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HomeMy WebLinkAboutCertificates of Insurance�....1� STOCK -2 OP 10: JC ACOREX CERTIFICATE OF LIABILITY INSURANCE DATE(MM,DDdYYYY) `.. - 1 10/3012014 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 he 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 .J$__C_IYn Catania SLATON INSURANCE PHONE P.O. Box 220537 040-4 1 561- 683$383 a =c, NoI' 5$1$84 -513913 West Palm Beach, FL 33422 E Catania slatonrisk_s_etvices_ _ Richard Neyman, Jr. A '� -� eucliaFalcinecrlRn tuc3rnvBNw [ iE I t4/UC>t INSURER A Nat ional Trust I ns Co 120141 INSURFU Stockton Maintenance Group INSURER _s FCCI Com m_ ercial Ins C o. 33 1975 Sainsbury Way, Suite 116 ry YI � INSURER c : Federal Insurance Company _ :20281 West Palm Beach, FL 33411 - INSURER D INSURER E INSURER F •anre^I. CC \JICInu >UI IMRFR• 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 HER 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 - — �"TAbDC. - FOLKSY NUMBER - -- -'_. -_ ¢p IC YYVY M OLICY- YYY ' LIMITS LTR A X t:DMMERCIAL GENERAL LIABILITY ACCORDANCE WITH THE POLICY PROVISIONS. EACH OCCURRENCE S 1—) ' CtAiMSMADE X 'OCCUR X GL 0017295 10/31/2014 110/3112015 DAMAGE TO RENTM "— PREiAisEL €e._� eYel _' f MED EXP (A one p erson) S PERSONAL S ADV INJURY E 1000, 5 7 1W - 0 10 GEN 'L AGGREGATE LIMIT APPLIES PER'. GENERAL AGGREGATE !F!C TS - COMPIOP AGG t 2.000, POLICY ! JE LOC I T (I f OTHER _ COMBINIE D L AUTOMOBILE LIABILITY B X X 0028279 1W311n14 1013 1/M>S BODILY INJURY (Per person) t i ANY AUTO ALL OWNED r SCHEDULED BODILY INJURY (Per so i AUTOS l AUT ED X ` X f2 PER. AMA�a 8 — HIRED AUTOS AUTOS - - I I I s X ! UMBRELLA UAt X OCCUR - EACH OCCURREN _.__. S --- 51000100 s 5 B ExcESSLIAe cLA1AtsMADE UMBQQ19930 10J31J2014 10/31/2015 AG GREGATE - -- DEO RETENTION WORKERS COMPENSATION ! X M UTE I I - i AND EMPLOYERS' LIABILITY YIN B 'ANYPROPRIETOR)PARTNEWExECUTNE ! ' NIA D 10/3112014' - 1013112015 E. L.EACHACCIDE — -- - -. —_ _._. i_ _ 500.0 OFFICERIMEMSER EXCLUDED1 (Mandatory in NH) i r E L DISEAS . EA EMP LOYE S 500,00 tr . descnbs unoar cRIPTION OF OPERATIONS below _ F i. DISEASE - POLICY LIMIT S 500,00 C rime 8208 - 7046 101311201411013112015 Fidelity 5,000,00 DESCRIPTION OF OPERATIONS 1 LOCATIONS t VEHICLES (ACORD 101, Additional Remarks Schedule, may be Inacrled R more space Is required) Monroe County Board of County Commissioners are an additional insured if required by written contract per the terms of form CGL 068 PPR dA:CfflalEPA amd as respects Auto Liability as per Blanket. Additional Insured D �p Endorsement CAD 059. Umbrella follows form. WAN a1nL1 1 ATI/1al MONROEI SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Monroe County Board of County Commissioners 1100 Simonton Street AUTHORIZED REPRESENTATIVE Key West, FL 33040 cU 19813-1U14 AUUKU UUKYUKA I IUPI. ;ui ngnLs reserveu. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD STOCK -2 OP ID: JC ACORO' CERTIFICATE OF LIABILITY INSURANCE 710 13012014 (MM/DD/YYYY) 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 SLATON INSURANCE P.O. Box 220537 NAME: Jaclyn Catania PHONE FAX AIC No Ext : 561 - 683 -8383 A/C, No) 561 -684 -5995 A DpR 1 Ess: jcatania@slatonriskservices.com West Palm Beach, FL 33422 Richard Neyman, Jr. INSURER(S) AFFORDING COVERAGE NAIC # INSURER A National Trust Ins Co. 20141 INSURED Stockton Maintenance Group INSURER B: FCCI Commercial Ins. Co. 33472 1975 Sansbury Way, Suite 116 West Palm Beach, FL 33411 INSURER C Federal Insurance Company 20281 GL 0017295 10/31/2014 INSURER D: INSURER E: $ 100,00 INSURER F : $ 5,00 COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 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 LTR TYPE OF INSURANCE County CommissionersiJ60J38 80� 0 1100 Simonton Street ( AUTHORIZED REPRESENTA POLICY NUMBER POLICY EFF MM/D POLICY EXP MWDDrrM LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 CLAIMS -MADE X OCCUR X GL 0017295 10/31/2014 10/31/2015 PREMISES Ea occurrence $ 100,00 MED EXP (Any one person) $ 5,00 PERSONAL & ADV INJURY $ 1,000,00 GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,00 POLICY FI PRO JECT F LOC PRODUCTS - COMP /OP AGG $ 2,000,00 $ OTHER: AUTOMOBILE LIABILITY C OMBINED SINGLE LIMIT (Ea amden $ 1,000,00 BODILY INJURY (Per person) $ B X ANY AUTO X CA 0028279 10/31/2014 10/31/2015 ALL OWNED SCHEDULED AUTOS AUTOS NON-OWNED X HIRED AUTOS X AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE PROPER accident $ X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,00 AGGREGATE $ 6,000,00 B EXCESS LIAB CLAIMS -MADE UMB0019930 10/31/2014 10/3112015 DED RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? (Mandatory in NH) N/A TBD 10/3112014 10/31/2015 X PER OTH- STATUTE ER E.L. EACH ACCIDENT $ 500,00 E.L. DISEASE - EA EMPLOYEE $ 500,00 E.L. DISEASE -POLICY LIMIT 1 $ 500,00 If es, describe under DESCRIPTION OF OPERATIONS below C Crime 8208 -7046 10/31/2014 10/31/2015 Fidelity 5,000,00 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached H more space Is required) Mo nroe County Board of County Commissioners are an additional insured if required by written contract per the terms of form CGL 088 PPR AGEMENT aad as respects Auto Liability as per Blanket Additional Insured Endorsement CAU 059. Umbrella follows form. D ATE AIVER N/ Ay YES cc ; A/ 4f_" A kC_z CERTIFICATE HOLDER ' CANCELLATION MONROE1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE , Z • �+ Monroe County Board of , Rd AON bIQZ THE ACCORDANCE POLICY PROVISIONS. NOTIC WILL BE DELIVERED IN County CommissionersiJ60J38 80� 0 1100 Simonton Street ( AUTHORIZED REPRESENTA Key West, FL 33040 A1;0z7__ ACORD 25 (2014101) ©1988 -2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD