Loading...
COI Expires 06/06/2018 DATE(MM/DDYYY) Ac o® IY CERTIFICATE OF LIABILITY INSURANCE 06/12/17 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 endorsement(s). , CONTACT PRODUCER NAME: Rick Hansen Hansen Insurance, LLC (ate No•E�): (305)674-9998 (A/c, No): (305)674-9998 E-MAIL 4590 N. Meridian Avenue ADDRESS: rick h @ anseninsurancethcom Miami Beach, FL 33140 INSURER(S)AFFORDINGCOVERAGE NAIC# A307619 INSURERA: The Phoenix Insurance Company _ 25623 INSURED INSURER B: RLI 13056 Pike Architects, Inc. INSURER C: INSURER D: 471 US Highway 1,Suite 101 INSURERE: Key West, FL 33040 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 BY PAID CLAIMS. INSR ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSR.WVD____ _ ___ POLICY NUMBER (MMIDDIYYYY) (MM/DDIYYYY) LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1000000 DAMAGE TO RENTED CLAIMS-MADE X OCCUR PREMISES(Ea occurrence) $ 1000000 MED EXP(Any one person) $ 10000 A * 660-3D01892A-PHX-17 06/06/17 06/06/18 PERSONAL a ADV INJURY $ 1000000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2000000 Xl POLICY PRO- JECT LOC PRODUCTS-COMP/OP AGG $ 2000000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) 1000000 ANY AUTO BODILY INJURY(Per person) $ OWNED A AUTOS ONLY AUTOSULED * 660-3D01892A-PHX-17 06/06/17 06/06/18 BODILY INJURY(Per accident) $ XHIRED 'N/ NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY (Per accident) $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE 1 AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION 1 PER AND EMPLOYERS'LIABILITY YIN STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE N/A per FL Statute E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ each claim 2000000 Professional annl.a 2000000 B Liability RDP0029269 06/06/17 06/06/18 aggr. OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) Certificate Holder is listed as an additional insured with respect to the Commercial { General Liability insurance and Auto Liability insurance where required by written BY V RIS AGEMENT contract. E Professional Liability insurance is written on a claims-made and reported basis. WAIVER N ES� CERTIFICATE HOLDER CANCELLATION Monroe County,through the Monroe SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE County Board of County Commissioners THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 1100 Simonton Street ACCORDANCE WITH THE POLICY PROVISIONS. Key West,Florida,33040 `AUTHORIZED REPRESENTATIVE 1 t✓G atilt ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD