HomeMy WebLinkAboutCertificate of InsuranceACo ® CERTIFICATE OF LIABILITY INSURANCE I OATS/0312024 )
��. 0903/2024
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.
N 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 endomement(s).
PRODUCER CONTACT Wayne Glisson
NAME:
A&C Insurance, Inc. PHONE (321) 2535865 FAX
AIC. Ne.En\ INC. No):
310 N. Babcock St p_"No- : •`ayne@AandCinsurance.com
INSURER(S)AFFORDING COVERAGE NAIC e
Melbourne FL 32935
A: ATIGUARD Insurance Company
42390
INSURED
(INSURER
INSURER B : Progressive Insurance Company
Palm Bay Concrete & Materials, Inc.
INSURER C : Berkshire Hathaway Guard Insurance Companies
1916 Darr Drive
INSURER D: Florida Citrus Business & Industries Fund
INSURER E :
Palm Bay FL 32905
I INSURER F:
COVERAGES CERTIFICATE NUMBER: 24-25
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 PC-ICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR AuuLSUBR
LTR TYPE OFINSURANCE INSR VNO POLICY NUMBER
POLICY EFF POLICY EXP
IMNIDDIYYYYI (MMIDDIYYYYI LIMITS
COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE
1,000.000
$
CI -MADE %� OCCUR
UMAGE IU RENIEU
A
I PREMISES Me occurrence)
$ 50,000
MEDEXP(Anvonepemon)
$ 5.000
A Y PABP547383
03/31/2024 03/31/2025 I PERSONALBAOV INJURY
Included
$
GENLAGGREGATE LIMITAPPLIES PER:
GENERALAGGREGATE
$ 2,0110,000
P, LOC
POLICY ❑ JECT
PRODUCTS-COMP/OP AGG
$ 2.000,000
OTHER:
$
AUTOMOBILE LIABILITYCOMBINED
_
SINGLE LIMIT
IEa acUEentl
$ 1,000.000
ANYAUTO
I BODILY INJURY (Per parson)
$
B OWNED X SCHEDULED 979253499
04/01/2024 04/01/2025 I BODILY INJURY (Per accident)
$
_ AUTOS ONLY AUTOS
HIRED NON-0WNEO
I PROPERTY DAMAGE
$
— AUTOS ONLY AUTOSONLY
IPeraccident)
I
S
X UMBRELLA LIPS OCCUR
I EACH OCCURRENCE
$ 5,000,000
C EXCESS L" CLAIMS -MADE PAUM533635
03/31/2024 03/31/2025 I AGGREGATE
$
DED RETENTION $
$
,f
WORMERS OMd SATION
I XI PER I 1OTH-
STATUTE ER
ANDFMPLOYERTLIABILRY
ANY PROPRIETORIPARTNER/EXECUTIVE YIN
D
I F EACHACCIDENT
$ 1,000.000
OFFICEWMEMBER EXCLUDED? NIA 106599242023
03/14/2024 03/14/2025
(Mandatory In NH)
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 aaacbed N more space Is required)
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
City of Sebastian ACCORDANCE WITH THE POLICY PROVISIONS.
1225 Main Street
AUTHORIZED REPRESENTATIVE2yOO//^^ �j�
Sebastian FL 32958 .� e7y�e _
I d'�
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