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HomeMy WebLinkAboutccvfd_insurance_certificate_fy2019-20_201910CERTIFICATE OF LIABILITY INSURANCE C01279- OP ID: JD DATE (MMIDD/YYYY) 10/01/2019 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 policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject 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 endorsement(s). PRODUCER VFIS of Florida 1500 NW 11th Street Boca Raton, FL 33486 Volunteer Fireman's Ins Svcs INSURED Cape Canaveral Volunteer Fire Department 8970 Columbia Road Cape Canaveral, FL 32920 COVERAGES CERTIFICATE NUMBER: CONTACT NAME Joanne Dedrick . ..... PHONE (Ng. 800-2331957 NL�a j ADDREss: jdedrekQ s com INSURER(S) AFFORDING COVERAGE INSURER A American Alternative INSURER B : INSURER C INSURER D INSURER E INSURER F: REVISION NUMBER: 800-729-8347 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. � .e,., ..... . ......... ... ..... ..... ........e ........ ...._........ MR LT R ....... ,,, ._,_ TYPE OF INSURANCE COL I NSD UM MD _._..... ......_,. POLICY NUMBER POLIO OP (MMIDD/YYYY) PdLfCYKP (MMIODIYYVY) LIMITS A X X GEN'L '.. COMMERCIAL Prof Liability AGGREGATE POLICY OTHER: GENERAL LIABILITY CLAIMS -MADE I XN1 OCCUR Health Care LIMIT APPLIES PER: REI� J,PI n LOC X VFIS-TR-2059004 10/01/2019 '.... 10/01/2020 EACH OCCURRENCE :)AMNGE T011ENTECS PREMISES (Ea ocourrence.) MED EXP (Any one person) PERSONAL BADVINJURY GENERAL AGGREGATE .... PRODUCTS COMP/OP AGG $ 1,000,000 $ 1,000,000 $ 10,000 $ 1,000,000 $ 2,000,000 $ 2 000,000' $ A AUTOMOBILE X X UABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS ,_...._._I X SCHEDULED AUTOS NON -OWNED AUTOS VFIS-CM-1055648 10/01/2019 10/01/2020 COMrINEDySIWl,sLELIMIT BODILY INJURY (Per person) BODILYINJURY (Per accident) 1 C1RI i~Gf°� OAMAL'"a`E (R�er, ucwtl4), $ 1,000,00 $ $ ... ... $ .... A X UMBRELLA UAB EXCESS UAB DED .j..... RETENTION !COMPENSATION X $ OCCUR CLAIMS -MADE .......,.... VFIS-TR-2059004 ! 10/01/2019 10/01/2020 EACH OCCURRENCE AGGREGATE $ 3,000,000 $ 6,000,000 $ $ -. .... - ...,,,....... $ $ WORKERS AND EMPLOYERS' LIABILITY Y ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below / N N/A I (ER 1 STATUTE E L EACH ACCIDENT ,,. ............ .. E.L DISEASE - EA EMPLOYEE E.L DISEASE POLICY OTH ER ,. ......... LIMIT DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Certificate Holder is an additional insured for General Liability per form VGL101. CERTIFICATE HOLDER CANCELLATION City of Cape Canaveral PO Box 326 Cape Canaveral, FL 32920 ACORD 25 (2014/01) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE l © 1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD INSURANCE SERVICES sOuE ofr/1{1 Florida League of Cities, Inc. Department of Insurance Services P.O. Box 530065 Orlando, FL 32853-0065 UEPAR"f 4ENT 11r (407) 367-1850 / (800) 445-6248 / Fax: (407) 425-9378 ISSUED TO: Cape Canaveral Volunteer Fire Department, Inc. 8970 Columbia Road Cape Canaveral, FL 32920 FMIT Number: 1133 BINDER OF COVERAGE THIS IS TO CERTIFY THAT THE ABOVE NAMED MEMBER HAS SECURED COVERAGES THROUGH THE FOLLOWING SELF INSURANCE PROGRAM EFFECTIVE OCTOBER 01, 2019 Fc X Florida Municipal Insurance Trust Property Workers' Compensation General Liability Auto Liability Auto Physical Damage This Binder of Coverage expires December 31, 2019 and will be replaced by a coverage document. Failure to pay premiums in accordance with the payment policies will necessitate cancellation of this binder. Date Issued: September 24, 2019 Authorized Representative Limits of Liability and Deductible information are on file with the Administrator. Florida Municipal Insurance Trust