HomeMy WebLinkAboutCertificate of InsuranceDATE (MM/DD/YYYY)
ACORf> CERTIFICATE OF LIABILITY INSURANCE
09/05/2024
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 terns 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).
PRODUCER C,Oq�N(TACT Jonathan DeClue
CF Insurance Services, Inc. DBA DeClue Brothers Insurance PA�{' ' ;. E:tr. 407-884-7843 ( aX. Na: 407-884-6014
218 S Lake Ave E-MAIL and Ins4fl.com
ADDRESS: 1 G
INSURER(S) AFFORDING COVERAGE NAIC #
Apopka FL 32703 INSURER A : Ategrity Specialty Insurance Company 16427
INSURED Conlon Landscaping, Inc INSURER B : Progressive Express ! 10193
706 S Easy St INSURER C :
Sebastian FL 32958 INSURER D :
INSURER E :
INSURER F :
COVERAGES CERTIFICATE NUMBER: 20240905145719423 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.
INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP I LIMITS
LTR INSD WVD POLICYNUMBER (MM/DD/YYYYI (MM/DDIYYYY)
X COMMERCIAL GENERAL
LIABILITY
CLAIMS -MADE X OCCUR
A
GEN'L AGGREGATE LIMIT APPLIES PER:
X POLICY �! PRO l LOC
JECT i,
i
1 OTHER:
AUTOMOBILE LIABILITY
ANY AUTO
B OWNED X SCHEDULED
AUTOS ONLY AUTOS
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
UMBRELLA LIAB OCCUR
EXCESS LIAB H CLAIMS -MADE
DED I RETENTION $
WORKERS COMPENSATION
Y N 01-C-PK-P20106872-0
N N 985432771
AND EMPLOYERS LIABILITY Y / N
ANYPROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBEREXCLUDED? NIA
(Mandatory In NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
EACH OCCURRENCE
$ 1,000,000
DAMAGE TO RENTED
PREMISES (Ea occurrence)
$ 300,000
MED EXP (Any one person)
$ 5,000
05/09/2024 05/09/2025 PERSONAL & ADV INJURY
$ 1,000,000
GENERAL AGGREGATE
$ 2,000,000
PRODUCTS - COMP/OP AGG
$ 2,000,000
COMBINED SINGLE LIMIT
(Ea accident)
$ 1,000,000
08/28/2024
I BODILY INJURY (Per person) $
08/28/2025 BODILY INJURY (Per accident) $
PROPERTY DAMAGE $
(Per accident)
EACH OCCURRENCE
AGGREGATE
PESTATUTE I I ERH
I 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
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
CITY OF SEBASTIAN THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
1225 MAIN STREET ACCORDANCE WITH THE POLICY PROVISIONS.
Sebastian FL 32958
AUTHORIZED REPRESENTATIVE
01988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD