HomeMy WebLinkAbout2023 - 2024Client#: 1426830 SEBASRIV2
ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDMrYY)
2/16/2023
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 any rights to the certificate holder in lieu of such endorsement(s).
PRODUCER I CONTACT Heather Bonar
USI Insurance Services, LLC PHONE
(A/C, No, Ext): 980-231-1561 I F�, No,: 610-537-2243
2502 N Rocky Point Dr. Suite 400 ADDRESS: heather.bonar@usi.com
Tampa, FL 33607 INSURER(S) AFFORDING COVERAGE NAIC 0
INSURER A: Twin City Fire Insurance Company 29459
INSURED INSURER B
Sebastian River Art Club Inc.
INSURER C
1245 Main St. INSURER D
Sebastian, FL 32958 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 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 TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS
LTR INSR WVD POLICY NUMBER (MMIDDIYYYY) (MMIDDIYYYY)
A X COMMERCIAL GENERAL LIABILITY 21 SBMRS1750 02/23/2023 02/23/2024 EACH OCCURRENCE $1,000,000
I CLAIMS -MADE a OCCUR PREMISES (Ea �r ence) $1,000,000
_ MED EXP (Any one person) $10,000
PERSONAL & ADV INJURY $1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
X POLICY JECT I I LOC
OTHER:
AUTOMOBILE LIABILITY
ANY AUTO
OWNED ! SCHEDULED
_ AUTOS ONLY AUTOS
HIRED NON -OWNED
_ AUTOS ONLY AUTOS ONLY
UMBRELLA LIAB OCCUR
EXCESS LIAR HCLAIMS-MADE
DED I I RETENTION $
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
Y I N
ANY PROPRIETORIPARTNERIEXECUTIVE
OFFICER/MEMBER EXCLUDED? N I A
(Mandatory In NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
GENERAL AGGREGATE $2,000,000
PRODUCTS - COMP/OP AGG $ 2,000,000
COMBINED SINGLE LIMIT
(Ea accident)
$
BODILY INJURY (Per person)
$
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
$
(Per accident)
$
I EACH OCCURRENCE $
I AGGREGATE $
PER I ER--
E.L. EACH ACCIDENT $
E.L. DISEASE - EA EMPLOYEE $
E.L. DISEASE - POLICY LIMIT $
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required)
CERTIFICATE HOLDER CANCELLATION
City of Sebastian SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
1225 Main St. ACCORDANCE WITH THE POLICY PROVISIONS.
Sebastian, FL 32958
AUTHORIZED REPRESENTATIVE
01988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016103) 1 of 1 The ACORD name and logo are registered marks of ACORD
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