Loading...
Certificates of Insurance OP ID: RS ACORU EVIDENCE OF PROPERTY INSURANCE I 12 !27 12� THIS EVIDENCE OF PROPERTY INSURANCE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE ADDITIONAL INTEREST NAMED BELOW. THIS EVIDENCE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POUCES BELOW. THIS EVIDENCE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURE, AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE ADDITIONAL INTEREST. AGENCY 1 IA Na E. 777-447-6481 COMPANY Bouchard- Clearwater Westchester Surplus Lines Ifs 101 Starcrest Drive Company P 0 Box 6090 ISSUING COMPANY ONLY Clearwater, FL 33758 -8090 J Raymond Bouchard M.0027-440-1267 N 440-1287 cope 1 SUB CODE: D e DLPOR 1 NSLIED LOAN MOB! POIArY NURSER 121083410 001 EFFECTIVE DATE EXPIATION DATE CONIPA1133 (ROIL D L Potter Constructors, 6574 Inc. 11t15/12 05/15/13 (l TENANTS, IF CHECKED Sarasota. FL 34238.2777 TII 5 REPLACES PRIOR EVIDENCE DATED: PROPERTY INFORMATION L,ocanoteDESCLSPnow 302 FLEMING STREET Freeman Justice Center - New Drug KEY WEST, FL 33040 Court THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE SOURED NAILED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY RECIUIREkIENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS EVIDENCE OF PROPERTY INSURANCE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POUCIES DESCRIBED HEREIN 18 SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. COVERAGE INFORMATION COVERAGE / PERILS / FOIaD AMOUNT OF INSURANCE DEDUCTIBLE Builders Rink - Renovations 500,000 5,000 Temporary Structures Sub-Limit 100,000 5.000 Properly In Transit Sub.Umlt 100,000 0,000 5,000 Li Properly In Temporary Storage SubmR 0 Named Sandstorm Deductible APPRQ 50,000 BY • J, i . DA t r • • mix . ' ITA REMARKS (Including Special Conditions) CANCELLATION I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ADDf110NAL INTEREST NAME NO ADDRESS MORTGAGEE I X I ADDmONAL INSURED LOSS PAYEE LOAN • Monroe County 1100 Simonton Street AUTHORIZED REPRESENTATIVE Room 2-216 Key West, FL 33040 ACORD 27 (200W12) O 1993-2009 ACORD CORPORATION. All rights reserved. f TILE ACORD name and logo in registered marks of ACORD /�..41 OP ID: RS Ai ° °' CERTIFICATE OF LIABILITY INSURANCE DATE 12 /28 / "'('"' 12128/12 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 poltcy(les) 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 727- 447 -6481 CONTACT Bouchard - Clearwater NAME: 101 Starcrest Drive 727-449 -1267 tacc.NN o, Ego: ac, No): P O Box 6090 n one s$: cicerts @bouchardInsurance.com Clearwater FL 33758-6090 PRODUCER J Raymond Bouchard , cusroMER ID I: DLPOR INSURER(S) AFFORDING COVERAGE NAIC N INSURED D L Porter Constructors, Inc. INSURER A : Amerlsure Mutual Insurance Co 23396 6574 Palmer Park Circle INSURER B : Amerisure Insurance Company 19488 Sarasota, FL 34238-2777 INSURER C INSURER D: INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS 1S 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 I S wvo POLICY NUMBER POLICY EFP POLICY EXP LIMITS (MMIDDIYYYY) (MM/DD/YYYY) GENERAL LIABILITY EACH OCCURRENCE S PREMISES( 1,000,000 DAMAGE TO B X COMMERCIAL GENERAL LIABILITY X GL2059363 01/09/13 01/01/14 EaRENTED ocw ,rence) s 300,000 I CLAIMS -MADE I X I OCCUR MED EXP (Any one person) $ 10,000 PERSONAL d ADV INJURY S 1,000,000 GENERAL AGGREGATE S 2,000,000 GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG S 2,000,000 - I POLICY n 0. n LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 — B X ANY AUTO CA2069361 01/09/13 01/01/14 (Eaacddenq BODILY INJURY (Per person) $ ALL OWNED AUTOS . BODILY INJURY (Per acddent) $ SCHEDULED AUTOS PROPERTY DAMAGE X HIRED AUTOS (Per accident) $ X NON•OWNEDAUTOS $ $ X UMBRELLA LIAR X OCCUR EACH OCCURRENCE S 5,000,000 EXCESS LIAB CLAIMS -MADE AGGREGATE $ 6,000,000 B CU2069366 01/09/13 01/01/14 — DEDUCTIBLE S X RETENTION $ $ WORKERS COMPENSATION X I TORYSLATU- t I i°M AND EMPLOYERS' LIABILITY A ANYPROPRIETORIPARTNER,FXECUTNE Y -- WC2080745 01/01/13 01/01/14 E. EACH ACCIDENT S 500,000 OFFICER,MEMBER EXCLUDED? I� L. N (Mandatory In NH) E.L. DISEASE - EA EMPLOYEE S 600,000 If yyes describe under DESGrRjPTION OF OPERATIONS below EL DISEASE - POLICY LIMIT $ 500,000 ! '1EMENT DESCRIPTION OF OPERATIONS LOCATIONS 1 VEHICLES (Attach ACORD 101, Addtttonal Remarks If more space is req � • • • ' PROJECT: FREEMAN JUSTICE CENTER DRUG COURT OFFICE, KEY WEST, FL CERTIFICATE HOLDER IS ADDITIONAL INSURED AS RESPECTS GENERAL DA All WC LIABILITY AND AUTO LIABILITY, ONLY IF REQUIRED BY WRITTEN CONTRACT, AND W ' -' ' - SUBJECT TO THE TERMS,CONDITIONS AND LIMITS AS SPECIFIED IN THE POLICY. 30 DAY NOTICE OF CANCELLATION PROVIDED FOR ADDITIONAL INSURED. CERTIFICATE HOLDER CANCELLATION MONROEC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE MONROE COUNTY BOARD OF THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN COUNTY COMMISSIONERS ACCORDANCE WITH THE POLICY PROVISIONS. 500 WHITEHEAD ST KEY WEST, FL 33040 AUTHORIZED REPRESENTATIVE I © 1988 -2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD