Laserfiche WebLink
ACCORD CERTIFICATE OF LIABILITY INSURANCE DATE <br /> s <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br /> CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br /> BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br /> REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. <br /> IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to <br /> the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br /> certificate holder In lieu of such endorsement(s). <br /> PRODUCER ACT <br /> NAME Melody Gibson <br /> RRL Insurance Agency PHONEFAX <br /> 4450 W Eau Gallie Blvd., #115INC Na Eat1.800-407 4077 I(A/C,Hoi:321-752-7980 <br /> E-MAIL <br /> Melbourne FL 32934 ADDRESS: <br /> INSURER(S)AFFORDING COVERAGE L NAC II <br /> INSURER A:New York Marine and General Insuran 6608 <br /> INSURED <br /> INSURER B: <br /> Unique Charters, Inc. INSURER C: <br /> 160 N.W. 176th Street <br /> Suite 200-1 INSURER D <br /> Miami FL 33169 INSURER E: <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER:693677312 REVISION NUMBER: <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br /> INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> PORI TYPE OF INSURANCE DDL SUBR I M/DDYIYEYYY)I IMWDOMYYY) <br /> INSR WVO POLICY NUMBER LIMITS <br /> A GENERAL LIABILITY Y GL201500005285 11/9/2015 11/9/2016 EACH OCCURRENCE 51,000,000 <br /> DAMAGE <br /> X COMMERCIAL GENERAL UABILITY PREMISES(Ea occurreDnce) 5100.000 <br /> CLAPASdMDE X OCCUR MED EXP(Any one person) 55.000 <br /> PERSONAL&ADV INJURY $1,000,000 <br /> GENERAL AGGREGATE 52,000,000 <br /> GENL AGGREGATE LIMIT APPUES PER: PRODUCTS-COMP/OP AGG 51,000,000 <br /> X I POLICY[JFa LI LOC $ <br /> A AUTOMOBILE LABILITY Y AU201500005792 11/13/2015 11/13/2016 {COMBINED INGLE LIMIT I $5,000,000 <br /> — ANY AUTO BODILY INJURY(Per person) S <br /> ALL OWNED SCHEDULED <br /> _ AUTOS X AUTOS BODILY INJURY(Per accident) S <br /> X X NON-OWNED PROPERTY DAMAGE <br /> HIRED AUTOS AUTO$ (PotaxMent) S <br /> I $ <br /> UMBRELLA LIAR OCCURI$ <br /> EACH OCCURRENCE <br /> EXCESS LIAB CLAIMS-MADE I AGGREGATE I$ <br /> DED RETENTIONS I $ <br /> WORKERS COMPENSATIONWC STAT)- OTH- <br /> AND EMPLOYERS'LIABILITY YIN I TORY I IMO'S I I ER I <br /> ANY PROPRIETOR/PARTNER/EXECUTIVEOFFICER/MEMBER EXCLUDED? n NIA E.L.EACH ACCIDENT S <br /> (Mandatory In NH) E.L.DISEASE-EA EMPLOYE$ $ <br /> I/yes,desvibe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT I $ <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101.Additional Remarks Schedule,If more space is requfred) <br /> CERTIFICATE HOLDER CANCELLATION 30 DAYS <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> Keolis Transit America ACCORDANCE WITH THE POLICY PROVISIONS. <br /> 1500 SW 40th St <br /> Fort Lauderdale FL 33315 AUTHORgaan RR//EP�RESE` TA p <br /> '22 <br /> ©1988-2010 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD <br />