Loading...
HomeMy WebLinkAbout2024-2025Client#: 154049 MEADGOL ACORDT,, CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 3/01/2024 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 CONTACT NAME: Laurie Keene CBIZ Insurance Services, Inc. I PHONE 561 278 (A/C, No): -0448 FAX 2255 Glades Road C, No, EXt): 561-900-1942 rA DRESS: Ikeene@cbiz.com Suite 321 A INSURER(S) AFFORDING COVERAGE NAIC # Boca Raton, FL 33431 INSURER A: Hartford Fire Insurance Co 19682 INSURED INSURER B: Twin City Fire Insurance Company 29459 International Golf Maintenance Inc. INSURER CZenith Insurance Co. 13269 5385 Gateway Blvd Suite 12 INSURER D : Lakeland, FL 33811 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 ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER (MMIDD/YYYY) (MM/DD/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY 21 CLSOF7135 03/01/2024 03/01/202 EACH OCCURRENCE $1,000,000 CLAIMS -MADE a OCCUR PREMISESO(Eaoccurrence) I $300,000 X BI/PD Ded:10000 MED EXP (Any one person) $10,000 PERSONAL & ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 X PRO F X POLICY JECT I LOG PRODUCTS - COMP/OPAGG $2,000,000 OTHER: $ B AUTOMOBILE LIABILITY 21 UENHV1311 03/01/2024 03/01/2020 COMBINED SINGLE LIMIT (Eaaccident) $1,000,000 X ANY AUTO BODILY INJURY (Per person) $ OWNED SCHEDULED ONLY BODILY INJURY (Per accident) $ AUTOS AUTOS HIRED NON -OWNED X X PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY (Per accident) Is B X UMBRELLA LIAB X OCCUR 21XSON2236 03/01/2024 03/01/202� EACH OCCURRENCE $3,000,000 EXCESS LIAB H CLAIMS -MADE AGGREGATE $3,000,000 I Is DIED XI RETENTION $0 C WORKERS COMPENSATION M1108913 03/01/2024 03/01/2025 X (SPER I AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N TATUTE EERH E.L. EACH ACCIDENT OFFICER/MEMBER EXCLUDED? � N / A (Mandatory in NH) $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE- POLICY LIMIT , $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION Sebastian Golf Club SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 101 Brush Foot Dr. ACCORDANCE WITH THE POLICY PROVISIONS. Sebastian, FL 32958 AUTHORIZED REPRESENTATIVE © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) 1 of 1 The ACORD name and logo are registered marks of ACORD #S3932925/M3932883 8OLK