HomeMy WebLinkAbout2021 - 2022A OC O' CERTIFICATE OF LIABILITY INSURANCE °A';�;,nD""°,"9'I
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICAL 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 INSURERS). AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If Na cortlficate holder is an ADDITIONAL INSURED, the policy(les) must have ADDITIONAL INSURED provisions or be endamed.
If SUBROGATION IS WAIVED, subject to the terms and Conditions of the policy, certain polities may requim an endowment. A statement on
this Certificate does not confer rights to the certificate holder in lieu of Such endosement(s).
AROCUCw E:
Baldwin Krystyn Sherman ONE .613-984-3200 iu°c.xm: 813-854-3201
4010 W Boy Scout Blvd EI
Suite 200 Ailmses. cer0ficatesAbks-oaMemcom
Tampa FL 33607 INSURIMI AFFORama COVERAGE NMI
WSUMCI Zurich American Insurance Company 16535_
INSURED ISNE.00. IN URER e: American Guarantee & Uablli v INS. Co. 26247
Shenandoah General Construction CG
1888 NW 22nd St I xs.RERc: Zurich American Insurance Co. of IL 27855
Pompano Beach FL 33069 I NSURERO: Evanston Inwmnw Comoanv 35376
NSVRE0.E:
...RERF:
COVERAGES CERTIFICATE NUMBER: 1546525636 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,
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I E. E.1 I., one:..n 56:000
PERSONAL SA OV INJURY a1.000000
GEHERALAGGREGJITE a2,OOD000
PRODUCTS - .OMPF.V AGG 52.000.000 _
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1fJ1Qo19 15
i202
0 CC.9_x.O151NGLE OMITn. IS1.000.000
w01LY INJURY 1Perpnml I<S
BODILY INJURY (PanWCnt)1
1912019
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FACHOCCURRENCE
A4OR
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19112019
1/!112020
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ELEaCX PCCmEM E1,Oo0,000
E L.OBFASE-EA EMPLOYEE f1y000
ELD*EASE POLICY UNIT 51.000,000
AUTOS ONLY AUTOSONLY
191/1020
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A,,M,v, 2,000.000
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GEHERALAGGREGJITE a2,OOD000
PRODUCTS - .OMPF.V AGG 52.000.000 _
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1fJ1Qo19 15
i202
0 CC.9_x.O151NGLE OMITn. IS1.000.000
w01LY INJURY 1Perpnml I<S
BODILY INJURY (PanWCnt)1
1912019
1r019020
FACHOCCURRENCE
550w000
PGGREfiATE 36.000.000
Pe1Cmm Oa 1.5.000.000
19112019
1/!112020
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ELEaCX PCCmEM E1,Oo0,000
E L.OBFASE-EA EMPLOYEE f1y000
ELD*EASE POLICY UNIT 51.000,000
191,2019
191/1020
EaN meant 1,000,000
A,,M,v, 2,000.000
DESCRVTONOFOPEMTONSILOCADONf IwENIC1Ef (ACOROILI,AGMN iRema:kte[MOuN.MVWaMcMdNim.spmlar .W I
Contract #156363 - Stonn Oran Mamtenance
Collier County a additional Insured as respects the general liability For
any and all work pedonned on behalf of Collier County 11 required by
wtltten contract.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Collier County ACCORDANCE WITH THE POLICY PROVISIONS.
Board of County Commissioners
3327 Tamiami Tail East AVmISALUMMEPRIESENTATIVE
Naples FL 34112 ,
01988-2815 ACORD CORPORATION. All rights reserved.
ACORD 25120,6/03) The ACORD name and logo are registered marks of ACORD