Ground Keepers - Laserfiche WebLink

Home Browse Search

- � CERTIFICATE OF LIABILITY INSURANCE T,. 12 /10 /M 10 IDDIYYYY) 12!10/ 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. H 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 endorsemen s . PRODUCER Gorin Insurance Inc. 14590 sw 8 st Miami, FL 33184 Phone (305) 559 -9348 Fax (305) 225 -5190 CONTACT NAME: Lucy Mateu PHONE No. 305 559 -9348- FAX No (305)225 -5190 Extk E -MAIL lmateu@gorininsurance.com DD AR PRODUCER CUSTOMER 112 It INSURER (S) AFFORDING COVERAGE NAIL # INSURED Groundkeepers Inc. 8004 NW 154 St Ste #330 Miami Lakes, F L 33016 INSURER A: St. Paul Guardian Insurance Co. 004311 INSURER B: The Phoenix Insurance Co. 002518 INSURER C: St. Paul Fire & Marine Ins. Co. 002452 INSURER D: EACH OCCURRENCE INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: KtVISIUN NUmtJtK: 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 CONTRACTOR 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 LTR TYPE OF INSURANCE ADDL g S POLICY NUMBER POLIC EF MM/DDIYW POLICY XP MM /DD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000i —~ © COMMERCIAL GENERAL LIABILITY DAMAGE O RENT PREMISES Ea occurrence) $ 100,000 MED EXP (Any one person) $ 5,000 A ❑ ❑ CLAIMS -MADE © OCCUR Q E &O Coverage Y N GL-08102375 09/14/2010 09/14/2011 PERSONAL & ADV INJURY $ 1,000,000 © Herbicide & Pesticide GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 $ a POLICY ❑ JECT [] LOC _ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 © ANY AUTO BODILY INJURY (Per person) $ B ❑ ALL OWNED AUTOS SCHEDULED AUTOS ® HIRED AUTOS Y N BA- 0189P557 -09 -GRP � 09/14/2010 09/14/2011 BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ © NON -OWNED AUTOS © Med Payment $2000 $ C © UMBRELLA LIAB OCCUR ❑ EXCESS LIAB ❑ CLAIMS -MADE Y N QK- 06503005 09/14/2010 09/14/2011 EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 ❑ DEDUCTIBLE Products /Completed $ 5,000,000 Operations AAgregate s © RETENTION $ 10,000 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/ N ANY PROPRIETOR/PARTNER/EXECUTIV OFFICER/MEMBER EXCLUDED? N / A WC 5TATU- OTH- ❑ T Y I I E.L. EACH ACCIDENT $ – (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below E. L. DISEASE- EA EMPLOYE E.L. DISEASE - POLICY LIMIT $ -� $ B Comprehensive &Collision Y N BA- 0189557 -09 -GRP 09/14/2010 09/14/2011 $500 & $1000. Deductible Per List DESCRIPTION OF OPERATIONS / LOCATIONS/ VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Commercial Landscaper & Tree Trimmin Co. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIO�DATEHEREOF_UQTICE WILL BE DELIVERED IN Offices of the City Clerk ACCORDANCE PR VISIONS. City of Sunny Isles Beach 8070 Collins Ave ii AUTHORIZE NT Sunny Isles, Fl. 33160 - i ACORD 25 (2009/09) QF © 1988 -2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACO RD 6V" �� 10—I1-(�I- D—,ZOIc7