Loading...
BERKLEY PLACE DRAINAGE IMPROVEMENTS - 14-0037-EN - CERTIFICATE OF LIABILITY INSURANCEACORa CERTIFICATE OF LIABILITY INSURANCE �■- DATE(MM/DD/YYYY) 10/7/2015 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 Brown & Brown Insurance - Clearwater 83 Park Place Blvd., Suite 101 Clearwater FL 33759 CONTACT Linda Waldorf PHONE E,,). 727 461 -6044 FAX No): 727- 442 -7695 (A/C -MAIL ADDRESS :Iwaldorf @bbpinellas.com INSURER(S) AFFORDING COVERAGE NAIC # INSURER A :Zenith Insurance Company 13269 INSURED STEVE -7 Steve's Excavating & Paving, Inc. Sarnago & Sons Properties Inc. Sarnago & Sons Clearwater Recycling & Materials P.O. Box 303 Dunedin FL 34697 INSURER B :American Family Home Ins. Co. 23450 INSURER C :American Alternative Ins Corp 19720 INSURER D:Ace American Insurance Co 22667 INSURER E : INSURER F: X COVERAGES :728421888 • 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 INSD SUBR WVD POLICY NUMBER POLICY EFF (MM/DD/YYYY) POLICY EXP (MM/DD/YYYYI LIMITS B x COMMERCIAL GENERAL LIABILITY 88A5GL0000079 U L, I /.Liu 7/28/2015 7/28/2016 EACH OCCURRENCE $1,000,000 CLAIMS -MADE X OCCUR DAMAGE TO RENTED PREMISES (Ea occurrence) $100,000 MED EXP (Any one person) $5,000 PERSONAL&ADVINJURY $1,000,000 GE 'L AGGREGATE POLICY OTHER: X LIMIT APPLIES 78- PER: LOC GENERAL AGGREGATE $2,000,000 PRODUCTS- COMP /OPAGG $2,000,000 $ B AUTOMOBILE X %( LIABILITY ANY AUTO AALLOSVNED HIRED AUTOS X SCHEDULED NONOWNED AUTOS 88A$CA0000049 7/28/2015 7/28/2016 COMBIN (Ea accidED ent) SINGLE LIMIT $ $1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ PIP $10,000 C X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE 93A2UB10000061 7/28/2015 7/28/2016 EACH OCCURRENCE $4,000,000 AGGREGATE $ DED X RETENT ON $10,000 $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR /PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below Y / N N N/A Z126638601 5/30/2015 5/30/2016 X PER STATUTE OTH- ER E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 E.L. DISEASE - POLICY LIMIT $1,000,000 D Pollution Liability G27894550001 8/25/2015 8/25/2016 Per Occurrence 1,000,000 Deductible 10,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Certificate holder is listed as additional insured with regards to general liability if required by written contract. Re: Berkley Place Drainage Improvements City of Clearwater is an additional insured per the terms of the policy. CERTIFICATE HOLDER CANCELLATION City of Clearwater PO Box 4748 Clearwater FL 33756 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 ACORD 25 (2014/01) ©1988 -2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD AcoRLf CERTIFICATE OF LIABILITY INSURANCE L--/.-- DATE(MM /DD/YYYY) 10/7/2015 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 Brown & Brown Insurance - Clearwater 83 Park Place Blvd., Suite 101 Clearwater FL 33759 CONTACT Linda Waldorf PHONE FAX (A/C, No Fat). 727 -461 -6044 4A/C Not. 727 -442 -7695 E-MAIL E- MAIL S: lwaldorf @bbpinellas.com INSURER(S) AFFORDING COVERAGE NAIC # INSURER A :Zenith Insurance Company 13269 INSURED STEVE -7 Steve's Excavating & Paving, Inc. Sarnago & Sons Properties Inc. Sarnago & Sons Clearwater Recycling & Materials P.O. Box 303 Dunedin FL 34697 INSURER B :American Family Home Ins. Co. 23450 INSURER C :American Alternative Ins Corp 19720 INSURER D:Ace American Insurance Co 22667 INSURER E : CLAIMS -MADE INSURER F: OCCUR COVERAGES 728421888 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 INSD SUBR WVD POLICY NUMBER POLICY EFF (MMIDDIYYYY) POLICY EXP (MM/DDYYY) LIMITS B x COMMERCIAL GENERAL LIABILITY 88A5GL0000079 7/28/2015 7/28/2016 EACH OCCURRENCE $1,000,000 CLAIMS -MADE X OCCUR DAMAGE TO RENTED PREMISES (Ea occurrence) $100,000 GE MED EXP (Any one person) $5,000 PERSONAL & ADV INJURY $1,000,000 'L AGGREGATE POLICY OTHER: X LIMIT APPLIES 1,78: PER: LOC GENERAL AGGREGATE $2,000,000 PRODUCTS - COMP/OP AGG $2,000,000 $ B AUTOMOBILE X X LIABILITY ANY AUTO ALL OWNED HIRED AUTOS x SCHEDULED NON- OVVNED AUTOS 88A5CA0000049 7/28/2015 7/28/2016 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ PIP $10,000 C X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE 93A2UB10000061 7/28/2015 7/28/2016 EACH OCCURRENCE $4,000,000 AGGREGATE $ DED X RETENT ON $10,000 $ A WORKERS COMPENSATION EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER /EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below Y / N N N / A Z126638601 5/30/2015 5/30/2016 X X STATUTE ER E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 E.L. DISEASE - POLICY LIMIT $1,000,000 D Pollution Liability G27894550001 8/25/2015 8/25/2016 Per Occurrence 1,000,000 Deductible 10,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Certificate holder is listed as additional insured with regards to general liability if required by written contract. Re: Berkley Place Drainage Improvements City of Clearwater is an additional insured per the terms of the policy. CERTIFICATE HOLDER CANCELLATION City of Clearwater PO Box 4748 Clearwater FL 33756 I 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 .04411101111".. ftS7hff. ACORD 25 (2014/01) ©1988 -2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ACtJRD® �,- CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY) 10/7/2015 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 Brown & Brown Insurance - Clearwater 83 Park Place Blvd., Suite 101 Clearwater FL 33759 NAME: CONTACT Linda Waldorf PHONE 727- 461 -6044 FAX 727 - 442 -7695 ( Eat)' (ac No): E-MAIL lwaldorf@bbpinellas.com ADDRESS: V p INSURER(S) AFFORDING COVERAGE NAIC C INSURERA:Zenith Insurance Company 13269 INSURED STEVE -7 Steve's Excavating & Paving, Inc. Sarnago & Sons Properties Inc. Sarnago & Sons Clearwater Recycling & Materials P.O. Box 303 Dunedin FL 34697 INSURER B :American Family Home Ins. Co. 23450 INSURERC:American Alternative Ins Corp 19720 INSURER D :Ace American Insurance Co 22667 INSURER E : INSURER F: X COVERAGE •728421888 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 INSD SUBR WVD POLICY NUMBER POLICY EFF (MM/DD/YYYY) POLICY EXP (MM /DD/YYYYI LIMITS B x COMMERCIAL GENERAL LIABILITY 88A5GL0000079 7/28/2015 7/28/2016 EACH OCCURRENCE $1,000,000 CLAIMS -MADE X OCCUR DAMAGE TO RENTED PREMISES (Ea occurrence) $100,000 MED EXP (Any one person) $5,000 PERSONAL & ADV INJURY $1,000,000 GE 'L AGGREGATE POLICY OTHER: X LIMIT APPLIES jECT PER: LOC GENERAL AGGREGATE $2,000,000 PRODUCTS - COMP/OP AGG $2,000,000 $ B AUTOMOBILE X X LIABILITY ANY AUTO ALLOSVNED HIRED AUTOS X _ SCHEDULED NON -OWNED AUTOS 88A5CA0000049 7/28/2015 7/28/2016 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ PIP $10,000 C X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE 93A2UB10000061 7/28/2015 7/28/2016 EACH OCCURRENCE $4,000,000 AGGREGATE $ DED X RETENTION$10,000 $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR /PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A Z126638601 5/30/2015 5/30/2016 X STATUTE ER E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 E.L. DISEASE - POLICY LIMIT $1,000,000 D Pollution Liability G27894550001 8/25/2015 8/25/2016 Per Occurrence 1,000,000 Deductible 10,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If mom space is required) Certificate holder is listed as additional insured with regards to general liability if required by written contract. Re: Berkley Place Drainage Improvements City of Clearwater is an additional insured per the terms of the policy. CERTIFICATE HOLDER CANCELLATION City of Clearwater PO Box 4748 Clearwater FL 33756 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 ACORD 25 (2014/01) ©1988 -2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD