HomeMy WebLinkAboutCERTIFICATE OF LIABILITY INSURANCEcORO® CERTIFICATE OF LIABILITY INSURANCE
DAT8122OOl14
oelz2nota
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 INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the oertlflcate holder Is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to
the terms and conditions of file policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
certificate holder In Ileu of such endorsement s .
PRODUCER CEu
CONTACT HOUSE
J�n
Kelly While & Associates insurance, LLC ip,,N'�
P.O. Box 350909 BY
St. Lucie County
PHONE F
D L
INSURER R AFFORDING COVERAGE
NAICIP
INSURERA: United Specially Ins Cc
Jacksonville FL 32235
INSURED
INSURERS:
INSURERC-
BOIChoZ Marine Advisors, Inc.
INSURER D:
103 S US Highway 1
INSURERE: Lloyds of London
Suite FS-171
INSURER
Jupiter FL 33477
COVERAGES CERTIFICATE NUMBER: 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAYBE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONSAND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAMS.
INSRJill.
TYPE OF INSURANCE
pOQCY NUMBER
POQCY EFf
POLICY EXP
QAUTS
A
17M01
LIERCIALGENERALLIABUSTY
CLAIMS -MADE �OOCUR
USA4046408
04/18/2014
04/18/2015
S 1,000.000
S MOOD
MEDExP me lam
6,000
PERSOML&ADVINJURY
S 1,000,C00
GEN. AGGREGATE LIMIT APPLIES PER:
X POLICY [:]jET nLOC
OTHER:
GENERNI-AGGREGATE
2,000,000
PRODUCTS.COMPtOPAGG
Exlcuded
S
AUTOMOBILE
LIABILITY
ANYAUr0
ALL OWNED ACHEEDULED
OS
HIRED AUTOS NbN-0WNED
AUTOS
COMBINEDSINGLELIMIrwdeno
S
BODILY INJURY(Perpersm)
$
BODILY INJURY (Per seddenl)
S
FRO PERTYDN.IAGE
S
S
UMBRELLA LMB
EXCESS LIAB
OCCUR
CLJMSJ.IADE
EACHOCCURRENCE
AGGREGATE
DED I IRE I)N
WORKERS COMPENSATION
NDEMPLOYERS'UABILITY YIN
ANY PROPRIETORIPARTNERIEXECUTIVE ❑
FFICERIMEMBER EXCLUOEC*
(Mandatory In NH)
If yea dewlbeundar
DESCRIPTION OF OPERATIONS below
NIA
PERTUTE OTH-
STA
EL EACH ACCIDENT
IS
EL DISEASE- EA EMPLOYEE
E.L. DISEASE. POLICY LIMIT
E
Professional Liability
LCH00111014
05/01/2014
05/01/2015
Per Claim: 1,000,001)
Aggregate: 1,000,000
DESCRIPTION OF OPERAMONSILOCATIONSlVEHICLES (ACORD 101,AddlUonal Remarks Schedule, may be attached if more space is required)
I
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
For Bid Purposes Only
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
Wow
01988.2014 ACORD CORPORATION. All rights reserved.
ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD