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HomeMy WebLinkAboutCertificate of InsuranceHo l d e r I d e n t i f i e r : 77 7 7 7 7 7 7 0 7 0 7 0 7 0 0 0 7 7 7 6 3 6 1 6 0 6 5 5 5 3 3 3 0 7 7 3 6 1 6 4 4 6 3 1 5 5 5 6 7 0 74 5 2 1 3 6 6 6 3 5 1 7 3 0 0 0 7 2 6 5 1 5 6 6 0 5 6 2 2 0 1 3 0 7 7 0 5 0 5 5 6 5 3 7 7 5 7 4 0 0 76 6 6 6 0 7 7 1 4 1 0 5 7 4 6 0 7 7 4 2 4 5 1 5 3 2 2 1 0 5 7 0 0 7 7 4 0 4 1 5 3 5 6 6 3 0 3 1 0 0 73 6 2 2 5 7 3 3 0 2 7 4 1 1 2 0 7 7 7 2 7 2 5 2 0 2 5 7 7 3 1 1 0 7 7 7 7 7 7 7 0 7 0 0 0 7 0 7 0 0 7 66 6 6 6 6 6 6 0 6 0 6 0 6 0 0 0 6 2 6 0 6 4 6 6 2 0 4 4 4 6 2 0 0 6 2 2 2 0 0 4 2 4 0 0 6 0 0 2 0 0 62 2 2 2 0 4 2 6 0 0 4 2 0 2 0 0 6 2 2 2 0 2 6 0 4 0 2 6 0 2 0 0 0 6 2 2 2 0 0 4 0 6 2 0 4 2 2 0 2 0 60 0 0 0 2 4 0 4 2 2 6 2 0 2 0 0 6 2 2 2 0 2 4 0 6 0 0 4 0 2 0 0 0 6 2 2 0 0 2 4 0 6 2 0 4 0 0 2 0 0 62 2 0 0 0 6 2 4 2 2 6 0 2 0 0 0 6 6 6 4 6 0 6 2 2 4 0 6 6 4 4 4 0 6 6 6 6 6 6 6 0 6 0 0 0 6 0 6 0 0 6 Ce r t i f i c a t e N o : 57 0 1 0 7 7 5 3 5 2 3 CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 08/21/2024 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. PRODUCER Aon Risk Services Central, Inc. Chicago IL Office 200 East Randolph Chicago IL 60601 USA PHONE (A/C. No. Ext): E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # (866) 283-7122 INSURED 19445National Union Fire Ins Co of PittsburghINSURER A: 16535Zurich American Ins CoINSURER B: 35289The Continental Insurance CompanyINSURER C: 20427American Casualty Co. of Reading PAINSURER D: 20508Valley Forge Insurance CoINSURER E: INSURER F: FAX (A/C. No.):(800) 363-0105 Allianz Global Risks US Insurance Co.35300 CONTACT NAME: Anser Advisory Consulting, LLC 3800 Esplanade Way, Suite 100 Tallahassee FL 32311 USA COVERAGES CERTIFICATE NUMBER:570107753523 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, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.Limits shown are as requested POLICY EXP (MM/DD/YYYY) POLICY EFF (MM/DD/YYYY) SUBR WVD INSR LTR ADDL INSD POLICY NUMBER TYPE OF INSURANCE LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR POLICY LOC EACH OCCURRENCE DAMAGE TO RENTED PREMISES (Ea occurrence) MED EXP (Any one person) PERSONAL & ADV INJURY GENERAL AGGREGATE PRODUCTS - COMP/OP AGG X X X GEN'L AGGREGATE LIMIT APPLIES PER: $1,000,000 $1,000,000 $15,000 $1,000,000 $2,000,000 $2,000,000 E 01/17/2024 01/17/20257064039430 PRO- JECT OTHER: AUTOMOBILE LIABILITY ANY AUTO OWNED AUTOS ONLY SCHEDULED AUTOS HIRED AUTOS ONLY NON-OWNED AUTOS ONLY BODILY INJURY ( Per person) PROPERTY DAMAGE (Per accident) X BODILY INJURY (Per accident) $1,000,000C01/17/2024 01/17/2025 BAP 9376191 20B 11/15/2023 11/15/2024 5M xs 1M COMBINED SINGLE LIMIT (Ea accident) BUA 7064031019 EXCESS LIAB X OCCUR CLAIMS-MADE AGGREGATE EACH OCCURRENCE DED $1,000,000 $1,000,000 11/15/2023UMBRELLA LIABA 11/15/202438178877 RETENTION X E.L. DISEASE-EA EMPLOYEE E.L. DISEASE-POLICY LIMIT E.L. EACH ACCIDENT $1,000,000 X OTH- ER PER STATUTED01/17/2024 01/17/2025 WC - AOS WC711411386C 01/17/2024 01/17/2025 $1,000,000 Y / N (Mandatory in NH) ANY PROPRIETOR / PARTNER / EXECUTIVE OFFICER/MEMBER EXCLUDED?N / AN WC - CA WORKERS COMPENSATION AND EMPLOYERS' LIABILITY If yes, describe under DESCRIPTION OF OPERATIONS below $1,000,000 WC711411372 EachClaim/AggregateUSZ000017240M06/01/2024 06/01/2025 SIR applies per policy terms & conditions E&O - Professional Liability - Primary F $2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Evidence of Coverage. RE: 24-12-RFP. Accenture/Anser clients, City Of Sebastian, vendors, landlords and lessors are included as Additional Insured in accordance with the policy provisions of the General Liability, Automobile Liability and Umbrella Liability policies. General Liability evidenced herein is Primary and Non Contributory to other insurance available to an Additional Insured, but only in accordance with the policy's provisions. A Waiver of Subrogation is granted in favor of Accenture/Anser clients, City Of Sebastian, vendors, landlords and lessors in accordance with the policy provisions of the General Liability, Automobile Liability, Umbrella Liability and Workers' Compensation policies. CANCELLATIONCERTIFICATE HOLDER AUTHORIZED REPRESENTATIVECity Of Sebastian 1225 Main Street Sebastian FL 32958 USA ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.