Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
CERTIFICATE OF LIABILITY INSURANCE (711)
`♦� RO CERTIFICATE OF LIABILITY INSURANCE 6�2oi2oi6 Y) 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 CBIZ Weekes & Callaway 3945 West Atlantic Avenue Delray Beach FL 33445 -3902 CONTACT LORRAINE PRAGER (A/C. No. Exit: (561) 278 -0448 I (A(C. No): (561) 278 -2391 ADORIess:LPRAGER @cbizwc.com INSURER(S) AFFORDING COVERAGE NAIC # INSURER AAmerisure Mutual Ins Co. 23396 INSURED Meisner Electric, Inc. 220 N.E. 1st Street Delray Beach FL 33444 INSURER B :North River Insurance Co 21105 INSURERC:Houston Casualty Company 42371 INSURER D: EACH OCCURRENCE INSURER E : X INSURERF: $ 300, 000 ERAGES CERTIFICATE NUMBER:16 -17 CITY' S /TOWNS LIAB • 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 WVD POLICY NUMBER POLICY EFF (MM /DD/YYYYI POLICY EXP (MM/DD/YYYY) LIMITS A GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY OCCUR X X RECEIVE =201083417 JUJUN 2016 OFFICIAL RECORDS R�CORDS ' 7 /2016 p �� AND 7/1/2017 EACH OCCURRENCE $ 1,000,000 X DAMAGE TO RENTED PREMISES (Ea occurrence) $ 300, 000 I CLAIMS -MADE X MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY TX-1 PF O I-► LOG PRODUCTS - COMP /OP AGG $ 2, 000, 000 $ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS SCHEDULED AUTOS NON -OWNED AUTOS X 'w�+t5LA11T SRVCS CA132594719 DEPT 7/1/2016 7/1/2017 EaaBBINED[SINGLE LIMIT $ 1,000,000 X BODILY INJURY (Per person) $ X BODILY INJURY (Per accident) $ X — PROPERTY DAMAGE (Per accident) $ _ $ B X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE X X 5811070059 7/1/2016 7/1/2017 EACH OCCURRENCE $ 25, 000, 000 AGGREGATE $ 50, 000, 000 DED I X IRETENTON$ 0 $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS Y / N N/A X WC129518723 7/1/2016 7/1/2017 i X I TORY LIMITS I 0T E.L. EACH ACCIDENT $ 1,000,000 N F.L. DISEASE - EA EMPLOYEE $ 1,000,000 below E.L. DISEASE - POLICY LIMIT $ 1, 000 , 000 C CONTRACTORS PROFESSIONAL LIABILITY HCC4664745 7/1/2016 7/1/2017 AGGREGATE $2,000,000 OCCURRENCE $2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, It more space is required) RE REGISTRATION CERTIFICATE HOLDER CANCELLATION CITY OF CLEARWATER, FLORIDA 100 S MYRTLE AVE 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 J Michael Callaway CI l/ ACORD 25 (2010/05) INS025 (20100501 © 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD