Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
CERTIFICATE OF LIABILITY INSURANCE (11)
DATE(MM/DD/YYYY) A�" CERTIFICATE OF LIABILITY INSURANCE 4/27/2023 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 have ADDITIONAL INSURED provisions or 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 CONTACT NAME: NFP Property&Casualty Services, Inc. PHONE FAX 45 Executive Drive A/C No Ext): 516-327-2700 A/C,No:516-327-2800 Plainview NY 11803 ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# INSURERA: Starr Indemnity& Liability Company 38318 INSURED PHILLIE-01 INSURER B:Allied World Assurance Company(U.S.)Inc. 19489 Phillies Florida LLC 601 N. Old Coachman Road INsuRERc:Texas Insurance Company 16543 Clearwater, FL 33765 INSURER D:Westchester Fire Insurance Company 10030 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:1964623547 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 TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR INSD WVD POLICYNUMBER MM/DD MM/DD A X COMMERCIAL GENERAL LIABILITY Y 1000100100231 2/1/2023 2/1/2024 EACH OCCURRENCE $2,000,000 DAMAGE S( RENTED CLAIMS-MADE OCCUR PREMISES Ea Occurrence) ccurrence) $2,000,000 MED EXP(Any one person) $Excluded PERSONAL&ADV INJURY $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $4,000,000 POLICY❑ PRO [:]JECT LOC PRODUCTS-COMP/OP AGG $4,000,000 X OTHER: $ A AUTOMOBILE LIABILITY Y 1000692509231 2/1/2023 2/1/2024 COMBINED SINGLE LIMIT $2,000,000 Ea accident X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS X HIREDX NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident A UMBRELLA LAB X OCCUR Y 1000589690231 2/1/2023 2/1/2024 EACH OCCURRENCE $10,000,000 X EXCESS LAB CLAIMS-MADE AGGREGATE $10,000,000 DED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVEF—] E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ B Excess Liability Y 0305-2908 2/1/2023 2/1/2024 Each Occurrence/Agg $10,000,000 C Excess Liability Y BESGLHTNY011301 170051 01 2/1/2023 2/1/2024 Each Occurrence/Agg $5,000,000 D Excess Liability Y G24059224014 2/1/2023 2/1/2024 Each Occurrence/Agg $5,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Carrier B:$10,000,000 excess of primary$10,000,000 Carrier C:$5,000,000 excess of$20,000,000 Carrier D:$5,000,000 excess of$25,000,000 -The Certificate Holder is only an Additional Insured as required by written contract with respect to the liability caused by the negligent acts or omissions of the Named Insured as required by written contract. -Garagekeepers Legal Liability coverage is included under the Automobile Liability policy.Comprehensive Limit$1,000,000 subject to$25,000 Self-Insured Retention;Collision Limit:$1,000,000 subject to$25,000 Self-Insured Retention. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. CITY OF CLEARWATER P O BOX 4748 AUTHORIZED REPRESENTATIVE CLEARWATER FL 33758 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD