Laserfiche WebLink
ACOR ,,M CERTIFICATE OF LIABILITY INSURANCE <br />DATE (MM /011 <br />5/23/2011 <br />PRODUCER <br />Arthur J. Gallagher & Co. <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />P.O. Box 260700 <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />Tampa, FL 33685-0700 <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Tel: (4 0 7) 648-4341 FAX : (4 0 7) 481-0144 <br />INSURERS AFFORDING COVERAGE <br />INSURED CEM Enterprises, Inc. , NJM <br />INSURERA: Insurance Co_._ of Pe_ nns�lvania (AIG <br />Enterprises, Inc. & CEM Enterprises, Inc <br />INSURER B: <br />d /b /a Double D Crushers <br />INSURER C: <br />757 Benbow Court <br />INSURER D: <br />Apopka, FL 32703 <br />INSURER E: <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />-1 ­R <br />LT R POLICY EFFECTIVE POLICY EXPIRATION ; - - <br />TYPE OF INSURANCE POLICY NUMBER DATE Y DATE (MM/DDIYYI LIMITS <br />GENERAL LIABILITY <br />REP ENTATIVES. <br />EACH OCCURRENCE <br />$ <br />COMMERCIAL GENERAL LIABILITY <br />f - i <br />FIRE DAMAGE (Any one fire) <br />$ <br />j CLAIMS MADE I ___-J: OCCUR <br />MED EXP (Any one person) <br />$ <br />PERSONAL & ADV INJURY <br />$ <br />GENERAL AGGREGATE <br />$ <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS - COMP /OP AGG <br />$ <br />POLICY I PRO- LOC <br />ECT I <br />I <br />_ <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />$ <br />ANY AUTO <br />(Ea accident) <br />ALL OWNED AUTOS <br />BODILY INJURY <br />$ <br />SCHEDULED AUTOS <br />(Per person) <br />HIRED AUTOS <br />BODILY INJURY <br />$ <br />NON -OWNED AUTOS <br />(Per accident) <br />PROPERTY DAMAGE <br />$ <br />-- <br />(Per accident) <br />GARAGE LIABILITY <br />AUTO ONLY - EA ACCIDENT $ <br />ANY AUTO <br />EA ACC $ <br />OTHER THAN _ - _.___._ - __._._.. <br />AUTO ONLY: AGG S <br />EXCESS LIABILITY <br />EACH OCCURRENCE _ _' <br />$ <br />j OCCUR ', CLAIMS MADE <br />AGGREGATE <br />$ <br />$ <br />-, DEDUCTIBLE <br />$ <br />RETENTION $ <br />-_- -- - <br />-$ <br />WORKERS COMPENSATION AND <br />OTH- <br />EMPLOYERS' LIABILITY <br />TORY LATU ER <br />E.L. EACH ACCIDENT $S 0 0 0 0 0 <br />A WC 1616140 <br />4/1/11 <br />4/1/12 <br />-- + <br />E.L�DISEASEE-- EA EMPLOYEO $5 0 0 0 0 0 <br />E.L. DII SEASE - POLICY LIMIT I S5 0 0 0 0 0 <br />OTHER <br />i <br />I <br />DESCRIPTION OF OPERATIONS /LOCATIONSNEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br />Includes Blanket Waiver of Subrogation & U.S. Longshoreman's & Harbor Workers Coverage <br />Bid #11 -04 -03 Storm Water Catch Basin Cleaning and Line Jetting <br />This Certificate provided in accordance with Section 1.25 of the Contract <br />Vv-n I Int,ra 1 r- r7VLL r-11 ADDITIONAL INSURED: INSURER I FTTFR- CANCPI 1 ATInK1 <br />Office of the <br />City of Sunny <br />City Clerk <br />Isles Beach <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, TI ISSUING SURER WILL END VOR TO MAIL 30 DAYS WRITTEN <br />18070 Collins Avenue <br />Sunny Isles Beach, FL 33160 <br />NOTICE TO E C TIFICAT HOLDER NAMED T THE LEFT, BUT FAILURE TO DO SO SHALL <br />IMPOSE 0 OBLIGATION LIABILITY OF A KIND UPON THE INSURER, ITS AGENTS OR <br />REP ENTATIVES. <br />ZED �El <br />Roy fn1. Reid <br />:r <br />ArrnDn 13c _e 171 '7% <br />"" "' - ` —, / I © ACORD CORPORATION 1988 <br />