Loading...
Certificates of Insurance ACORDTM CERTIFICATE OF LIABILITY INSURANCE 05/17/2007 07/21/206 PRODUCER � TTHIS Cm FICATE IS ISSUED AS A MATTER OF INFORMATION W. LOCKTON 47TH ST COMPANIES RECE (' / V II 1,�IOLD R. CONFERS NO CERTIFICATE DOES NOT AMEND, EXTEND OR t AMEND, 444 W. 47TH STREEET, SUITE 900 KANSAS CITY MO 64112 -1906 TH = COVERAGE AFFORDED BY THE POLICIES BELOW. x (816) 960 -9000 JUL 2 $ ; �b INSURERS AFFORDING COVERAGE INSURED EMBARQ FLORIDA, INC. INSURE' A: 0' ENWICH INSURANCE CO. (A+ XV 1070662 (FKA SPRINT - FLORIDA, INC.) 2 a X SPECIALTY INSURANCE CO. A+ XV 555 LAKE BORDER DR. MONROE COON RISK MANAGEME JNSURER C : APOKA, FL 32703 T's APOKA, u I INSIIRFR F : THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING COVERAGES EMBC002 DE INSURER(S). AUTHORIZED REPRESENTATIVE OR PRODUCER AND THE CERTIFICATE HOLDER. 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. 1 INSR POLICY EFFECTIVE POLICY EXPIRATION LTR TYPE OF INSURANCE POLICY NUMBER DATE (MM /DD/YY) DATE IMM /DDIYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 A X COMMERCIAL GENERAL LIABILITY RGD9437206 05/17/2006 05/17/2007 FIRE DAMAGE (Any one fire) $ XXXXXXX CLAIMS MADE X OCCUR MED EXP (Any one person) $ XXXXXXX X CONTRACTUAL PERSONAL & ADV INJURY $ 2,000,000 X *TENANTS LEGAL LIAB. GENERAL AGGREGATE $ 10,000,000 G AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $ 3,000,000 x I POLICY JECT I (� I LOC . AUTOMOBILE LIABILITY A X ANY AUTO RAD9437207 05/17/2006 05/17/2007 ( a c idea SINGLE LIMIT $ 2,000,000 O B ALL OWNED AUTOS BODILY INJURY $ XXXXXXX SCHEDULED AUTOS (Per person) HIRED AUTOS . BODILY INJURY $ XXXXXXX NON OWNED AUTOS p `. (Per accident) PROPERTY DAMAGE $ XXXXXXX (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ XXXXXXX ANY AUTO NOT APPLICABLE OTHER THAN EA ACC $ XXXXXXX jyro f AUTO ONLY: AGG $ XXXXXXX EXCESS LIABILITY i EACH OCCURRENCE $ XXXXXXX OCCUR CLAIMS MADE NOT APPLICABLE , AGGREGATE $ XXXXXXX n C� / $ XXXXXXX I 1 UMBRELLA /I -� _ DEDUCTIBLE I 1 FORM � / , U I� \ $ ){}�){}�}{J{}{ RETENTION $ $ XXXXXXX B WORKERS COMPENSATION AND RWD9435180 - AOS 05/17/2006 05/17/2007 X TORY IIM TS IFR EMPLOYERS' LIABILITY B RWR9435181 - OR 05/17/2006 05/17/2007 E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 OTHER DESCRIPTION OF OPERATIONS /LOCAT)ONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS *FIRE DAMAGE IS INCLUDED IN BROADER TENANTS LEGAL LIABILITY FORM WITH LIMITS OF $1,000,000 PER OCCURRENCE. MONROE COUNTY BOARD OF COMMISSIONERS IS ADDITIONAL INSURED WHERE REQUIRED BY CONTRACT AND SUBJECT TO POLICY TERMS AND CONDITIONS. RE: INSTALLATION, OPERATION & MAINTENANCE OF TELECOMMUNICATIONS EQUIPMENT. CERTIFICATE HOLDER ADDITIONAL INSURED: INSURER LETTER: _ pANCELLATION 2611118 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION MONROE COUNTY BOARD OF COUNTY COMMISSIONERS DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN RISK MANAGEMENT 1100 SIMONTON STREET NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL KEY WEST FL 33040 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE . l) ACORD 25-S (7/97) For questions regarding this certificate, contact the number listed in the 'Producer' section above and specify the client code'EMBC0o2'. © ACORD CORPORATION 1988 `' ACORDTM CERTIFICATE OF LIABILITY INSURANCE 05/17/2007 07/21/20 6 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION