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HomeMy WebLinkAboutCERTIFICATE OF LIABILITY INSURANCEA CERTIFI(_ - TE OF LIABILITY INSIJ INCE PRODUCER (954)302-4531 FAX: (954)692-3941 Floridian -Coastline Group _ - 2450 E Commercial Blvd Suite 203 Fort Lauderdale FL 33308 INSURED David B Marshall GC INC. 14440 Arlington PL Davie, FL 33325 CnVrPAf1Fc THIS CERTIFICATE IS INSURERS AFFORDING COVERAGE tuSI IRFR A. Accident Insurance DATE (MMIDDIYYYY) 9/27/2017 NAIC # 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR 01OUL TYPE OF NSURANCE POLICY NUMBER POUCYEFFECTIVE POUCYEXPIRATION0 LIMITS A GENERAL LIABILITY P000645102 10/18/2016 10/18/2017 EACH OCCURRENCE $ 11000,000 X COMMERCIAL GENERAL LIABILITY IM CLAS MADE ®OCCUR DAMAGE RENTED -PEEMIS Ea oearrtence $ 100,000 MED EXP gre orson $ 5,000 PERSONAL&ADV INJURY $ 1,000 000 GENERAL AGGREGATE $ 2,000 000 GEN'LAGGREGATELIMIT APPLIES PER PRODUCTS -COMPIOP AGG POLICY PRO- LOCJFCT AUTOMOBILE LIABILITY AUTO(Ea COMBINED SINGLE LIMBANY accident)ALL r2000 BODILY INJURYSCHEDULED (Par person)HIRED OWNED AUTOS AUTOS BODILY INJURYNON-OWNEDAUTOS (Peremtlent) AUTOS PROPERTY DAMAGE (Per accident) S GARAGE LIABILITY AUTO ONLY -EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO S AUTO ONLY: AGG EXCESS I UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ $ $ DEDUCTIBLE S RETENTION S WORKERS COMPENSATION WC STATU- OIMITS E-- 11 AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNEIUEXECITIVE � E.L EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? (Mandatory in NH) E.L. DISEASE-FAEMPLOVE $ E.L DISEASE -POLICY LIMB $ I yes, describe Wider SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS St. Lucie County Contractor Licensing 2300 Virginia Avenue Fort Pierce, FL 34982 ACORD 25 SHOULD ANY OFTHE ABOVE DESCRIBED POLICIES BECANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILLENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO 50 SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY HIND UPON THE INSURER, ITS AGENTS OR AUTHORIZED REPRESENTATIVE _ J" Juan Carlos ©1988-2009 ACORD CORPORATION. All rights reserved. INS025 (200901) The ACORD name and logo are registered marks. of ACORD 4GVKU CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY) PRODUCER (954) 302-4531 FAX: (954) 692-3941 THIS CERTIFICATE IS ISSUED AS A Floridian CoastlineGroup- - -ONLY--AND-CONFERS-NO-RIGHTS HOLDER. THIS CERTIFICATE DOES 2450 E Commercial Blvd ALTER THE COVERAGE AFFORDED Suite 203 Fort Lauderdale FL 33308 INSURERS AFFORDING COVERAGE INSURED David B Marshall GC INC. INSURER A Accident Insurance 14440 Arlington PL INSURER& SCANNLLJ Davis, FL 33325 INSURER C. RY NAIC # THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FORTHE 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR NODT POFINqURANCE POLICY NUMBER POLICY EFFECTIVEYYM ID POLICYEXPIRATIONATEIM DATE IMMIDDNYYYI OMITS A GENERAL I LABILITY X COMMERCIAL GENERAL LIABILITYPRE CLAIMSMADE ®OCCUR UPP000645102 10/18/2016 10/18/2017 EACH OCCURRENCE $ 1,000,000 AI ET EeEacartern>a $ 100,000 MEO EXP (My ona non) $ 5,000 PERSONAL&ADV INJURY IS 1,000 000 GENERAL AGGREGATE $ 2,000 000 GEN'LAGGREGATE POLICY LIMIT APPLIES PER PRO LOC JECT PRODUCTS -COMPIOP AGG $ 2,000 000 AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS COMBINED SINGLE LDOR (Ea arcdw) $ BODILY INJURY (Par Palawl) $ BODILY INJURY acident) $ FROPERTYDAMAGE aoa& $ GARAGE LIABILITY ANY AUTO AUTO ONLY-EAACCIDENT $ OTHERTHAN EA ACC AUTO ONLY. ADS $ S EKCESS I UMBRELLA LIABILITY OCCUR CLAIMS MADE DEDUCTIBLE RETENTION S EACH OCCURRENCE $ AGGREGATE $ S $ IS WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNERIE)(ECUTIVE OFFICERIMEMBER EXCLUDED? (Mandatary in NH) Nx.. dasvma andPt 5ECIAL PROVISIONS Imbw WC $TATU- OR I FL EACH ACCIDENT 5 E.L DISEASE - EA EMPLOYEE S EL DISEASE -POLICY LIMIT S OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS St. Lucie County Contractor Licensing 2300 Virginia Avenue Fort Pierce, FL 34982 ACORD 25 SHOULD ANY OFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3 0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBUGATION OR LUTBILJTY OF ANY KIND UPON THE INSURER ITS AGENTS OR IZED REPRESENTATIVE _ J Carlos 01988-2009 ACORD CORPORATION. All rights reserved. INSO25 (200$01) The ACORD name and logo are registered marks of A CTRACTOR COPY