Loading...
HomeMy WebLinkAboutCERTIFICATE OF LIABILITY INSURANCE�� CERTIFleATE OF LIABILITY INSURANCE 9i27i2D 7 PRODUCER (954) 302-4531 FAX: (954) 692-3941 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Floridian Coastline Group ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 2450 E Commercial Blvd Suite 203 Fort Lauderdale FL 3 INSURED David B Marshall C 14440 Arlington PL Davie, FL 33325 Insurance THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY•PERIOD INDICATED. NOTYNTHSTAN DING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THISCERTIFICATEMAY 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 DV POLICY NUMBER POLIOYEFFMMIDECTIVE POUDATEMMIDDIYYYY1 DAMCYEXPIRATION LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE ® OCCUR UPP000645102 10/18/2016 10/18/2017 EACH OCCURRENCE $ 1,000 000 AGE TO RENTED PREMSES E o , $ 100,000 MED EXP An o rson $ 5,000 PERSONAL BADV INJURY S 1, 000,000 GENERAL AGGREGATE. $ 2,000,000 GENLAGGREGATELIMU'APPLIES PODCY PER JET LOC PRODUCTS -COMPIOP AGG $ 2 000,000 AUTOMOBILE IJABIIJTY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS SCHEDULED$ HIRED AUTOS NON -OWNED AUTOS SCPN�Ep Q`/ Vs rOU��TI s. Lu(,;�e \.l 77 St. COMBINED wadentSINGLE LIMIT $ (Per BODILY INJURY BODILY INJURY (Pere dent) S PROPERTY DAMAGE (Per aaident) S GARAGE LIABILITY ANY AUTO P AUTOONLY.EAACCIDENT $ OTHER THAN EA ACC AUTO ONLY, AGG $ S EXCESS I UMBRELLA LIABILITY OCCUR CLAIMS MADE DEDUCTIBLE RETENTION $ EACH OCCURRENCE. S AGGREGATE $ $ $ S WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNERIEXECUNVE ❑ OFFICER/MEMSER EXCLUDED? (Mandatory in NH). If yyes, descrite under 8 ECIALPROVISIONSbe _ WC STATU- OTH- _ E. EACH ACCIOFM S $L DISEASE - EA EMPLOYEN $ E.L DISEASE - POLICY LIMB $ 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 OFTHEABOVE DESCRIBED POLICIES BE CANCELLED SEFORETHE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO 00 SO SHALL IMPOSE NO OBLIOATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 'I7Fn REPRESENTATIVE Carlos -- ©1968-2009 ACORD CORPORATION. All rights reserved. IN3Uz5 (200901) The ACORD name and logo are registered marks Ot ACORD