LOCKTON COMPANIES ----ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE EXTEND OR 444 KANSAS 47TH IT STREET, Y MO 6411 2-190 6 900 R � � - ALLTER THE COVERAGE AFFORDED BY THE POLICIES S BELOW. KAS CITY 190 (816) 960-9000 INSURERS AFFORDING COVERAGE OCT INSURED 3 0 INSURER GREENWICH INSURANCE CO. (A+ XV) 1070662 EMBARQ FLORIDA, INC. v (FKA SPRINT - FLORIDA, INC.) INSURER B : XL SPECIALTY INSURANCE CO. (A+ XV) 555 LAKE BORDER DR. MONROE COUNTY INSURER C APOKA, FL 32703 J RISK MANAGEMENT ,INSUR, D : I INSURFR F ' s THIS CERTIFICATE OF INSURANCE DOES NOT COVERAGES EMBCO02 DE INSURER(S). AUTHORIZED REPRESENTATIVE OR PRODUCER AND THE CERTIFICATE HOLDER. 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. INSR' 1 POLICY EFFECTIVE POLICY EXPIRATION L TR TYPE OF INSURANCE POLICY NUMBER DATE (MM /DD/YY) DATE (MMVDD/YY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 A X COMMERCIAL GENERAL LIABILITY RGD9437206 05/17/2006 05/17/2007 FIRE DAMAGE (Any one fire) $ XXXXXXX CLAIMS MADE X OCCUR MED EXP (Any one person) $ XXXXXXX I `s X CONTRACTUAL PERSONAL 8 ADV INJURY $ 2,000,000 X *TENANTS LEGAL LIAB. GENERAL AGGREGATE $ 10,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $ 3,000,000 I POLICY JECT LOC AUTOMOBILE LIABILITY A X ANY AUTO RAD9437207 05/17/2006 05/17/2007 �OMBINEDSINGLELIMIT $ 2,000,000 Ea accident) • ALL OWNED AUTOS BODILY INJURY $ XXXXXXX SCHEDULED AUTOS ' '� (Per person) ' IC HIRED AUTOS l BODILY INJURY $ XXXXXXX NON -OWNED AUTOS (Per accident) • PROPERTY DAMAGE $ XXXXXXX '/�` (Per accident) GARAGE LIABILITY r AUTO ONLY - EA ACCIDENT $ XXXXXXX ANY AUTO NOT APPLICABLE r OTHER THAN EA ACC $ XXXXXXX r AUTO ONLY: AGG $ XXXXXXX s EXCESS LIABILITY OCCURRENCE $ XXXXXXX OCCUR CLAIMS MADE NOT APPLICABLE C'`- e � " AGGREGATE $ XXXXXXX pi UMBRELLA $ XXXXXXX DEDUCTIBLE FORM $ XXXXXXX , RETENTION $ $ XXXXXXX B WORKERS COMPENSATION AND RWD9435180 - AOS 05/17/2006 05/17/2007 X IT lMj IF EMPLOYERS' LIABILITY B RWR9435181 - OR 05/17/2006 05/17/2007 E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 OTHER DESCRIPTION OF OPERATIONS /LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS *FIRE DAMAGE IS INCLUDED IN BROADER TENANT'S LEGAL LIABILITY FORM WITH LIMITS OF $1,000,000 PER OCCURRENCE. MONROE COUNTY BOARD OF COMMISSIONERS IS ADDITIONAL INSURED WHERE REQUIRED BY CONTRACT AND SUBJECT TO POLICY TERMS AND CONDITIONS. RE: INSTALLATION, OPERATION & MAINTENANCE OF TELECOMMUNICATIONS EQUIPMENT. CERTIFICATE HOLDER ADDITIONAL INSURED: INSURER LETTER: pANCELLATION 2611118 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION MONROE COUNTY BOARD OF COUNTY COMMISSIONERS DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL —3-0-- DAYS WRITTEN RISK MANAGEMENT 1100 SIMONTON STREET NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL KEY WEST FL 33040 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR / REPRESENTATVES. AUTHORIZED REPRESENTATIVE GG ACORD 25-S (7/97) For questions regarding this certificate, contact the number listed in the'Producer' section above and specify the client code'EMBCOOV. © AC0 CORPORATION 1988 • ACORD. CERTIFICATE OF LIABILITY INSURANCE 4/1/2010 DATE 3/29/2007 ' PRODUCER LOCKTON COMPANIES, LLC -1 KANSAS CITY THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION 444 W. 47TH STREET, SUITE 900 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE KANSAS CITY MO 64112 -1906 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR (816) 960 - 9000 r " _._. '- AL IER THE COVERAGE AFFORDED BY THE POLICIES BELOW. I -_. �_L `_ +I N S URERS A FORDING COVERAGE NAIC # INSURED EMBARQ FLORIDA, INC. INSURER A GRE NWICH INSURANCE CO.(XL) (A+ XV) 1070662 5454 W. 110TH ST. : XL S ECIALTY INSURANCE Co. (A+ XV) OVERLAND PARK KS 66211 MAR 2 6 ,{ 1 �' ER INS 1 MONROE C0i iryB ER E B COVERAGES EMBC002 DE RISK N',/{1fgO F ; 1 0 ERTIFICATE O INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING 1N41�RERtSI. ED REPRESENTATIVE OR PRODUCER AND THE CERTIFICATE HOLDER THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAME VE 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. INSR ADD% POLICY EFFECTIVE POLICY EXPIRATION LTR INSRD TYPE OF INSURANCE 1 POLICY NUMBER DATE ( /DD/YY) DATE (MM /DD/YY) I LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 A X COMMERCIAL GENERAL LIABILITY RGD9437206 4/1/2007 4/1/2010 DAMAGE TO RENTED PREMISES (Ea occurencel $ CLAIMS MADE © OCCUR MED EXP (Any one person) $ XXXXXXX X CONTRACTUAL PERSONAL & ADV INJURY $ 2,000,000 X *TENANTS LEGAL LIAB. GENERAL AGGREGATE $ 10,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $ 3,000,000 -- " I POLICY n SCOT nLOC A AUTOMOBILE LIABILITY RAD9437207 4/1/2007 4/1/2010 COMBINED SINGLE LIMIT $ 2,000,000 X ANY AUTO (Ea accident) — ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ XXXXXXX — — HIRED AUTOS ,, BODILY INJURY $ - XXX�00 NON OWNED AUTOS / (Per accident) — vvvv`) �vvvv PROPERTY DAMAGE $ XXXXXXX (Per accident) GARAGE LIABILITY , AUTO ONLY - EA ACCIDENT $ XXXXXXX R ANY AUTO NOT APPLICABLE `ij 11. OTHER THAN AUTO ONLY: EA ACC AGG $ $ XXXXXXX_ t EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ XXXXXXX OCCUR 0 CLAIMS MADE CC ( . AGGREGATE $ XXXXXXX _ UMBRELLA NOT APPLICABLE $ XXXXXXX R DEDUCTIBLE RETENTION $ FORM $ XXXXXXX $ XXXXXXX B WORKERS COMPENSATION AND RWD943518003 - AOS 4/1/2009 4/1/2010 "I TORY LII ITS I ' OTH- ER B EMPLOYERS' LIABILITY RWR943518103 - WI 4/1/2009 4/1/2010 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE E EACH ACCIDENT $ B OFFICER/MEMBER EXCLUDED? N/A IN MONOPOLISTIC STATES E.L. DISEASE - EA EMPLOYEE $ 1 ,000,000 If yes, describe under SPECIAL PROVISIONS below NO E.L. DISEASE - POLICY LIMIT $ 1,000,000 OTHER DESCRIPTION OF OPERATIONS /LOCATIONSNEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS *FIRE DAMAGE IS INCLUDED IN BROADER TENANT'S LEGAL LIABILITY FORM WITH LIMITS OF $1,000,000 PER OCCURRENCE. MONROE COUNTY BOARD OF COMMISSIONERS IS ADDITIONAL INSURED WHERE REQUIRED BY CONTRACT AND SUBJECT TO POLICY TERMS AND CONDITIONS. RE: INSTALLATION, OPERATION & MAINTENANCE OF TELECOMMUNICATIONS EQUIPMENT. I.EASFD I,OCAT1ON:- Site 1D: N /A- CERTIFICATE HOLDER CANCELLATION 2611118 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION MONROE COUNTY BOARD OF COUNTY COMMISSIONERS DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN RISK MANAGEMENT NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL 1100 SIMONTON STREET IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR KEY WEST FL 33040 REPRESENTATIVES. AUTHORIZED REPRESS E f 1 CG' ACORD 25 (2001/08) For questions regarding this certificate, contact the number listed in the 'Producer' section above and specify the client cod B T. © ACORD CORPORATION 1988