Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
CERTIFICATE OF LIABILITY INSURANCE (101)
ACORD CERTIFICATE OF LIABILII PRODUCER J.W. Edens & Company Commercial Ins of Brevard, Inc 325 Fifth Avenue, Suite 108 Indialantic FL 32903 Phone:321-725-7000 Fax:321-725-7856 INSURED Imperial Roofing Contr. Inc. 4117 Cox Drive Land O'Lakes FL 34639 COVERAGES Y INSURANCE OP ID vF DATE (MM/DDIYYYY) IMPRO01 12 u/10 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURER A: Canal indemnity Company INSURER B: Travelers indemnity COMP INSURER C: INSURER 0: INSURER E: THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PtzRIUU INUlur+l ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE N MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND 1 POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. .? P FF P PIRA 7AX TYPE OF INSURANCE POLICY NUMBER DATE MMIDDIYY DATE MMIDDIYY ERAL LIABILITY COMMERCIA L GENERAL LIABILITY GL 10 0 871 12/31/10 12/31/11 CLAIMS MADE X? OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY PRO LOC JECT AUTOMOBILE LIABILITY B X ANY AUTO BA-333M3132-10 ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS GARAGE LIABILITY -1 ANY AUTO F EXCESSIUMBRELLA LIABILITY OCCUR F7 CLAIMS MADE DEDUCTIBLE RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? Ses, describe under .? EC1At-PR0Vt38N3bo OTHER 10/22/101 10/22/11 ;EC 'V [? DEC 2 3 210 r ;i sTNF SR DEPT OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS CERTIFICATE HOLDER City of Clearwater 112 South Osceola Avenue Clearwater FL 33756 ACORD 25 (2001108) D. NOTWITHSTANDING 4Y BE ISSUED OR :ONDITIONS OF SUCH LIMITS EACH OCCURRENCE $ 1,000,000 PREMISES Ea occurence) $ 50,090 MED EXP (Any one person) $ 5 , 0 0 0 PERSONALBADV INJURY $ 1,000,000 GENERAL AGGREGATE - $ 210001,000 PRODUCTS - COMP/OPAGG $ 1,000,000 COMBINED SINGLE LIMIT $ 11000,000 (Ea accident) BODILY INJURY $ (Per person) BODILY INJURY $ (Per accident) PROPERTY DAMAGE $ (Per accident) AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ AUTO ONLY AGG $ EACH OCCURRENCE $ AGGREGATE $ $ - TORY LIMITS ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ OISFP.S€--POL76x..L?A4 - CANCELLATION CITYCL2 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED 70 THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY IND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. A 1,02 AUTHORIZED REPRESENTATIVE Theresa C. O'Brien © ACORD CORPORATION 1988