Loading...
CERTIFICATE OF LIABILITY INSURANCE (2)VANSC -1 OP ID: KE ADO ----' CERTIFICATE OF LIABILITY INSURANCE DATE 06 /28 /2013 ) 06/28/2013 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(ies) 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 certificate holder in lieu of such endorsement(s). PRODUCER Phone: 703-777-7774 Independent Insurance Center P.O. Box 2303 Fax: 703 - 777 -7156 Leesburg, VA 20177 Suter, Haycraft & Simmons CONTACT NAME: FAX (A/C. No. Ext); (/uc, No): POLICY EXP (MM/DD/YYYYI ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC U INSURER A: Travelers Ins Co 25615 INSURED Van Scoyoc Associates, Inc. 101 Constitution Ave NW # 600 Washington, DC 20001 INSURER B: Chubb Insurance Group D3 4 orth INSURER C: 07/01/2014 07/01/2014 INSURER D: $ 1,000,000 INSURER E: $ 300,000 INSURER F : $ 10,000 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 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL INCR SUBR wvn POLICY NUMBER POLICY EFF (MM/DD/YYYYI POLICY EXP (MM/DD/YYYYI LIMITS A GENERAL X LIABILITY COMMERCIAL GENERAL LIABILITY 6308B399167 m T y ,ryt g�t'�' t I ,' .a. Dwe 5 5 R R D3 4 orth /2013 CM) y,y��� . f/2o13 07/01/2014 07/01/2014 EACH OCCURRENCE $ 1,000,000 DAMAGE '10 RENTED PREMISES (Ea occurrence) $ 300,000 MED FRCP (Anyone person) $ 10,000 CLAIMS -MADE X OCCUR PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP /OP AGG $ 2,000,000 GE 'L AGGREGATE LIMIT APPLIES PRO- T- CO PER: LOC COMBINED SINGLE LIMIT (Ea accident) $ $ 1,000,000 A AUTOMOBILE X LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS SCHEDULED AUTOS AUTOS NON-OWNED ud (e I 8108B39916 -7- ✓" `� `+`` " '" BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE accident) $ $ A X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE CUP8B399167 07/01/2013 07/01/2014 EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 $ DED X RETENTION $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY FROPRIETOR /PARTNER /EXECUTI'JE YrI / -N-7I OFFICER /MEMBER EXCLUDED? I I (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A UB8B339167 07/01/2013 07/01/2014 WCSTATU- I TORY LIMITS OTH- ER E.L. EACH ACCIDENT $ 500,000 500 000 E.L. DISEASE - EA EMPLOYEE $ , E.L. DISEASE - POLICY LIMIT $ 500,000 B Errors & Omission 68026778 07/01/2013 07/01/2014 50000 ded 2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) CANCELLATION City of Clearwater, Florida PO Box 4748 Clearwater, FL 34618 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 11y441141 ACORD 25 (2010/05) ©1988 -2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD