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HomeMy WebLinkAboutCertificate of insurance - Evidence BldgA� o® CERTIFICATE OF LIABILITY INSURANCE 4j�i�2017°""Y' 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 Jennifer Jones Sihle Insurance Group, IncP"°NE 916 S. Wickham Rd. West Melbourne FL 32904 . 321-422-7832 FAX .32I-7242063 EMAIL jjanes@sihle.com INSURERS AFFORDING COVERAGE NAIC4 10/2/2016 INSURER A:Bnd efield Employers Ins. Co. 10701 EACH OCCURRENCE $1,000,000 INSURED LHTANNO-01 INSURER B:THE CINCINNATI INDEMNITY CO 23280 LH Tanner Construction 2300 Avocado Avenue Suite G INSURER C INSURER D: INSURER E: Melbourne FL 32935 INSURER F: AUTOMOBILE LIABILITY X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED X AUTOS ONLY X AUTOS ONLY COVERAGES CERTIFICATE NUMBER: 130380288 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. INiR TYPE OF INSURANCE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN WVD POLICY NUMBER POLICY EFF MMIDDNYYY POLICY EXP MMIDDIYYYY LIMITSIND B X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 7X OCCUR CAP5241431 10/2/2016 10/2/2017 EACH OCCURRENCE $1,000,000 PR MI ET '=Ice $100,000 MED EXP (My one person) $5.000 PERSONAL B ADV INJURY $1,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: IJPOLICY [X] jECT F—] LOC OTHER: GENERALAGGREGATE $2,000,000 PRODUCTS - COMP/OP AGG $2,000,000 $ B AUTOMOBILE LIABILITY X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED X AUTOS ONLY X AUTOS ONLY CAP5241431 10/4/2016 10/4/2017 Ea accident $1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident)$ P RTYDAMA $ Par accidenIt UMBRELLA LIAR EXCESS LIAR OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED I I RETENTION$ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPMETOR/PARTNERIEXECUTIVE El OFFICER/MEMBER EXCLUDED? (Mandatory in NH) It Yaz, descdbe antler DESCRIPTION OF OPERATIONS below 830-36951 10/2/2016 10/2/2017X PER E ERµ E.L EACH ACCIDENT $1,000,000 E.L DISEASE - EA EMPLOYE $1,000,000 E.L. DISEASE -POLICY LIMIT $1,000,000 B Rental Equipment CAPS241431 10/2/2016 10/2/2017 Rental Equipment 250,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORO 101, Additional Remarks Schedule, may be attached If mare space Is required) CERTIFICATE HOLDER CANCELLATION ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) 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 AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD