Holywingz - Laserfiche WebLink

Home Browse Search

e-Bode Systems - Policy Send Form Preview Page 1 of2 ACORDTM CERTIFICATE OF LIABILITY INSURANCE I DA TE (MMIDDIYY) 06/23/08 I'RODUCEIt TillS CERTIFICATE IS ISSUED AS A MATTER OF INFORl\IATlON ED'S INSURANCE ONLY AND CONFERS NO RIGHT UPON THE CERTIFICATE 4583 N DIXIE HWY HOLDER TillS CERTIFICATE DOES NOT AMEND, EXTEND OR POMPANO BCH, FL 33064 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. (954) 782-0411 INSURERS AFFORDING COVERAGE INSUllED HOLYWINGZ CLEANING SERVICES INSUltEIt A: American Vehicle Insurance Company 1627 NW 14TH CR INSUltEIt B: SUITE INSUltEIt C: 161 INSUltEIt D: POMPANO BEACH, FL 33069 INSUltEIt E: COVERAGE THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOT WITHSTANDING 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSll l'OLlCY EFFECTIVE POLICY EXI'IRATION LTIt TYPE OF INSUltANCE POLICY NUMBEIt DATE (MM/DDIYY) DATE (MM/DDIYY) LI~IITS ENERAL LIABILITY EACH OCCURENCE S 1000,000 II COMMERCIAL GENERAL FIRE DAMAGE(Any one 100,000 Ire) S LIABILITY PLAIMS MADE 0 OCCUR MED EXP(Any one person) S 5,000 A b 02/27/2008 02/27/2009 PEltSONAL AND ADV 1000,000 GL0511058437 INJURY s b IcENERAL AGGREGATE S 2000,000 IcEN'L AGGREGATE LIMIT APPLIES PRODUCTS - COMP/OP 2000,000 PER: AGG S o POLICY D PltOJECT D LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S ANY AUTO ea accident) ALL OWNED AUTOS BODlL Y INJURY S SCHEDULED AUTOS Per person) HIRED AUTOS BODILY INJURY S NON-OWNED AUTOS Per accident} PROPERTY DAMAGE S Per accident) GARAGE LIABILITY AUTO ONL Y - EA S ACCIDENT q ANY AUTO IoTHERTHAN EA ACC S AUTO ONL Y: AGG S EXCESS LIABILITY EACH OCCURANCE S ~OCCUR DcLAIMS MADE AGGREGATE S S R~EDUCTlBLE . S RETENTION S VORKEltS COMPENSATION AND bwc STATUTORY EMPLOYERS LIABILITY LIMITS QJTHER E. L. EACH ACCIDENT S E.L.DISEASE-EA EMPLOYEE S E.L.DISEASE - POLICY LIMIT S OTIIEIt DESCltlPTlON OF OI'EltATIONS/LOCATIONSIYEIIICLES/EXCLUSIONS ADDED BY ENDORSE~IENT/SI'ECIAL PROVISIONS CLEANING OF BUSINESS CERTIFICATE HOLDER I I ADDITIONAL INSURED:INSUItED LETTER: I CANCELLATION 1I0ULD ANY OF TilE ABOVE DESCRIBED POLICIES BE CANCELLED BHOltE TilE EXPIIlATlON DATE TlIEREOF, TilE ISSUING INSUllEll WILL ENDEAVOR TO MAIL JQ DAYS WltlTTEN NOTICE TO TilE CERTIFICATE 1I0LDEIt NAMED TO TilE LEFT, BUT FAILUltE TO DO SO SIIALL IMI'OSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON TIlE INSUltEIt, ITS AGENTS Olt ItEPRESENTATlVES. SUNNY ISLES BEACH GOVERNMENT CENTER http://amelia.e-bode.com/innovare/ gllS endF ormPreview AndSend. cfm 6/23/200R