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HomeMy WebLinkAboutFishback Dominick 24-25 COIAC RO EP CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY) 3/28/2024 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 have ADDITIONAL INSURED provisions or 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 CONTACT Sihle Insurance Group, Inc. NAME: Certificate Department 1021 Douglas Avenue Altamonte Springs FL 32714 INSURED Fishback Dominick LLP 1947 Lee Road Winter Park FL 32789 COVERAGES PHONE IfC. IN�Lo. Ext): 407-869-5490 1 A DRESS: Certificatessihle.com I INSURER(S) AFFORDING COVERAGE INSURER A: Zenith Insurance Company FISHDOM-011 INSURER B: Main Street America Protection Insurance 1 INSURER c : Old Dominion Insurance Company INSURER D : INSURER E : I INSURER F : CERTIFICATE NUMBER: 1471233113 REVISION NUMBER: X ( /C. Nol: 407-389-3580 NAIC # 13269 13026 40231 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 TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR IN'SD WVD POLICY NUMBER (MM/D/YYYY) (MMIDDIYYYYI B X COMMERCIAL GENERAL LIABILITY ' Y BPG2795Z 4/1/2024 4/1/2025 EACH OCCURRENCE CLAIMS -MADE X OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY FRO LOC X JECT OTHER: B AUTOMOBILE LIABILITY BPG2795Z 4/1/2024 4/1/2025 ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS X HIRED NON -OWNED AUTOS ONLY AUTOS ONLY C X UMBRELLA LIAR X OCCUR EXCESS LIAB CLAIMS -MADE DED X I RETENT ON $ 1D ODn A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANYPROPRIETOR/PARTN ER/EXECUTIVE OFFICER/MEMBEREXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below YIN NIA CUG2795Z Z830138836 4/1/2024 4/1/2025 1/3/2024 1/3/2025 DAMAGE TO RENTED PREMISES (Ea occurrence) MED EXP (Any one person) PERSONAL & ADV INJURY GENERAL AGGREGATE PRODUCTS - COMP/OP AGG COMBINED SINGLE LIMIT (Ea accident) BODILY INJURY (Per person) $ 1,000,000 $ 500,000 $ 10,000 $ 1,000,000 $ 2,000,000 $ 2,000,000 $ $ 1,000,000 $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 Pers/Adv Injury $ 5,000,000 X I STATUTE I OTH- ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) The City of Cape Canaveral is included as Additional Insured when required by written contract with regards to General Liability. The cancellation clause applies when required by written contract (10 days non -payment, 30 days underwriting reasons). Waiver of Subrogation is provided in favor of The City of Cape Canaveral when required by written contract. General Liability is Primary and Non -Contributory when required by written contract. CERTIFICATE HOLDER City of Cape Canaveral 100 Polk Avenue Cape Canaveral FL 32920 CANCELLATION 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 © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD