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HomeMy WebLinkAbout2021ARd CERTIFICATE OF LIABILITY INSURANCE I 432az0 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 WE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the cer11ficat0 holder Is an ADDITIONAL INSURED, Me policy(les) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of tip policy, certain policies may require an endorsement. A statement an this certificate does not confer rights to the certificate holder in lieu of 5 1ph eOdoyam eenUs). PRODUCER SAMME::6/ Katherine B. Polo Arthur J. Gallagher Risk Management Services, Inc. PNoxE fiAx 8333 NW 53M Street Faq: 305 SOT 5229 _l1uc�NeP 305-592i049 Suite 600 pMAIL - katherme polo-a'g.wm Miami FL 33166 e1SURERIs AFrORDINGOOVEMOE Mca NaVRERA: Evanstonlnsurance Company 35378 P+ws=^ NSIrRFRa: Ubedv Insurance Combination 42404 _ Aquatic Vegetation Control, Inc. Pnu sec, Liberty Mutual Fire Insurance ComDerly_ 230M 1860 W 101h Street - Riviera Beach, FL 33404 NSuRERo: Employers Imumance Company of Wausau _ 214W NSVRFA E: .so.. F: COVERAGES CERTIFICATE NUMBER: 5185857" 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 CMMS. LIA MEOFINSURANCE Aug 8 X CBMMERCIALBENERpL LYBIMry CLAIMS'M,SE x'�� LJ OCCUR WMAGGREGAMILA TAPPUBSPER X ADUOY D ,IPEC- lCC OTHER C NIlCMOBILEWEWTY X OMRO o GNTOO $CHEOUIEO H'FEO NLY HIRED ALTOONLY AUTOS ONLY ALTOS ONLY B X,UMBRELWLMB X CCGIR EYCESS UAM aN.E MMDE X �'RETENnONS.nnr p ASO NERS EMPLOYERS SATpX ROF�ANYreEPLOYERB'W1aWLY Y/N OPP ETORPARiHERIFXECV1fYE ORICER.MEM11.11 WDEO? ❑ N/A nut o�scRlITIOxe uOF OPERATIONS FOUCYNUMSER MM12752MI10 MaS1275208100 W7MI05208150 WCC25ins"B090 4/1R020 I 4/1I2021 411rz021) I 411=21 A"=20 AID021 C I Ip Pnyvca D..... A9zzstzlszo910G u1rz02a ulrzozl A FOYu1NOLnxIy MKLWENV101T18 411rz02. 4I1Q021 OESCRIPVWOPWEMnMSILWAnMSIVEHICLES(ACORDIVLAMflomIAATunsSCMEuI.,m.y..WPM011mn.Wcamp CERTIFICATE HOLDER CANCELLATION Evidence of Insurance ACORD 25 (201SJ03) nl,af EACHCCCURRENCE L000,W0 TORENTO0 PREMIBEe EID wt.,mnul f 1OB_000 — NEDEXA(PnymeMmn) f5.000 si.oso000 PE.eON..AWINNRY GENFRLLAWREGArE 32.W0:000 f2.000:000 PRODUCTS-COMPROPAGG S EIDM�4E0 SINGLE LIMIT f1,000.000 BOMLYIµIURYIPerpMMn) f BONLV IWURY(RR, doccv, S PROPERII'OAMRDE PerLndP_J1_ _ S 5 EACH OCCURRENCE 34,000.00) XiGREWTE 54.000.OW — S PX ER LECXAC1i_ . . EL D6EAEE_EAEMPLDVEE S1.DOD,000 ELDISEASE.P000YUMR st.DIDD.000 av+nuv E31obo Dv00 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH WE POLICY PROVISIONS. AUTHOROEDREPRESENTATIVE 01988-2015 ACORD CORPORATION. All rights mowed. SFWMD RFP t BONDI D57 AQUATIC VEGETATION CONTROL, INC. PAGE 291175