HomeMy WebLinkAboutCertificate of Liability InsuranceSEP-18-2013 15:22 FROM:LR GAS CONTRACTORS 7768176 TO:7427928 P.2/2
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ACORD 25 (2010105)
+� .•+"� DATE (MMIDDNYYY)
CERTIFICATE OF LIABILITY INSURANCE 01122113
--lIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
,RTIFICATE 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 INSURSR(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ios) must be endorsed. It SUBROGATION 19 WAIVED, t to
tho terms and conditions of tiro PoliCy, certain policies may require an endorsement, A etatemern on this cerliticDlo does not confer rights
te ttoo the
certificate holdor in lieu of such endorsements .
PRoouc61 8a0-656-3747 NAMfi A
Brown & Brown of FL, Irlc, 830.655 4065 AH0N5 .t : A'c Ne
P.O. Box 13189 —
Tallahassee, FL 32317 AODRaea: ,
Brown & Brovin, I11C• • TLI-I INWRER(e AFFORDING COVCRACE NAIC 1/
C 17370
INSuReD L & R Gas Contractors
PO Box 30955
Palm Beach Gardens, FI.33420
weuaert D
NautlluS Insurance o.
RetallFirst insurance Com an
A„1n nwrAare Insurance Company _ 18988
COVERAGES CERTIFICATE NUMBER: -'—'—"
THIS IS TO CERTIFY THAT THE POLICItS OF INSURANCH LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIDD
INDICATED NOTWITHSTANDING ANY REOUIREMENT. 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 AI.I THE TERMS.
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAYHAVG BEEN REDUCED BY PAID CLAIMS.
am LI LIMITS
N TYPE OF POLICY NUMBER MMIODM/YY MMIPDIVYYY c-AcmnC..CURRENCE f 1,ODO,C
GENERALLIABILI100,C
A X (tIMMCRGUALL"O LITr BNSS341712118112 12r19113 ppydlSE^.� En nma,rrei
� MED F M014 5,�
CLAIMST OCCUR 1,000,E
PCP- & ADV INJURY i q
2,000,(
GCN'L AC,0Rl?6ATE LIMIT APPLIES PGA
AUTOMORILe LIABILITY
C ANY AUTG
ALL CvVNI"O
A�JT'D
HT{ED AUTOS
uMORELLA tIAD
EXCESS LIAR
P 'TRI
VVOrq<ER8 COMPCN9A'
AND emPLOYERF LIAR
8 ANr PROPRICP5P. PART
-IrF jr riRnAEMETII I'M'
(Msrldelory In NFU)
11y„G, O0=rnb—I%1s-r
01:SORPTION or OPEI
or-SCRIPTION (jF OPERA'=
H
TS - COMPIOP
t
1
642460901
019/26112
09125113
BODILY INJURY (Per Pa(94n)
A)DILY INd1RY (P9r neddanl) f
Et�EOULEG
AUTOS
1A
PorO
AUTOS
4_
EACH OCCURRENLY S
OCCUR
1
M,GREGATE _
CLAIMS-MADIT
_ , ro,cr Llmi,_-• -
V I N 06/24112 08124/13 E.L EACH ACrIDC.NT f $D0
520401;164 500,
U NIA E L DI w,-ASE - EA I?MPL OYES f
r., r%mP&gC-.•POLICYLIMIT I _ BOO,
r LOCATION$ r VEMDLOV (Auscn ACCAan 101. Addlllond Remarks SCReduls. Irmom sp■ee Is roqulmd)
STLUCCO SHOULD ANY OF THE ABOVE; DESCRIBED POLICIES DE CANCELLED BEFORE
THU EXPIRATION DATE THEREOF, NOTICE WILL 66 DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
St. LuC 10 Co u nty Contractors
Licensing AUTHDR1260 REPRE'JENTAL"
2300 virgima Avenue
Ft. Pierce, FL 34982
01988.2010 ACORD CORPORAT101
The ACORD name and logo are registered marks of ACORD
All rlghte