Loading...
COI Expires 06/27/2018MAVER-5 OP ID- GC ACORO ® CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD/YYYY) 04/24/2018 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 endorsements . PRODUCER 954-776-2222 Brown & Brown of Florida, Inc. 1201 W Cypress Creek Rd # 130 P.O. Box 5727 Ft. Lauderdale, FL 33310-5727 Nicholas A. Leto CONTACT Nicholas A. Leto PHONE 954-776-2222 FAX 954-776-4446 (A/C, No, Ext): (A/c, No): E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC # INSURER A: Burlington Insurance Company+ 23620 INSURED Maverick United Elevator LLC INSURER B: Carolina Casualty Ins. Co.+ 10510 Attn: David Alvarez INSURER C : Progressive Express Ins. Co.+ 10193 10639 NW 122nd Street Medley, FL 33178 INSURER D : INSURER E : INSURER F : rnVPRAn=Q rFRTIFIrATF MI IMRFR• R1=VISIr1M MIIMRFR- 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 L TYPE OF INSURANCE ADDL D SUBR WVD POLICY NUMBER POLICY EFF MM/DDIYYYY POLICY EXP MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X OCCUR x 940BW46011 04/20/2018 04/20/2019 EACH OCCURRENCE S 1,000,000 DAMAGE TO RENTED E a occurrence) 100,000 $ MEDEXP (Any oneperson) S 1,000 PERSONAL & ADV INJURY $ 1'000'000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY ❑ jpar LOC OTHER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 S C AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY X AUTOS X HIRED X N&rN6 WT ED AUTOS ONLY AUTOS ONLY X 017011865 06/27/2017 06/27/2018 CO eBINEDISINGLE LIMIT $ 1,000,000 BODILY INJURY Perperson) $ BODILY INJURY Per accident S PROPERTY DAMAGE Per accident $ S A X UMBRELLA LIAR EXCESS LIAB X OCCUR CLAIMS -MADE I HFF0006812 04/20/2018 04/20/2019 EACH OCCURRENCE S 2,000,000 AGGREGATE S 2,000,000 DED RETENTIONS S B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY OFFICER/ME BER EXCLUDED? ECUTIVE (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A BNUWC0116886 05/11/2017 05/11/2018 PER OTH- AT T R E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE S 1,000,000 E.L. DISEASE - POLICY LIMIT 1,000,000 S r r• SCRIPTI OF OP T O $I LOCATIO VEHIC F,S (ACOR 1 01dditional Re rks chedule, may be attached if more space Is requlr d) I onroe"lunty �� )s an ad"tli lona�lnsurectwi c respec o eneral V Y plqK�MANAGEMENT n Liability and Auto Liability if required by written contract. A P �GIS BY DAT WAIVER N/4 YES, r FRTIGIr ATF I-Irll r1FR rAMrFI I ATIr1M MONROE1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe County BOCC THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton Street Key West, FL 33040 AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD GG.'