6611427-6730 POLICY -F -9V (MMIDWYYYY1 LIMITS A INSURER(SIAPPORDINO COVGRAaE NAIC N INSURERA:Arnerlsure Mutual Ins Co 23396 INSURED INSURER 13: Arnerlsure Insurance Co 19488 INSURER c: North River Insurance Company 21105 Florida Design Contractors, Inc. INSURER D: Travelers Casualty Ins Co of America 1326 South Killian Drive West Lake Park, FL 33403 INSURER E: INSURER F : I UVVERAUES GERTIFICATE NUMBER: Pizvminspi mi i"s2rm THIS IS TO CERTIFY THAT 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, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE Of INSURANCE JADDL INSD SUBR WVD POLICY NUMBER POLICYEFF iMWDD/YYYY) POLICY -F -9V (MMIDWYYYY1 LIMITS A X COMMERCIALO URALLIABILITY CLAIMS -MAO: F�] OCCUR XCU & Contractual CPP2052271060014 03101/2016 03101/2016 EACH OCCURRENCE $ 1,000,000 DAMA"T""rNILLI _PREMISES III. .) S 100,000 MED F -XP (Any one person) S 6,000 X Broad Form Prop. Dam PERSONAL & ADV INJURY 4 1,000,000 GEN1. AGGREGATE LIMIT APPLIES PER! POLICY PRO - 3�] JECT F] LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMPIOP AGG 2,000,000 $ OTHER: 13 AUTOMOBILE X LIABILITY ANYAUTO CA20623030001 03/01/2015 0310112016 COMBINED SINGLE LIMIT $ 1,000,000 (Eaaedd-ni) BODILY INJURY (Par person) s ALL OWNED SCHEDULED AUTOS AUTOS BOOILY INJURY (Per accident) S X NON -OWNED HIREDAUTOS AUTOS N PROP R AG LPer accident) $ PIP_Coverage $ 10,00C ... . I x " UMBRELLA WAIS ; X OCCUR EACH OCCURRENCE $ 5,000,000 C KXCE55 LEAB CLAIM"ADE 5811043365 0310112015 0310112016 AGGREGATE & 10,000,000 DSD RETENTION 6 $ B WORKERS COMPENSATION AND EMPLOYERS? LIABILITY YIN ANY PROPRIEIORIPARTNERfEXECUTIVE F—] OFFICERIMEMSER EXCLUDED? N /A 208227206 0310112015 0310112016 �X: �SWATUTE OTH. _� ER E.L. EACH ACCIDENT 3 1,000,000 EL. DISEASE - EA EMPLOYEE $ 1,00,000 IMandalory In NH) If y s, &salbe under DESCRIPTION OF.OPERATIONS below I E.L. DISEASE - POLICY LIM 1 $ 1,000,000 D IRented/Leased Equip. OT6607132PB26TIL14 1 03/0112016 031011201 Ufnit 250,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES JACORD 101, Additional Remarks Schodifla, may be attached If More space Is required) Certificate holder Is named as additional Insured Including products and completed operations for general liability per CGTO48, auto liability, and umbrella liability when required by written contract. General Liability Is primary and non contributory when required by written contract. Waiver of subrogatlon applies to General Liability, Auto, Umbrella, and Workers' Compensation coverages for the additional insureds when required by written contract. Should any ofthe above described policies be cancelled, notice will be delivered in accordance with the policy provisions. GERTIFICATIF H0LDFR r.AhIr.FI I ATInM ID 1988-2014 ACORD CORPORATION, All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Florida Design Contractors, Inc. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 1326 South Killian Drive W ACCORDANCE NTH THE POLICY PROVISIONS. Lake Park, FIL 33403 AUTHORIZED REPRESENTATIVE ID 1988-2014 ACORD CORPORATION, All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD