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HomeMy WebLinkAbout2024-2025SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. INSURER(S) AFFORDING COVERAGE INSURER F : INSURER E : INSURER D : INSURER C : INSURER B : INSURER A : NAIC # NAME:CONTACT (A/C, No):FAX E-MAILADDRESS: PRODUCER (A/C, No, Ext):PHONE INSURED REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES 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 rights to the certificate holder in lieu of such endorsement(s). 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. OTHER: (Per accident) (Ea accident) $ $ N / A SUBR WVD ADDL INSD 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, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. $ $ $ $PROPERTY DAMAGE BODILY INJURY (Per accident) BODILY INJURY (Per person) COMBINED SINGLE LIMIT AUTOS ONLY AUTOSAUTOS ONLY NON-OWNED SCHEDULEDOWNED ANY AUTO AUTOMOBILE LIABILITY Y / N WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFFICER/MEMBER EXCLUDED? (Mandatory in NH) DESCRIPTION OF OPERATIONS below If yes, describe under ANY PROPRIETOR/PARTNER/EXECUTIVE $ $ $ E.L. DISEASE - POLICY LIMIT E.L. DISEASE - EA EMPLOYEE E.L. EACH ACCIDENT EROTH-STATUTEPER LIMITS(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)POLICY EFFPOLICY NUMBERTYPE OF INSURANCELTRINSR DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) EXCESS LIAB UMBRELLA LIAB $EACH OCCURRENCE $AGGREGATE $ OCCUR CLAIMS-MADE DED RETENTION $ $PRODUCTS - COMP/OP AGG $GENERAL AGGREGATE $PERSONAL & ADV INJURY $MED EXP (Any one person) $EACH OCCURRENCE DAMAGE TO RENTED $PREMISES (Ea occurrence) COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO-JECT LOC CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) CANCELLATION AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. CERTIFICATE HOLDER The ACORD name and logo are registered marks of ACORD HIRED AUTOS ONLY 2/28/2024 PG Genatt Group LLC 3333 NEW HYDE PARK RD SUITE 409 NEW HYDE PARK NY 11042 Alyson Graziosi 516-628-5705 516-470-0338 AGRAZIOSI@CRPGRP.COM Great American Insurance Company 16691 Markel Insurance Company 38970UnderwaterEngineeringServices,Inc. 3306 Enterprise Road Suite 203 Fort Pierce FL 34982 Endurance Assurance Corporation 11551 XL Specialty Insurance Company 37885 American Interstate Insurance Company 31895 North Pointe Insurance Company 27740 1853268651 A X 1,000,000 X 100,000 X Contractual Liab 5,000 1,000,000 2,000,000 X Y Y OMH 8915785 14 2/28/2024 12/31/2024 2,000,000 F 2,000,000 X X X X $1,000 COMP X $1,000 COLL Y Y 161001112 12/31/2023 12/31/2024 B C X X 4,000,000 X Y 9CE3245-2 OMX10004639810 2/28/2024 2/28/2024 Y 12/31/2024 12/31/2024 4,000,000 X 25,000 E X N Y AVWCFL3249972024 2/28/2024 12/31/2024 1,000,000 1,000,000 1,000,000 D Inland Marine UM00083574MA24A 2/28/2024 2/28/2025 Leased &Rented Equip $500,000 (F)HULL POLLUTION -GREAT AMERICAN INS.CO.POLICY#OMH 349162913 02/28/24-12/31/24 $5,000,000 LIMIT (G)P&I -GREAT AMERICAN INS.CO.POLICY#OMH 891591213 02/28/24-12/31/24 $1,000,000 LIMIT US LONGSHORE &HARBOR WORKERS ACT COVERAGE IS PROVIDED UNDER FORM NUMBER AVWCFL329972024 (H)PROFESSIONAL LIABILITY -PACIFIC INSURANCE COMPANY POLICY#21OH060917124 02/28/24-12/31/24 LIMIT $1,000,000 RE:Project #:COM2300038.00 Additional Insured Status Encompasses General Liability,Automobile &Umbrella Coverage as required by written contract.Waiver of Subrogation Status Encompasses General Liability,Automobile,Umbrella and Workers Compensation Coverage as required by written contract.City of Sebastian council members,officers,employees and agents are included as additional insured as required by written contract. 30 day notice applies City of Sebastian Public Works,1225 Main Street Sebastian,FL 32958