Reso 2009-1434 - Laserfiche WebLink

Home Browse Search

ACORDM CERTIFICATE OF LIABILITY INSURANCE OPID sw I DATE IMMIDD/YYYY] COAST10 07/07/09 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Brown & Brown of Florida, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 5900 N. Andrews Ave. #300 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P.O. Box 5727 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Ft. Lauderdale FL 33310-5727 Phone: 954-776-2222 Fax: 954-776-4446 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A' Amerisure MUtual Ins. Co,+ 23396 Coastal Construction of Monroe Inc.dba Coastal Construction INSURER B *berJ.suYII! InsurAnce Co.pany+ 19488 Co~any INSURER C' North River Insurance COll.pany+ 21105 Att: Debra Whiteman 5959 Blue La~oon Drive-Ste 200 II,SURER D: Bridg'et'1@ld Casualty Ins eo+ 10335 Miami FL 331 6 INSUREr, E COVERAGES 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 OTtjER 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS 11NSR om: POLICY NUMBER PD~~I&~fcE8~E POLICY EXPIRAilON LIMITS L TR NSRC TYPE OF INSURANCE DATE IMMIDDNYI GENERAL LIABILITY EACH OCCURRENCE $1,000,000 - 06/30/09 06/30/10 ~ A X COMMERCIAL GENERAL LIABILITY GL206290800 PREMISES (Ea occuranca) $300,000 I CLAIMS MADE ~ OCCUR MED E.XP (MY one person) $ 10,000 PERSONAL & ADV INJURY $1,000,000 - GENERAL AGGREGATE $2,000,000 - GEN'L AGGREGATE LIMIT .APPLIES PER PRODUCTS. COMP/OP AGG $2,000,000 I !Xl PRO- nLOC EBL 1,000,000 POLICY X JECT AUTOMOBILE LIABILITY COM[JINED SINGLE LIMIT - $1,000,000 B X ANY AUTO CA206290600 06/30/09 06/30/10 lEa aCCident) - ALL OWNED AUTOS BODIL Y INJURY - I Per person) $ SCHEDULED AUTOS - 06/30/09 B X HIRED AUTOS CA206290600 06/30/10 BODILY INJURY - $ B X NON-OWNED AUTOS CA206290600 06/30/09 06/30/10 (Per accident) - - PROPERTY DAMAGE $ IPar accidant~ GARAGE LIABILITY AUTO ONL Y - EA ACCIDENT $ =1 ANY AUTO OTHER TI-W>J EA ACC $ AUTO ONL Y: AGG $ EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $25,000,000 C ~ OCCUR o CLAIMS MADE 5530925043 06/30/09 06/30/10 AGGREGATE $50,000,000 Prod. Agg $25,000,000 ~ DEDUCTIBLE $ X RETENTION $0 $ . I we STATU- I IVER' WORKERS COMPENSATION AND X TORY lIMI IS EMPLOYERS' LIABILITY 19605968 04/01/09 04/01/10 $1,000,000 D ANY PROPRIETORIPARTNERlEXECUTIVE E L EACH ACCIDENT OFFICERIMEMBER EXCLUDED? E L DISEASE. EA EMPLOYEE $1,000,000 If yes, describe ufld~r EL DISEASE. POLICY LIMIT $1,000,000 SPECIAL PROVISIONS below OTHER A Inland Marine IM206291000 03/30/09 06/30/10 Leased $2,820,000 Equipment DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Project - Heritage Park and Parking Garage Certificate holder as Additional Insured as required by written contract,as per ISO Fo:rm CG2010 1185. * 10 Day Notice of Cancellation for Non Payment. CERTIFICATE HOLDER CANCELLATION SUNNYIS SHOULD Am OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 * DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF Am KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORI~RESE ~~., city of Sunny Isles Beach 18070 Collins Avenue,4th Floor Sunny Isles Beach FL 33160 ACORD 25 (2001/08) @ACORD CORPORATION 1988