Loading...
CERTIFICATE OF LIABILITY INSURANCE (812)DGCENVI -01 DSMITH2 '4�� �" CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 11/14/2016 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 License # L087297 Hub International Southeast 3760 N. Wickham Road Suite 2 Melbourne, FL 32935 CONTACT A NAME: PHONE Ertl: ( 321 ) IA/c, No. E 255 -2220 FAX No): AD RIEsS: Certificates .FLA @HUBlnternational.com INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Homeland Insurance Company of New York 34452 INSURED DGC Environmental Service, Inc. 853 South Kings Highway Fort Pierce, FL 34945 INSURER B : Atlantic Specialty Ins. Co. 27154 INSURER C : 10/13/2017 INSURER D : $ 2,000,000 INSURER E : CLAIMS -MADE INSURER F : OCCUR GES CERTIFICATE 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 POLIC ES 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 POUCY EFF (MM /DD/YYYY) POUCY EXP (MM /DD/YYYY) OMITS A X COMMERCIAL GENERAL LIABILITY 793001614 -0003 ts'a' 6;{ ua t I 10/13/2016 10/13/2017 EACH OCCURRENCE $ 2,000,000 CLAIMS -MADE X OCCUR DAMAGE TO RENTED PREMISES (Ea occurrence) 5O 000 $ , MED EXP (Any one person) 5 000 $ , PERSONAL 8 ADV INJURY $ 2,000,000 GEN'L AGGREGATE POLICY OTHER: X LIMIT APPLIES JECT PER: LOC GENERAL AGGREGATE $ 4,000,000 PRODUCTS - COMP/OP AGG $ 4,000,000 $ B AUTOMOBILE X LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS SCHEDULED AUTOS NON -OWNED AUTOS r- fit ti AND �^�a-Y �"? 4. E „�,,,,D AN 793005 d . ' I I 4 - -=g ry+. n!1 $ l i t . i s - i t+ii S ./ ) It,• I3/2016 10/13/2017 COMBINED SINGLE LIMIT CO accident) (Ea $ 1,000,000 , BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ A X UMBRELLA UAB EXCESS UAB X OCCUR CLAIMS -MADE 793001615 -0003 10/13/2016 10/13/2017 EACH OCCURRENCE $ 4,000,000 AGGREGATE $ 4,000,000 DED RETENT ON $ $ WORKERS COMPENSATION EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? I (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A I STATUTE I 1 0TH AND E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ A POLUHerb- Pesticide 793001614 -0003 10/13/2016 10/13/2017 Per Claim 2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CERTIFICATE HOLDER CANCEL I City of Clearwater - Engineering Dept. PO Box 4748 Clearwater, FL 33758 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