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