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HomeMy WebLinkAboutFishback Dominick 2024-2025 COI City of Cape CanaveralThe ACOCORD name and lologo are r egistered mararks of ACACORORD CECERTIFIFICACATE HOHOLDER ©1988-2014 ACACORORD COCORPORARATITIONON. Allll ri ghts reserved. ACACORORD 25 (2014/01) AUAUTHOHORIZIZEDED REPRESENTATATIVE CACANCNCELLATIONON DADATE (MM/DDDD/YYYY)CERTIFICATE OF LILIABILITY INSURANCE LOCJECTPRO-POLICY GEN'L AGGREGATE LIMI T AP PLIES PER: OCCURCLAIMS-M ADEDE COMMERCIAL GEGENERAL LIABILITY PREMISISES (Ea occurrence)$DAMAGE T O RENTED EAEACH OCCURRENCE $ MED EXP (Any one person)$ PEPERSONAL &ADV INJURY $ GENERAL AGGREGA E $ PRODUCTCT S - COMP/OP AGG $ $RETENTIONDED CLAIMS-M ADEDE OCCUR $ AGGREGAT E $ EAEACH OCCURRENCE $UMUMBRBRELELLA L ABAB EXCESS LIAIAB DEDESCRIPT ONON OF OPEPERARATITIONS / LOCACATIOIONS / VEHICLES (A(ACOCORDRD 101,1,AdAddititionalal ReRemamarks Schched ulele, may be attatacheded ifif momorere spacace isis rerequired)d) INSRLTRTR TYPE OF ININSURANANCECE POPOLICICY NUMUMBERER POPOLICICY EFF(MM/D/DD/YYYY)POPOLICICY EXP(MM/D/DD/YYYY)LIMIMITS PEPERSTATUT E OTOT H-ERER E.L. EACH ACCIDENTNT E.L. DISEASE - EA EMPLOYEE E.L. DISEASE - POLICY LIMIT $ $ $ ANY PROPRIET OR/PART NER/EXECUTI VEVE If yes, describe under DESCRIPTION O F OPERATI ONS below (M(Mandato y in NH) OFFFFICER/MEMBER EXCLUDED? WORORKEKERS COCOMPENSAT ON ANAND EMEMPLPLOYERS' LIAIABIL TY Y / N AUAUTOMOBOBILILE LIAIABIL TY ANY AUTO ALL OWNED SCHEDULED HIRED AUTUT OSOS NON-OWNED AUTOS AUTOS AUTOS COMBINED SINGLE LIMIT BODILY INJURY (Perer person) BODILY INJURY (Perer accident) PROPERTY DAMAGE $ $ $ $ THTH IS IS TOTO CERTITI FY THTH AT T HE POLICICIES OFOF ININSURANANCE LIST ED BELOWOW HAVE BEEN ISSUEDED TOTO THTH E ININSUREDED NAMED ABOVE FOR THTH E POLICY PERIOD ININDICICATED . NOTOT WIWITHTH STAN DIDINGNG ANY REQUIUIREMENT,T,TER M OROR CONONDITI ONON OFOF ANANY COCONTNT RACT OROR OTOT HER DOCOCUMENT WIWITHTH RESPECT TO WHWHICICH THTH ISIS CERT IFICAT E MAY BE ISSUED OROR MAY PERTAI N,N,THTH E INSURANCE AFAFFORDED BY THTH E POPOLILICICIES DESCRIBED HEREREIN IS SUBJECT TO ALL T HE TER MS, EXCLULUSIONS AND CONONDITI ONONS OF SUSUCHCH POPOLICIES.LIMIT S SHOWN MAY HAVE BEEN REDUCED BY PAPAID CLCLAIMS. INSD ADDL WVDVD SUBR N / A $ $ (Ea accident) (Per accident) OTOT HER: THIS CECERTIFIFICATATE IS ISSUED ASAS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CECERTIFIFICACA TE HOLDER.THIS CECERTRTIFICACA TE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMAMEND, EXEXTEND OR ALALTETER THE COVERERAGE AFFORDED BY THEHE POLICIES BEBELOW. THIS CECERTIFICATE OF INSNSURANCE DOES NOT CONSTITITUTE A CONTRACT BEBETWEEN THEHE ISSUING INSURER(S),),AUAUTHORIZED REREPRESESENTATIVE OR PRODUCER, A ND THE CECERTIFICATE HOLDEDER.R. IMIMPORTANANT: If the certificate hol der is an ADDITIONAL INSURED, the pol icy(ies) m ustst be endorsed.If SUB ROGA TION IS WAIVED,D,susubject toto the terms and conditi ons of the poli cy, certain pol ici es may requ ire an enendorsement. A statem enent on thi s cecerti ficate does nonot c onfer rig hts to the certificate holol der in lieu of such endorsement(s) COCOVEVERARAGES CECERTIFIFICACATE NUNUMBMBERER:REREVIVISION NUNUMBER ININSUSURED PHPHONONE(A/C, NoNo , ExExt)t): PRPRODODUCUCERER ADADDRDRESS:E-E-MAIAIL FAXAX(A/C, NoNo): COCONTACACTNANAME:E: NAIC # ININSUSURER A : ININSUSURER B : ININSUSURER C : ININSUSURER D : ININSUSURER E : ININSUSURER F : INSURER(S) AFFORDING COVERAGE SHOULD A NY OF THE ABOVE DESCRIBED POLICIESES BE CANCELLED BEFORERE THE EXPIRATION DATATE THEREOF, NONOTICE WILL B E DEL VERED ININ ACCORDANCE WITITH THE POLICY PROVISIONS. 03/27/2024 954-453-6295Professional Risk Specialty Group (PRSG) 655 N Franklin St., Suite 2000 Tampa, FL 33602 Fishback Dominick LLP 1947 Lee RoadWinter Park, FL 32789-1834 WLA308011495207 RETRO: FPA 04/01/2024 04/01/2025 A X 7,000,000 7,000,000 City of Cape Canaveral Attn: Mia Goforth 100 Polk Avenue Cape Canaveral, FL 32920 Lawyers Professional Liability Deductible: $25,000 Per Claim X LAWYERS PROF LIAB Swiss Re Corporate Solutions American InSwiss Re Corporate Solutions American In 29874 DS#3384183