Loading...
HomeMy WebLinkAboutCertificate of Insurance/4COR�® AC� CERTIFICATE OF LIABILITY INSURANCE DATE (MMlDOlYYYY) 8/15/2016 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(los) must 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). PRODUCER Tequesta Agency, Inc. dba CONTACT NAME Jodie Eber PHONE (561) 746-4546 AX(AIC o . (561)746-9599 E-MAILDE :jeber@toquestainsurance.com Tequesta Insurance Advisors INSURERS AFFORDING COVERAGE NAIC 0 218 S US Hwy 1, Ste 300 INSURER VALLEY FORGE INSURANCE A XV 20508 Tequesta FL 33469 INSURED INSURER B :GREAT AMERICAN INSURANCE A+ XIII INSURERCBERKLEY INSURANCE A+ XV Ahrens Enterprises, Inc., DHA: dba Ahrens Companies INSURER D: 1461 Kinetic Road INSURER E: INSURER F : Lake Park FL 33403 COVERAGES CERTIFICATE NUMBER:16-17 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 LTR TYPE OF INSURANCE ADDLSUB POLICY NUMBER POLICY EFF POLICY EXP LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A CLAIMS -MADE 5� OCCUR DAMAGE TO RENTED PREMISES (Es occurrence $ 100,000 MED EXP (Any one person) $ 5,000 X X, C, U INCLUDED 04035005513 1/1/2016 1/1/2017 PERSONAL & ADV INJURY $ 1,000,000 X CONTRACTURAL LIABILITY GEITL AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY � PRO F LOC JECT PRODUCTS - COMPIOP AGG $ 1,000,000 Deductible per Claim $ 2, 000 OTHER: AUTOMOBILE LIABILITY COMBINED Ea accident)SINGLE LIMIT $ BODILY INJURY (Per person) $ ANY AUTO BODILY INJURY (Per accident) $ ALL OWNED SCHEDULED TSAUTOS OWNED PROPER DAMAGE $ Per accident NON HIRED AUTOS $ X UMBRELLA UAB X OCCUR EACH OCCURRENCE $ 10,000,000 AGGREGATE $ 10,000,000 H EXCESS LIAB CLAIMS -MADE DED I RETENTION$ $ SEU0252738 04 1/1/2016 1/1/2017 A WORKERS COMPENSATIONIN AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y� (M ndatory in NH)CLUDED9 N!A WC275809481 1/1/2016 1/1/2017 OT - X STATUTE ER E.LEACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYE $ 11000,000 Ifes describe under DSG�RIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 11000,000 C PROFESSIONAL, LIABILITY PCAB-5000773-0416 4/28/2016 4/28/2017 $1,000,000 Each Claim $1,000.000 Ea Aggregate DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) Re: Sebastian Municipal Airport - Hangar C City of Sabastian is named as additional insured with respects to this project City of Sebastian 1225 Main Street Sebastian, FL 32958 ACORD 25 (2014101) INS025 mni4mi SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE rk Kasten/JODIE ©1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD