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HomeMy WebLinkAboutCertificate of InsuranceCERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YVYY) 4/19/2017 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 PRODUCER 4rthur J. Gallagher Risk Management Services, Inc. 200 Jefferson Park Nhiooanv NJ 07981 INSURED G & C Fab Con LLC 5 Foster Lane, Bldg A Fleminaton. NJ 08822 G&CFABC-01 COVERAGES CERTIFICATE NUMBER: 1944157439 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. ILTR TYPE OF INSURANCE ADDLSUBR INSO VNO POLICY NUMBER MM/DDY EFF POLICY EXP LIMITS C X COMMERCIAL GENERAL LABILITY Y 6016296239 2/9/2017 2/9/2018 EACH OCCURRENCE 51,000,000 CLAIMS -ANDS ❑X OCCURT RENTED PREMAGE ISES Ea ocwrtenc $700,000 MED EXP (Any ona person) $15,000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY E PRO- JECT F_X1 LOC PRODUCTS - COMPIOPAGG $2,000.000 $ OTHER: A AUTOMOBILE LIABILITY Y 6016286273 2/8!2017 2/8/2018 Es acddent $1,000,000 BODILY INJURY (Per parents) E X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per acdden0 $ AUTOS ONLY AUTOS ONL� ERTY) E $ Per acdtlent D X UMBRELLA LIAR X OCCUR 6016296256 2/8/2017 2/9/2018 EACH OCCURRENCE $10,000,000 AGGREGATE $10,000,000 EXCESS LIAB CLAIMS -MADE DED X I RETENTION$ 10,000 $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN 4087306116 2/8/2017 2/92018 XPTR STATUTE ERµ Statutory E.L.EACH ACCIDENT $500.000 OFFICER/MEMSER EXC UDEp7 ANY ECUTIVE MIA E.L. DISEASE - EA EMPLOYE $500,000 (Mandatary In NH) rcyS6 describe under DESCRIPTION OF OPERATIONS below E.L DISEASE -POLICY LIMIT 1 $500,000 C Contractors Equip.-Rental/Leased 6016296239 2/9/2017 2/92018 Deductible 1,000 Theft Coverage Included Unscheduled Lint /Item 500,000 DESCRIPTION OF OPERATIONS/ LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) CNA BA Plus Endt. #CNA63359XX (4/12); CNA General Liability Blanket Add]. Insured Endt. #CNA75079XX (01/15) City of Sebastian, FL is additional insured under the general and automobile liability when required in a written executed contract. CERTIFICATE HOLDER CANCELLATION ACORD 25 (2016103) ©1988.2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City Of Sebastian THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 1225 Main Street ACCORDANCE WITH THE POLICY PROVISIONS. Sebastian FL 32958 AUUTTHHOrRUMDD REPRESENTATIVE ACORD 25 (2016103) ©1988.2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD