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Home My WebLink AboutSSS Brevard COI - Exp. 02/01/2021Client#: 75192 SCGPA Yi� ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE (M11/2o/ 020 MlDDIYYD1YY 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 INSURERS), 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). PRODUCER CONTACT NAME: Michelle Kalicharan Aerisure dba Gulfshore Ins SWF PHONE FAX (C No. Ext): 239 435-7143 (Arc, Noy: 2339 213-2803 i� 4100 Gaodlette Road N ADDRESS: mkalicharan@gulfshoreinsurance.com Naples, FL 34103 I INSURER(S) AFFORDING COVERAGE NAIC # 239 261-3646 12262 INSURER A: PonnsyFven€a Ruanu[acturera Haan Inc Cam INSURED INSURER B - Evanston maurance Company S1123 SSS Brevard Opco, LLC INSURER C dba Tropical Property Management INSURER D 2800 Allen Hill Avenue INSURER E Melbourne, FL 32940 I 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 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. INSR 'ADDL SUSR POLICY EFF L POLICY EXP LIMITS IN R TYPE OF INSURANCE INSR WVD POLICY NUMBER (MMIDD1YYYY) (MMIDDMYYY) A GENERAL LIABILITY X X 3020751268333 08/22/2020 02/01/2021 EACH OCCURRENCE $1,040,000 RAMAGE yENTED X COMMERCIAL GENERAL LIABILITY PREMISES f a occurrencef $500,OOi CLAIMS -MADE F7x OCCUR MED EXP (Any One person) $10,000 X Bi1PD Ded:100000 PERSONAL & ADV INJURY $1,000,000 GENERAL AGGREGATE S5,000,000 GEN'L AGGREGGATTE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $2,000,000 POLICY I ^I JECf i I LOC --__ $ A AUTOMOBILE LIABILITY X X 1520751268333 08/22/2020 02/01/2021 rEa acc deDtSINGLE LIMIT $2,000,000 X ANY AUTO BODILY INJURY (Per person) S ALLOWNED SCHEDULED SOD ILYINJURY(Per accident) $ AUTOS AUTOS X NON -OWNED X PROrPERT DAMAGE $ HIRED AUTOS AUTOS $ B UMBRELLA LIAB OCCUR MKLV7EUL11604 08/22/2020 02/01/2021 EACH OCCURRENCE $5,000,000 X EXCESS LIAR CLAWS -MADE AGGREGATE $5,000,000 DED I X1 RETENTIONSO $ WORKERS COMPENSATION JTO YLIMITSTATU- j iOTH- TORY LIMITS I FR AND EMPLOYERS' LIABILITY Y/N ACCIDENT S ANY PROPRIETORIPARTNERIEXECUTIVE ❑ N / A E.L. EACH -- _ -- - OFFICERIMEMBER EXCLUDED? EA EMPLOYEE $ (Mandatory in NH) E.L DISEASE - 11 yes, describe under DESCRIPTION OF OPERATIONS bdmv E.L. DISEASE -POLICY LIMIT S DESCRIPTION OF OPERATIONS r LOCATIONS 1 VEHICLES (Attach ACORD 101, Additional Remarks Schedule, it more space is required) City of Sebastian is included as Additional Insured on a primary and noncontributory basis with regards to General Liability Only as required by contract perform CG2001 1219, Ongoing Operations perform CG2010 0413 and Completed Operations per form G2037 0413. Waiver of Subrogation per form CG2404 1219. Additional Insured in regards to Auto Liability as required by written contract per form CA2048 1013 and Waiver of Subrogation per PCA0531 0414.Additional Insured in regards to Auto Liability on a primary and noncontributory basis per form CA0449 1116 when required by written contract. CERTIFICATE HOLDER City of Sebastian 1225 Main Street Sebastian, FL 32958 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 m 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) 1 of 1 The ACORD name and logo are registered marks of ACORD #S1625061/M1594353 Mi4K