Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
CERTIFICATE OF LIABILITY INSURANCE (371)
Client #: 1049386 SDIENV ACORDT. CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 8/24/2015 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 USI Insurance Services, LLC, 1715 N. Westshore Blvd. Suite 700 Tampa, FL 33607 CONTACT NAME: PHONE FAX (NC, No, Ext): 81 3 321 -7500 (,AC No): 813 321 -7525 E -MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Admiral Insurance Company 24856 INSURED S D I Environmental Services, Inc. 10014 N. Dale Mabry Hwy., Suite 202 Tampa, FL 33618 INSURER B : Travelers Indemnity Company 25658 INSURER C: Travelers Casualty and Surety C 31194 Travelers Indemnity Company INSURER D : ty p y of 25682 INSURER E : INSURER F : OCCUR CERTIFICATE NUMBE • 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. LIAR TYPE OF INSURANCE ADDLSUBR INSR WVD POLICY NUMBER POLICY EFF (MM /DD/YYYY) POLICY EXP (MM /DD/YYYY) OMITS A GENERAL X LIABILITY COMMERCIAL GENERAL LIABILITY FEIECC173840 09/02/2015 09/02/2016 EACH OCCURRENCE $1,000,000 $50,000 DAMA�E TTO RENTED PREMISES(Eaoccurrence( CLAIMS -MADE X OCCUR MED EXP (Any one person) $5,000 X Bl/PD Ded:5,000 PERSONAL & ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: 7 POLICY 7 PRO I I I LOC I PRODUCTS - COMP /OP AGG $2,000,000 D AUTOMOBILE X LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS _ X SCHEDULED AUTOS NON -OWNED AUTOS BA2562L144 07/29/2015 07/29/201I: Ea aBINEDtSINGLE LIMIT $1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) ( ) $ PROPERTY DAMAGE (Per accident) $ $ B )( UMBRELLA LIAB EXCESS UAB X OCCUR CLAIMS -MADE CUP6416Y164 06/30/2015 06/30/201 EACH OCCURRENCE $1,000,000 AGGREGATE $1,000,000 DED X RETENTION $10000 $ `+ WORKERS COMPENSATION AND EMPLOYERS'' LIABILITgY/ ANY EXCLUDED, ECUTIVE (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below YN N / A UB7082Y944 09/01/2015 09/01/2016 X TOR VAMTS FFRH E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 E.L. DISEASE - POLICY LIMIT $1,000,000 A Professional Liab FEIECC173840 09/02/2015 09/02/2016 $1,000,000 per claim $2,000,000 aggregate DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Professional Liability coverage is written on a claims -made basis. CERTIFICATE HOLDER CANCELLATION City of Clearwater Attn: City Clerk 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 old ACORD 25 (2010/05) 1 of 1 #S16049950/M16049900 © 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD JMBEW