Laserfiche WebLink
ACORo_ CERTIFICATE OF <br />LIABILITY INSURANCE DATE(MMIDDNYI <br />XX <br />PRODUCER <br />OID <br />UTCOM 10/24/97 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />J Rolfe Davis Insurance Agcy 1 <br />P. O. Box 538230 <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Orlando FL 32853 -8230 <br />COMPANIES AFFORDING COVERAGE <br />Jeff Johnson, #424 -66 -6177 <br />COMPANY <br />Pnone NO. 407- 896 -0550 Fav NO. <br />A Continental Casualty Company <br />INSURED <br />COMPANY <br />B <br />COMPANY <br />Southeastern Companies, Inc. <br />C <br />225 West Busch Blvd. <br />COMPANY <br />D <br />Tampa FL 33612 <br />COVERAGES <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. WAITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />1 <br />CT TYPE OF INSURANCE <br />LTRI <br />POLICY NUMBER <br />I POLICY EFFECTIVE <br />DATE(MWDD/YY) <br />POLICY EXPIRATION <br />DATE(MWDDIYY) <br />LIMITS <br />GENERAL LIABILITY <br />CO.Y..YERCIAL GENERAL LIABILTSY <br />I I CLAIMS MADE �I OCCUR <br />' OWNER'S S CONTRACTOR'S PRO-, <br />GENERAL AGGREGATE <br />I f <br />PRODUCTS - COMPIOP AGG <br />I f <br />PERSONAL 8 ADV INJURY <br />I S <br />EACH OCCURRENCE <br />I S <br />FIRE DAMAGE (Any one we) <br />15 <br />NED EXP (Any one Pe:son) <br />15 <br />i <br />I AVTOMOBILE LIABILITY <br />I ANY AUTO <br />I COMBINED SINGLE LLV.IT <br />15 <br />ALL O::nED AUTOS <br />- <br />SCHED'J! ED AV SOS <br />BODILY <br />(Pei Pet INJURY <br />AN <br />I S <br />HIRED AUTOS <br />NON -OwNE7 AUTOS <br />i l <br />BODILY INJURY <br />(Per acdPent) <br />f <br />PROPERTY DAMAGE <br />IS <br />'GARAGE LIABILITY <br />I AUTO ONLY - EA ACCIDENT <br />15 <br />ANY AUTO <br />I <br />OTHER THAN AUTO ONLY <br />EACH ACCIDENT <br />Is <br />i <br />AGGREGATE <br />IS <br />EXCESS LIABILITY <br />EACH OCCURRENCE I <br />S <br />j_i UMBRELLA. FORM <br />OTHER THAN UMBRELLA FORM <br />AGGREGATE If <br />If <br />WORKERS COMPENSATION 4ND <br />j EMPLOYERS' LIAR 1LITV <br />I <br />X I T04V LiMiTS I IDE0.1 <br />EL EACH ACCIDENT 15 <br />100,000 <br />A i-RTNE SREXECU INCL <br />PARTNERB+EXECUTI'JE <br />I OFFICERS ARE. FI EXCL <br />i OTHER <br />WC166622792 <br />11/08/97 <br />11/08/98 <br />EL DISEASE - POLICYLEVAT If <br />500,000 <br />EL DISEASE EA EMPLOYEE I S 100 , 000 <br />DESCRIPTION OF OPERATIONSR .00ATIONSNEHICLEWSPECIAL ITEMS <br />Covers all employees of the insured as <br />Agreemegt with Southeastern Companies <br />Florida /Daniel Troy, 374 NW 171 Street, <br />respects the Employment Leasing <br />et al and Telesystems of South <br />Miami, FL 33169. <br />CERTIFICATE HOLDER <br />CANCELLATION <br />DEPTOFB <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />Department of Business and <br />Professional Regulation, <br />Electrical Contractors, <br />EXPIRATION DATE THEREOF. THE ISSUING COMPANY WILL ENDEAVOR TO MAIL <br />30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />BUT FAILURE TO UCH NODE SHALL IMPOSE NO OBLIGATION OR LIABILITY <br />Licensing Board <br />OF ANY KIND TH COMPANY, IT SAGEE4 f505tgEPRESENTATIVES. <br />ACORD 75S (1195) <br />AUTHORIZED REPR EN AT E <br />Jeff John son4?)4 -X-6 tl <br />RD CORPORATION 1988 <br />