The URL can be used to link to this page

Certificate of Insurance serionsosell ■ �'ms411 UNITSTA -01 LSMITH DATE (MM /DD/YYYY) A oM CERTIFICATE OF LIABILITY INSURANCE 12/8/2014 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 AFFORGED 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). CONTACT Li S m ith PRODUCER CONE: FAX PHONE 1 800 262 -8911 I ANC, No): (860) 399 -3615 Gowrie Barden & Brett, Inc. PHO E Ext): ( ) ( 70 Essex Road E -MAIL Westbrook, CT 06498 ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A : Great Northern Insurance Company 20303 INSURED INSURER B : Federal Insurance Company INSURER C United States Sailing Association, Inc INSURER C : 15 Maritime Drive Portsmouth, RI 02871 INSURER E : INSURER F : 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 B I PAID POLICY CLAIMS. LIMITS INSR ADDL SUBR POLICY NUMBER (MM /DD/YYYY) (MMIDD/YYYY) LTR TYPE OF INSURANCE INSD WVD 1,000,000 EACH OCCURRENCE I $ A X I COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED 1,000,000 X I OCCUR 1 X 35810562 12/01/2014 12/01/2015 PREMISES {Ea occurrence) $ CLAIMS -MADE 10,000 MED EXP (Any one pe son) $ PERSONAL & ADV IN. URY 1 $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP /OP AGG $ Included PRO- LOC POLICY I JECT . • - - - r, D : - SK ∎ • 4) E MENT $ , OTHER: � I . COMBINED SINGLE LIMIT $ 1, , CO accident) AUTOMOBILE LIABILITY 0 � _ *Miff BODILY INJURY (Per 2erson) I $ AL AUTO BODILY INJURY (Per accident)' $ ALL L OWNED SCHEDULED - -- � � AUTOS I AUTOS NON -OWNED WAIVER Ni YES PROPERTY DAMAGE $ 1 (Per accident) HIRED AUTOS 1 AUTOS I $ EACH OCCURRENCE I $ 20,000,000 X 1 UMBRELLA LIAB X O CCUR 20,000,000 B EXCESS LIAB I CLAIMS -MADE '1 79832253 12/01/2014 ,, 12/01/2015 AGGREGATE $ ' $ DED X RETENTION $ 0 PER OTH- WORKERS COMPENSATION I STA TUTE I I ER AND EMPLOYERS' LIABILITY Y / N � _E.L. EACH ACCIDENT $ ANY OFFICER/MEMBER PROPRIETOR/PARTNER/EXECUTIVE MEMB XCLDED 1 I N / A E.L. DISEASE - EA EMPLOYEE $ OFFICER /MEMBER EXCLUDED? ll (Mandatory in NH IM ry NH) I . If yes, describe under DESCRIPTION OF OPERATIONS below E.L DISEASE - POL CY LIMIT 1 $ 07319219 12/01/2014 12/01/2015 1,000,000 B Marine GL 12/01/2014 12/01/2015 Protection & Ird 1,000,000 B Yacht X 07319220 i I I DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Additional Insured: Premiere Racing, Inc. Monroe County Board of County commissioners, its employees & officials are listed as certificate holders and additional insured on general liability, protection and indemnity coverage with respect to the Key West Race Week 2015 to be held from January 2nd- February 6th, 2015, including set up and take down. V 1 J 7.110103 30SNOW CANCELLATION CERTIFICATE HOLDER ' 1 1 '813 Ill t SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Q'� ] Monroe County, Its Employees & Officials, THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 00 =S 14d 6- ` 3. S1O1 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Monroe County Board of C J�CJ i s ty e l lj Risk Mgmt, 1100 Simonton SR{��4�,u U, 1 i_ 4._ . Room 1 -268 Kev West, FL 33040 © 1988-2014 ACORD CORPORA — ION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD