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HomeMy WebLinkAboutCERTIFICATE OF LIABILITY,�►coao CERTIFluATE OF LIABILITY INSURANCE DATE(MMA)OYYYY) 4/25/2016 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 certificate holder is an ADDITIONAL INSURED, the policy(tes) must 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 PRODUCER Brown & Brown of Florida, Inc 1401 Forum Way West Palm Beach FL 33401 6GANNED BY ?t ( ucie County NAME: PHONE FAX MAL E#' A/ o):561-686-2313 ADDRESS: INSURE S AFFORDING COVERAGE NAICD INSURER A' } 0190 INSURED Star Electrical Contractors, Inc STARE-1 INSURER B. } INSURER C:• FFVA Mntual Incurann Cn+ knqAr (West Palm Beach FL 33409 NSURER S: NSURERF' COVERAGES CERTIFICATE NIIMRFR• 11n90ne190 RcvlmnM MI DMocla. 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. UMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSSR LIM TYPE OFINSUMNCEADOLSUBR INSR VA/D POLICYNUMBER POLICY EFF MMIODNYYY) POLICY EXP (MWDDNYrn LIMITS A GENERALLIABILITY X COMMERCIAL GENERAL LIABILITYPDAMAGETOREMISES CLAIMS -MADE F-1 OCCUR 1446827285164916 4/2312016 42312017 EACHOCCURRENCE $10001000 Me acanence $300,000 MED EXP(Any one person) $10.000 PERSONAL S ADV INJURY $1.000,000 GENERALAGGREGATE $2,000000 GENL AGGREGATE POLICY UNIT APPLIES PER: JECTPRa LOC PRODUCTS-COMP/OP AGG $2000000 E 8 AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS X NON -OWNED HIREDAUTOS AUTOS 4985164900 423/2016 4232017 (Ea accident) X BODILY INJURY (Per person) $1,000,000 BODILY INJURY Per ecdtlenl ( ) $ X PROPERTY DAMAGE Per accident $ E A X UMBRELLA UAB EXCESS LIAB X OCCUR CLAIMS -MADE 4985164901 I 4/23/2016 4232017 EACH OCCURRENCE $1,000,000 AGGREGATE $ LIED X I REIENTION$0 I E C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YINTORY ANY PROPRIETORIPARTNERIEXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If yea, OesuiDe under DESCRIPTION OF OPERATIONS below NIA WC84000303812016A 4232016 4/232017 WC LIMIT ER ELEACHACCIDENT $500000 EL DISEASE -EA EMPLOYEE $500000 E.L. DISEASE - POLICY LIMIT $500,000 DESCRIPTION OF OPERATIONS/ LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remadm Schedule, If more apace Is required) ■ea:alalneva:I•I�al�: w•1,�Llyu.�un St. Lucie County Contractor Licensing 2300 Virgina Avenue SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Ft. Pierce FL 34982 AUTHORDPD REPRESENTATIVE 19 195B-ZU1U ACORD CORPORATION. All rights reserved. ACORD 26 (2010105) The ACORD name and logo are registered marks of ACORD