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HomeMy WebLinkAboutCertificate of InsuranceSCHUL-1 OP ID: S ,4�iI20 CERTIFICATE OF LIABILITY INSURANCE DATE (MMIODIYYYY) 07121/2017 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(les) 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 772-231-2022 Vero Insurance, Inc. 3339 Cardinal Drive Vero Beach, FL 32963 c MTACT John V. D'Albora IV PHONE 772-231-2022 FAX .772-231-7444 INC. No, Eat: E-MAIL INSURER(S) AFFORDING COVERAGE NAC q John V. D'Albora IV INSURER A Travelers 27988 INSURED Schulke, Bittle & Stoddard LLC 1717 Indian River Blvd, 201 Vero Beach, FL 32960 INSURERS Liberty Insurance Underwriters 19917 INSURER C INSURER D: INSURER E IN RER F: GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY❑ jE�T LOC COVERAGES L:tR I IPIUA I M NUIVIDCIC[ ....... 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. NSR I TR A X TYPE OFINSURANCEINSID COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ❑X OCCUR DDL X UBR MD POLICY NUMBER 3J00354A POLICY EFF 0312612017 POLICY EXP 0312612018 LIMITS EACH OCCURRENCE $ 1,000,000 DPgFmisFs IE, occurrence) AMAGE TO RENTED 100,000 MED EXP An one arson 5,000 Sebastian, FL 32958 PERSONAL 8 ADV INJURY 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY❑ jE�T LOC GENERAL AGGREGATE 2,000,000 2,000,000 PRODUCTS - COMPIOP AGG A OTHER: AUTOMOBILE LIABILITY INED SINGLE LIMIT S 1,000,000 INJl1Rv Par arson ANY AUTO X 3JO0354A 03126120170312612018V Y INJURY Per accident $ AUTEEOS ONLV AUNEDTOS ppSWWULED -S ED X AUT030NLV X NON LY Ritlent AMAGE UMBRELLA LIAR OCCUR OCCURRENCE $ EGATE S EXCESS LIAB CLAIMS -MADE %Aggregate1,000,000 DED RETENTION$ WORKERS COMPENSATION ANDEMPLOYERS'LIASILITY YIN ANY PROPRIETORIPARTNERIEXECUnVE FF.F.1 RIMEMIEW EXCLUDED? In BE A NIA 0410312017 0410312018E.L.ACH ER OTH- 1,000,006 ACCIDENT 1,000,000 ISEASE - EA EMPLOYE B 1MancMary I E as, describe under DESCRIPTION OF OPERATIONS Oebw Prof Liability TAEE1022:8400:02 1211512016 1211512017laim ISEASE-POLICY LIMB 1,000,000 1,000,000 egate 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remark. Schedule, may be attached if more space Is required) The City is an additional insured. This insurance applies on a primary - basis. The insurance shall apply to each insured or additional insured In the same manner as if separate policies had been issued. CERTIFICATE HOLDER SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Sebastian ACCORDANCE WITH THE POLICY PROVISIONS. 1225 Main Street AUTHORIZED REPRESENTATIVE Sebastian, FL 32958 John V. D'Albora IV d ACORD 25 (2016103) ©1988-2015 ACORD CORPORATION. All rights reserve . The ACORD name and logo are registered marks of ACORD DATE (MM/DD/YYYY)CERTIFICATE OF LIABILITY INSURANCE 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 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). CONTACTPRODUCERNAME: FAXPHONE (A/C, No):(A/C, No, Ext): E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A : INSURED INSURER B : INSURER C : INSURER D : 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 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. ADDL SUBRINSR POLICY EFF POLICY EXPTYPE OF INSURANCE LIMITSPOLICY NUMBERLTR (MM/DD/YYYY) (MM/DD/YYYY)INSD WVD COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTEDCLAIMS-MADE OCCUR $PREMISES (Ea occurrence) MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER:GENERAL AGGREGATE $ PRO-POLICY LOC PRODUCTS - COMP/OP AGG $JECT $OTHER: COMBINED SINGLE LIMITAUTOMOBILE LIABILITY $(Ea accident) BODILY INJURY (Per person) $ANY AUTO ALL OWNED SCHEDULED BODILY INJURY (Per accident) $AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $HIRED AUTOS (Per accident)AUTOS $ UMBRELLA LIAB EACH OCCURRENCE $OCCUR EXCESS LIAB CLAIMS-MADE AGGREGATE $ $DED RETENTION $ PER OTH-WORKERS COMPENSATION STATUTE ERAND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $N / AOFFICER/MEMBER EXCLUDED? (Mandatory in NH)E.L. DISEASE - EA EMPLOYEE $ If yes, describe under E.L. DISEASE - POLICY LIMIT $DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE © 1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORDACORD 25 (2014/01) John V. D'Albora IV SCHUL-1 OP ID: MD 01/03/2017 John V. D'Albora IVVero Insurance, Inc. 3339 Cardinal Drive Vero Beach, FL 32963 John V. D'Albora IV 772-231-2022 772-231-7444 Liberty Insurance Underwriters Schulke, Bittle & Stoddard LLC Jodah Bittle 1717 Indian River Blvd, 201 Vero Beach, FL 32960 A Professional Liab AEE1022840002 12/15/2016 12/15/2017 Per Claim 1,000,000 Aggregate 1,000,000 City of Sebastian 1225 Main St. Sebastian, FL 32958 ,CORD Ldlema: I U04U4 t ZIL.r1UL1111 CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYYI 10/20/2015 1 HIb t:tK 1IEICAI t IS ISSUED ASA 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 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 endorsementis). PRODUCER USI Insurance Services, LLC, 1715 N. Westshore Blvd. Suite 700 Tampa, FL 33607 INSURED Schulke, Bittle & Stoddard, LLC 1717 Indian River Blvd., Suite 201 Vero Beach, FL 32960 jn"JDO°,N1 o. E,q:.813 321-7500 E-MAIL ADDRESS: FAX (AIC, No): INSURERS) AFFORDING COVERAGE INSURER A: Phoenix Insurance Company INSURER B: Travelers Indemnity Company INSURER C: Travelers Casualty & Surety Co INSURER D: Liberty Insurance Underwriters INSURER E : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER• NAIC IT 25623 25658 19038 19917 i HIS 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. LTR TYPE OF INSURANCE NSRADDLSUSR Me POLICY NUMBER (MMIDDIYYEYYY) (MMIDDIYYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY X X 66046970650 3/26/2015 03126/2016 Enr_IIOCCURRENCE 51,000,000 CLAIMS MADE X OCCUR FRErRSE S(EORENTED nce 511000,000 MED EXP IMy one person) $10,000 PERSONAL d ADV INJURY $1,000,000 GEN'L AGGREGATE LIMI I APPLIES PER GENERAL AGGREGATE 52,000,000 RO POLICY X JF T LOC PRODUCTS-COMPIOPAGG $2,000,000 OTHER $ A AUTOMOBILE LIABILITYCOMBiNEU X 66046970650 SINGLE LIMI I 103/2612015 03/2612016 (Ea accipcm) $1,000,000 ANY AUTO BODILY INJURY (Per person) S ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per awdenl l 5 X AIRED AUTOS X NON.OWNED AUTOS PROPERTY DAMAGE (Per acodimil $ B X UMBRELLA LAB X_ OCCUR X CUP4503T768 10/07/2015 03/26/2016 EACH OCCURRENCE 51,000,000 EXCESS LIAB CLAIMS MADE AGGREGATE $1,000,000 DED X- RETENTION$10000 $ C WORKERS COMPENSATION X UB3873T8494/03/2015 04/03/2016 X PER OTH AND EMPLOYERS' LIABILITY YIN STATUTE FR ANI' PROPRIETORiPARTNEPoEXECUTIVF EL. EACH ACCIDENT 51,000,000 OGC I ERWEMBER EXCLUDED? N NIA It yes. d Mandator, In and E.L. DISEASE - EA EMPLOYEE 51,000,000 It Eos. DESCRIPTION antler UESCHIPIION DF OPERATIONS below _ F.L. DISEASEPOLICYLIMIT $1,000,000 D Professional AEA1022840001 12/14/2014 12/14/2015 $1,000,000 per claim Liability $1,000,000 annl aggr. DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORO 101, Additional Remarks Schedule, may be attached IT more space Is required) Professional Liability coverage is written on a claims -made basis. City of Sebastion is an additional insured with respect to General Liability (on a primary & non contributory basis), Auto Liability & Umbrella Liability as required by written contract. 30 Days cancellation notice except 10 days for non-payment. City of Sebastion SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 1225 Main Street ACCORDANCE WITH THE POLICY PROVISIONS. Sebastian, FL 32958 AUTHORIZED REPRESENTATIVE V -k 66-01.- a ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) 1 of 1 The ACORD name and logo are registered marks of ACORD #S16507895/M16414219 KEREW