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HomeMy WebLinkAboutCertificate of Liability Insurance1 ® co�xn CERTIFICATE OF LIABILITY INSURANCE OATEIMMIODIYYYY) os/oanozo THIS CERTIFICATE IS ISSUED ASA 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(les) 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 endorsements . PRODUCER Kelly White & Associates Insurance, LLC P.O. Box 350909 Jacksonville FL 32235 to ONTAOT Crystal Pounders HONE 904.880-8881 PAX ac o: aooREss: crystal@ kwhiteinsurance.com INSURERS AFFORDING COVERAGE NAICM INSURERA: Travelers Property & Casualty Company INSURED ACME Corp of Florida 7870 BE River Lane Stuart FL 34997 INSURER B: INSURERC: INsuRER O: Everest National Insurance Company INSuRER E: Travelers Property &Casualty Company INSURER F, COVERAGES CERTIFICATE NUMBER: ACME2009041204254 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 TR TYPE OF INSURANCE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE UB POLICY NUMBER POLICY EF POLICYEVY LIMITB A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR Z01 -61M80257 06/14/2020 06/14/2021 EACH OCCURRENCE 1,000,000 DA E Ea -cc D $ 100,000 MED EXP (Any oneperson) 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN -1- AGGREGATE LIMIT APPLIES PER: POLICY ❑PROJECT - 1-1 LOG OTHER: GENERAL AGGREGATE Il2,000,000 PRODUCTS-COMPIOPAGG $ 1,000,000 $ AUTOMOBILE LIABILITY ANYAUTO OWNED SCHEDULED AUTOS ONLY HIRED NON -OWNED AUTOS ONLY AUTOS ONLY COMBINED SINGLE LIMB $ (Ea,cddentl BODILY INJURY (Per person) $ BODILY INJURY (Per eccldent) $ DAMAGE $ Mera PER Itl nt UMBRELLA LIABOCCUR EXCESS LIAB CLAIM&MADE I EACH OCCURRENCE AGGREGATE DED RETE $ D WORKERS COMPENSATION AND EMPLOYER& LIABILITY ANY FFICERIMEMBER EXCLUDED ECUTIVE Y® (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA 9700000531-201 06/14/2020 06114/2021 X STAT TE X ETH USL&H _Includes 1,000,000 E.L. EACH A CIDENT $1 E.L. DISEASE - EA EMPLOYEE 000,000 EL. DISEASE- POLICY LIMIT 1,000,000 E Protection & Indemnity Jones Act ZOH71 M79975 06/14/2020 06/14/2021 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) PAkIPCr r ATlnkl ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 28 (2016103) The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN David and Beth Marley ACCORDANCE WITH THE POLICY PROVISIONS. 3018 NW Radcliffe Way AUTHORIZED REPRESENTATIVE Palm City FL 349903+ ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 28 (2016103) The ACORD name and logo are registered marks of ACORD