HomeMy WebLinkAboutCertificate of InsuranceAI ��� ® DARIMMmQrc )
CERTIFICATE OF LIABILITY INSURANCE 61172019
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 INSURERS. AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the cartlficate holder is an ADDITIONAL INSURED, the policy(les) must have ADDITIONAL INSURED provisions or be Bndolsed.
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endoreement. A Statement on
MIS Certificate does not confer rights to the certificate holder In lieu of such endoreoment(s).
PRODUCER re
`T Can Campanella
McGowan & Company, Inc. PHtRJE
20595 Lorain Rd n. 440.895.430117M.. n�:440-3333214
Fairview Park OH 44126 :.."nese • ccandamaliet0mcnowaninsurance.cam _
INSORERUR AFFORMNa COVERAGE NAICa
INSURER A: Travelers Property Casualty Cc of Amedca 36161
INSURED PAVETECan PJsumn 6: The Travelers Indemnity COMDanY of America 25666
Pavement Technology, Inc INSURERc:
24144 Detroit Rd
Westlake OH 44145 amREe o:
INSOPER E:
HURER F:
COVERAGES CERTIFICATE NUMBER: 1246006532 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
IIL. TYPEOFMSVRANCE I.-6 R PCUCVNVMBER
A X COMMERmAL GENEM 481Ptt Y C0.314N6425
CWMSMADE X . Us
GENLAOGRE3UTE I1MIT APPIIES PER.
P0.1LY O JECT 7 LOO
OTHER.
B AVTOMDaIIE used B168L678293
X ANV AUTO
AUTOS
LY
HIRED
AIIrOSULEO
X HIRED )( NONOwan
AVTOSCNLY AUIOSONLY
A %
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excess
Uses X q�Uq CU1-21391510
HERCES Lwe I—CWM6.MwE
/OED I X I RETEMION s ,n 111111
A W�COMPE Mr ON UB -0N349145
sumse ,su'LIA YIN
ANYPROVeJerOR?MTNEILIXECMVE
ov"EssRNENBERIXOWDED, ❑ NIA
( andifiro HNm
IOFSLRI RWIN OF OPERATIONS OYM
pESCRPTON OFOPEMl10H61LOLATQYSIVENICLES (ALORD IOI,A..R —0MSelw M..—y6
Pmjed: 2019 Roadvnyy Paving
beholderIs induded as an additional insured as required b wd0en contrad.
10 day notice of ca icellabon for nOrEpayment and 30 days for all other reasons applies
311/2019
3118020
31112018
31112020
LV1010
1112020
3118019
I 31111020
uMm
EACH OCCURRENCE !1,000,000
%t Ml Ee WYM1MI SSDO,OW
MFO EXP ore 55.000
PERSGNALSAP/ INJURY $1.000.000
GENERALAGGREGME 1$2.000.000
�UCTS.COMPNPAOG 12.000.000
LOM9clOvIl GLE uan $1.00:000
SCOILY INJURY IPS PurMI
S
S'N'ILY RUURY(PS K(bMl
S
M
S
Is
EAGIREGO RRENCE
15,000.000
AGGREGATE
f5.000.000 ._III
S
X STATUrE ORI`
EL EACNACCIDENT
131.000.000
E4 pSEASE � M EMPLOYE:
$1,00:000
E. L. DISEASE - POLICY LIMIT
51.000.000
,PERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE FOUCY PROVISIONS.
City of Sebastian
1225 Main St. AYmORPEDREPROSENTATIVE
Sebastian FL 32958
®1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 28 (2016103) The ACORD name and logo are registered marks of ACORD