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HomeMy WebLinkAboutCertificates of Insurance Client#: 1540104 LANDDINC DATE(MM/DD/YYYY) ACORDTM CERTIFICATE OF LIABILITY INSURANCE 1 5/07/2025 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Ryan Switzer USI Insurance Svc Charlotte CL PHONE 980 495-0898 FAX 610 537-1902 A/C,No,Ext: (A/C,No): 6100 Fairview Road, Suite 1400 E-MAIL ADDRESS: ryan.switzer@usi.com Charlotte, NC 28210-3293 INSURER(S)AFFORDING COVERAGE NAIC# 704 543-0258 Hartford Fire Insurance Company 19682 INSURER A: p y INSURED INSURER B:Hartford Casualty Insurance Company 29424 LandDesign Inc. Twin City Fire Insurance Company 29459 INSURER C: Y P y P O Box 36959 Continental Casualty Company 20443 INSURER D: Y P y Charlotte, NC 28236 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 CONTRACTOR 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 ADDLSUBR POLICY EFF POLICY EXP LIMITS LTR INSR WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY A X COMMERCIAL GENERAL LIABILITY X X 22UUNOL6HED 05/01/2025 05/01/2026 EACH OCCURRENCE $1,000,000 CLAIMS-MADE [*OCCUR PREMISESOEa occur°nce $300,000 MED EXP(Any one person) $10,000 AP PERSONAL&ADV INJURY $1,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: Ow ''"" GENERAL AGGREGATE $2,000,000 PRO- POLICY FI JECT F-1 LOC Wei - _' PRODUCTS-COMP/OPAGG $2,000,000 OTHER: $ MBINED A AUTOMOBILE LIABILITY X X 22UENOL5534 05/01/2025 05/01/202 (CEO, identS INGLE LIMIT 1r 000r 000 acc X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE X AUTOS ONLY X AUTOS ONLY Per accident $ X 1,000 Comp X $1,000 Coll $ B X UMBRELLA LIAB N OCCUR X X 22XHUBC7M3H 05/01/2025 05/01/2026 EACH OCCURRENCE s5,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE s5,000,000 DED X RETENTION$10000 $ C WORKERS COMPENSATION X 22WBOL6H6P 05/01/2025 05/01/2026 X PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER 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 Professional AEH591939137 05/01/2025 05/01/2026 $5,000,000 Each Claim Liaibility Claims-Made $5,000,000 Annual Agg. $150,000 Retention DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Description of Operations: The general liability,auto liability and umbrella policies include an automatic additional insured endorsement that provides additional insured status to Monroe County BOCC only when there is a written contract that requires such status,and only with regard to work performed on behalf of the named insured.The general liability,auto liability and workers compensation policies provide a waiver of subrogation when required by written contract,except as prohibited by law.The above coverage is primary (See Attached Descriptions) CERTIFICATE HOLDER CANCELLATION Monroe Count BOCC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE y THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 1100 Simonton Street ACCORDANCE WITH THE POLICY PROVISIONS. Key West, FL 33040-0000 AUTHORIZED REPRESENTATIVE e i& Q) ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) 1 of 2 The ACORD name and logo are registered marks of ACORD #S49207212/M49202891 SACT DESCRIPTIONS (Continued from Page 1) and noncontributory where required by written contract for general liability and auto liability only. Umbrella is following form on general liability and auto liability per policy endorsements.The general liability includes an automatic status endorsement providing that 30 days notice of cancellation will be given to the certificate holder by the insurance carrier where required by written agreement. SAGITTA 25.3(2016/03) 2 of 2 #S49207212/M49202891