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HomeMy WebLinkAboutEstep COIANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? INSR ADDL SUBR LTR INSD WVD PRODUCER CONTACT NAME: FAXPHONE (A/C, No):(A/C, No, Ext): E-MAIL ADDRESS: INSURER A : INSURED INSURER B : INSURER C : INSURER D : INSURER E : INSURER F : POLICY NUMBER POLICY EFF POLICY EXPTYPE OF INSURANCE LIMITS(MM/DD/YYYY)(MM/DD/YYYY) AUTOMOBILE LIABILITY UMBRELLA LIAB EXCESS LIAB WORKERS COMPENSATION AND EMPLOYERS' LIABILITY DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) AUTHORIZED REPRESENTATIVE EACH OCCURRENCE $ DAMAGE TO RENTEDCLAIMS-MADE OCCUR $PREMISES (Ea occurrence) MED EXP (Any one person)$ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER:GENERAL AGGREGATE $ PRO-POLICY LOC PRODUCTS - COMP/OP AGGJECT OTHER:$ COMBINED SINGLE LIMIT $(Ea accident) ANY AUTO BODILY INJURY (Per person)$ OWNED SCHEDULED BODILY INJURY (Per accident)$AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $AUTOS ONLY AUTOS ONLY (Per accident) $ OCCUR EACH OCCURRENCE CLAIMS-MADE AGGREGATE $ DED RETENTION $ PER OTH- STATUTE ER E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE $ If yes, describe under E.L. DISEASE - POLICY LIMITDESCRIPTION OF OPERATIONS below INSURER(S) AFFORDING COVERAGE NAIC # COMMERCIAL GENERAL LIABILITY Y / N N / A (Mandatory in NH) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 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. 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 rights to the certificate holder in lieu of such endorsement(s). COVERAGES CERTIFICATE NUMBER:REVISION NUMBER: CERTIFICATE HOLDER CANCELLATION © 1988-2015 ACORD CORPORATION. All rights reserved.ACORD 25 (2016/03) CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) $ $ $ $ $ The ACORD name and logo are registered marks of ACORD 10/9/2025 (407) 998-5411 10847 Estep Construction Inc. PO Box 929 Apopka, FL 32704 45055 35378 16691 A 1,000,000 X X 326024-000 8/22/2025 8/22/2026 100,000 5,000 1,000,000 2,000,000 2,000,000 HNOA 1,000,000 1,000,000A 326025-000 8/22/2025 8/22/2026 UIM 100,000 4,000,000B ESXS2510005285-01 8/22/2025 8/22/2026 0 4,000,000 C CPL CPLMOL133752 8/22/2025 2m Ea. Occ. / 4m Agg 2,000,000 D Equipment Floater IMP F391971 00 8/22/2025 8/22/2026 Scheduled 689,685 Citwide Ditch and Swale Grading -25-20-ITB Endorsement Forms- When required by a written contract. 25-26 GLIA - Enhancement Endorsment Form CGC 01 01 06 19- Blanket Additional Insured, Waiver of Subrogation. CA0449 will be included. 25-26 GLIA Primary and NonContributory Endorsement Form CG 20 01 12 19 SEE ATTACHED ACORD 101 City of Sebasitan 1225 Main Street Sebastian, FL 32958 ESTECON-03 BALDWINS Insurance Office of America 158 N Harbor City Blvd Suite 202 Melbourne, FL 32935 Shari Baldwin Shari.Baldwin@ioausa.com CUMIS Insurance Society, Inc. Ascot Specialty Insurance Company Evanston Insurance Company Great American Insurance Company AGGREGATE 8/22/2026 X X X X X X X FORM NUMBER: EFFECTIVE DATE: The ACORD name and logo are registered marks of ACORD ADDITIONAL REMARKS ADDITIONAL REMARKS SCHEDULE FORM TITLE: Page of THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, ACORD 101 (2008/01) AGENCY CUSTOMER ID: LOC #: AGENCY NAMED INSURED POLICY NUMBER CARRIER NAIC CODE © 2008 ACORD CORPORATION. All rights reserved. Insurance Office of America ESTECON-03 SEE PAGE 1 1 SEE PAGE 1 ACORD 25 Certificate of Liability Insurance 1 SEE P 1 Estep Construction Inc. PO Box 929 Apopka, FL 32704 SEE PAGE 1 BALDWINS 1 Description of Operations/Locations/Vehicles: 25-26 GLIA Endorsement Completed Operations Form CG 20 37 12 19 25-26 Excess/Umbrella - follows form of the General Libiality policy. 25-26 BAUT- COMMERCIAL AUTO ENHANCEMENT ENDORSEMENT Form CAL 01 06 19- Blanket Additional Insured, Waiver of Subrogation 25-26 BAUT Primary and NonContributory Form CA 04 49 11 16 The City of Sebastian is named as additional insured as required by a written contract. Waiver of Subrogation applies for General Liabiliyt.