HomeMy WebLinkAboutSSS Brevard COI - Exp. 01242020--'1 TROPIA OP IDS CB
CERTIFICATE OF LIABILITY INSURANCE DATE (MWODNY
I 03019M
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 pollcy(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 riphis to the certificate holder In lieu of such endorsement(s1_
PRODUCER 772-56714930 . cT Ryan M. Weaver, CPCU, AIC
Cee rWeate Insurance,
ank Bldg r Inc. o, Eon: 772-567-4930 (F. NoI:772-567-4931
855 21 st Street - 2nd Floor fft$S,
Vero Beach, FL 32960
Ryan M. Weaver, CPCU, AIC
TTINSURED
POWcalayL15Pest Management, Inc.
OX
Vero Beach, Fl. 32965
INS�1flgaM1 AFF. I)Wr rQvERAGE MAIC 1
INSURER A: Markel Insurance Com Dany 38970
INSURER B:Bridgefield Employers Ins Co
a48URER C:
INSURER D:
I 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 )ERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH 3OLICIES. LIMITS SHOWN MAYHAVE BEEN REDUCED BY PAID CLAIMS.
TIA
SIR
SR ADOL S a POLICY EFF POLICY EXP
TYPE OF INSURANCE tAsn POLICY NUMBER fMMM2axYYl MID
IMrWYYYYI LIMITS A X COMMERCIAL GENERAL LIABILITY 1,000,000
= CLAIMS -MADE a OCCUR
GEN'L AGGREGATE LIMIT APPLIES PER:
100,000
POLICY
EJ LOC
PERSONAL 8 ADV INJURY S
OTHER
GENERAL AGGREGATE f
AUrOlAOSILE LIABILITY
PRODUCTS. COMPIOP AGG S
ANY AUTO
_
OWNED
SCHEDULED
_ AUTOSONLY
AUTOS
_ ALTOS ONLY
AUTyy
06TVAN
UMBRELLA LIAB
u
OCCUR
EXCESS LIAR
II
I CLAIMS -MADE
DED I I RETE�NTTIION f
B A��yy I EA f'LOl ER BILITY
QQYIN
AFFlFPRCPMMREEIE'HOERRIPAR EXCLUDED? —1 N 1 A
IafandEatorylll' NHy
If yes, describe under
,DESCRIPTION OF OPERATIONS below
EACH occuaaENcr_ s
PCG20009322.06 03101/2019 03101t20201 DAMAGE TO RENTED
PREMISES (Fa rronrel f
100,000
MED EXP fAnv one oersogl_S
5,000
PERSONAL 8 ADV INJURY S
1,000,000
GENERAL AGGREGATE f
2,000,000
PRODUCTS. COMPIOP AGG S
2,000,000
C eM..11IMSINGLE LIMIT f
BODILY INJURY IPer DersonlDILY IN�RY IPer DWSOM f
BODILY INJURY JPer acddentl S
rA�acc��nt4AMAGE S
EACH OCCURRENCE
AGGREGATE
PER 196.24971 01/2412019 01124/2020 i I STATI I X I Fli
E L. EACH ACCICENT f 1,000,000
E L, d SEASE • EA EMPLOYEE S 1,000,000
F I, DISEASE • POLICY LIMIT S 1,000,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Addidarial Remarks Schedule, may be att"ed S move apace In required)
CITYOFS
City of Sebastian
1225 Main Street
Sebastian, FL 32958
CA=L.L.ATION
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
Ryan M. Weaver, CPCU, AIC
I
ACORD 25 (2016103) Q 1988-2015 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD