Loading...
HomeMy WebLinkAboutCertificates of Insurance ACOR" YYY) D E(MM/ D/Y CERTIFICATE OF LIABILITY INSURANCE DATE D/Y 025 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). PRODUCER CONTACT NAME: Sarah Trltz Holmes Murphy&Associates PHONE FAX 2727 Grand Prairie Parkway (A/C. A/c No Ext: 515-223-6813 'C,No): E-MWaukee IA 50263 ADDRESS: stritz@holmesmurphy.com INSURER(S)AFFORDING COVERAGE NAIC# wsURERA: Charter Oak Fire Insurance Company 25615 INSURED GENASPPC INSURER B:Travelers Property Casualty Co.America 25674 General Asphalt Co, INSURERC:Travelers IndemnityCo of America 25666 4850 NW 72nd Avenueue Miami , FL 33166 INSURERD:Allied World Assurance Co. Inc. US 19489 INSURERE: Steadfast Insurance Company 26387 INSURER F: Landmark American Insurance Co 33138 COVERAGES CERTIFICATE NUMBER:107719125 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 TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR INSD WVD POLICY NUMBER MM/DD MM/DD C X COMMERCIAL GENERAL LIABILITY VTC2KC07W3485391ND25 2/1/2025 2/1/2026 EACH OCCURRENCE $2,000,000 DAMAGE TO RENTED CLAIMS-MADE X OCCUR PREMISES Ea occurrence $300,000 MED EXP(Any one person) $5,000 AP 4. 5 "By T PERSONAL&ADV INJURY $2,000,000 GEN'L AGGREGATE PLIMIT APPLIES PER: GENERAL AGGREGATE $4,000,000 Fy] _ --- POLICY X JECT LOC W PRODUCTS-COMP/OP AGG $4,000,000 OTHER: 1 1 $ B AUTOMOBILE LIABILITY VTC2JCAP7W348527TIL25 2/1/2025 2/1/2026 COMBINED SINGLE LIMIT $2,000,000 Ea accident X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS X HIRED X NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident B UMBRELLALIAB X OCCUR CUP7W3485402525 2/1/2025 2/1/2026 EACH OCCURRENCE $2,000,000 X EXCESS LAB CLAIMS-MADE AGGREGATE $2,000,000 DED X RETENTION$1 n nnn $ A WORKERS COMPENSATION UBA10793402525K 2/1/2025 2/1/2026 X PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000 OFFICE R/M EMBER EXCLUDED? N N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 D Excess Liability 03145654 2/1/2025 2/1/2026 Occurrence/Aggregate 5,000,000 E Excess Liability AECO06061300 2/1/2025 2/1/2026 Occurrence/Aggregate 5,000,000 F Excess Liability LHA604902 2/1/2025 2/1/2026 Occurrence/Aggregate 6,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) RE: Relocate RWY 7-25 Florida Keys Marathon International Airport Monroe County, FL Monroe County Board of County Commissioners is Additional Insured on the General Liability and Auto Liability,when required by written contract with the insured, per policy terms and conditions. CERTIFICATE HOLDER CANCELLATION ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD ACOR" SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Monroe County Board of County Commissioners ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton St Key West FL 33040 AUTHORIZED REPRESENTATIVE USA ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD