The URL can be used to link to this page

CERTIFICATE OF LIABILITY INSURANCE (595)ACORLO® CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY) 2/13/2015 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 Eastern Insurance Group, Inc. 9570 SW 107 Avenue Suite 104 Miami FL 33176 CONTACT David M. Lopez NAME: p IacNN Ert): (305) 595 -3323 INC. No): (305)595 -7135 21DAFtlEss,csr@easterninaurance.net AD INSURER(S) AFFORDING COVERAGE NAIC # INSURERA:WesCO Insurance Company 25011 INSURED Metro Equipment Service, Inc. Metro Elite Construction, Inc. 9415 SW 72 Street, Suite 131 Miami FL 33173 INSURERBNOrth River Insurance Co. 21105 INSURERC:Bridgefield Employers Insuranc 10701 INSURERD:Endurance American Specialty 41718 INSURERE:Evanston Insurance Company 35378 INSURERF: X COVERAGES CERTIFICATE NUMBER Master 14 -15 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 INSR SUBR VD IA/VD POLICY NUMBER POLICY EFF (MM/DD/YYYY) POLICY EXP (MM/DD /YYYY) A GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY OCCUR X WPP1044503 -2 8/8/2013 8/8/2014 EACH OCCURRENCE $ 1,000,000 X DAMAGE TO RENTED PREMISES (Ea occurrence) $ 300, 000 CLAIMS -MADE X MEDEXP(Anyoneperson) $ 10,000 X XCU Coverage Included PERSONAL & ADV INJURY $ 1,000,000 X Broad Form PD GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: pi LOC PRODUCTS - COMP /OP AGG $ 2,000,000 7 POLICY I X I TRi $ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS X NPP1044503 -2 8/8/2013 8/8/2014 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 $ X BODILY INJURY (Per person) SCHEDULED AUTOS BODILY INJURY (Per accident) $ NON-OWNED PROPERTY DAMAGE (Per accident) $ _AUTOS Medical payments $ 5,000 X UMBRELLA LIAB EXCESS LIAR OCCUR CLAIMS -MADE X 581- 102029 -8 8/8/2013 8/8/2014 EACH OCCURRENCE $ 3,000,000 _ AGGREGATE $ 6,000,000 DED RETENTON$ $ C WORKERS COMPENSATION AND EMPLOYERS' LIABIL TY ANY PROPRIETOR /PARTNER /EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS Y/N N/A 830 -48466 6/26/2014 6/26/2015 WC STATU- OTH- X TORY LIMITS ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 below E.L. DISEASE - POLICY LIMIT $ 1,000,000 D E XS of $3M /$6M Umbrella XS of $10 /$13M Umbrella 8LD10004236500 XOVA744113 9/23/2013 9/23/2013 8/8/2014 8/8/2014 $7,000,000 $5,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) RECEIVED Sewer and Water Main Contractor CITY OF CLEARWATER Project: Idlewild Sanitary Sewer Project FEB 13 2015 ;ISK MANAGEMENT (727)562-4755 City of Clearwater PO Box 4748 Clearwater, FL 33758 -4748 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 David Lopez /AMANDA ______: ACORD 25 (2010/05) INS025 /2mnORI ©1988 -2010 ACORD CORPORATION. All rights reserved. Tha snr1Rrl names and Innn ara ranicfarard martrc of Af npn