Wingerter Laboratories Inc. - Laserfiche WebLink

Home Browse Search

. . <9 CERTIFICATE OF LIABILITY INSURANCE I DATE (MWODIYYVY) AE<<?-RD 07/1212011 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. If 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 endorsement(s). PROOUCER CONTACT NAME: Doug Jones c/o AJG Risk Management Services, Inc, f^~gNJo Ex": (480) 951-4177 I FAX iAfC Nol: (480) 951-4266 8800 E, Chaparral Rd, Suite 230 E-MAIL Scottsdale, AZ 85250 AODRESS: INSURER/SI AFFORDING COVERAGE NAIC# INSURER A: Zurich-American Insurance Company 16535 INSURED INSURER B : Oasis Acquisition, Inc All. Emp: WINGERTER LABORATORIES, INC INSURER C : 2054 Vista Parkway Suite 300 West Palm Beach, FL 33411 INSURER D : INSURER E : INSURER F : ~ COVERAGES CERTIFICATE NUMBER: 11 FL075782809 REVISION NUMBER: It 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 CONTRACT OR 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 ADDL SUBR (~2TJ%M~1 f~2T6%iv~~\ LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER LIMITS GENERAL LIABILITY EACH OCCURRENCE $ - ~~~~~~9t.~J~~ncel - OMERCIAL GENERAL LIABILITY $ - CLAIMS-MADE 0 OCCUR MED EXP (Anyone person) $ ~ PERSONAL & ADV INJURY $ - GENERAL AGGREGATE $ ~'L AGG~nE LIMIT APFlS PER: PRODUCTS. COMP/OP AGG $ POLICY ~fP;: LOC $ AUTOMOBILE LIABILITY rE~~~6~~~~INGLE LIMIT , $ c- ANY AUTO BODILY INJURY (Per person) $ C- ALL OWNED H ",~rnm BODILY INJURY (Per accident) $ e-- AUTOS AUTOS NON-OWNED ;p~?~~c~~~t?AMAGE $ - HIRED AUTOS AUTOS $ UMBRELLA L1AB H OCCUR EACH OCCURRENCE $ - EXCESS L1AB CLAIMS-MADE AGGREGATE $ DED I I RETENTION $ $ WORKERS COMPENSATION X I T'>X~H~T,~;, I IOJ~- ANO EMPLOYERS' LIABILITY YIN A ANY PROPRIETOR/PARTNER/EXECUTIVE 0 N/A WC 29-38-687-09 06/01/2011 06/01/2012 E.L. EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ 1,000,000 ~~~~~rti[2~ '8'$'gPERATlONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 Location Coverage Period: 06/01/2011 06/01/2012 Client# 6037-1 OESCRIPTION OF OPERATIONS I LOCATIONS IVEHICLES (Attach ACORO 101, Additional Remarks Schedule, If more space is required) Coverage is provided for WINGERTER LABORATORIES, INC Project: 1820 NE 144 ST only those employees NORTH MIAMI, FL 33181 Special Inspection Services, Including Geotechnical/Construction Administration leased to but not RFQ No.: 11-07-01 subcontractors of: CERTIFICATE HOLDER CANCELLATION City of Sunny Isles Beach SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 18070 Collins Avenue THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Sunny Isles Beach, FL 33160 ACCORDANCE WITH THE POLICY PROVISIONS, AUTHORIZED REPRESENTATIVE I a-~L~r../ ACORD 25 (2010105) @1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD .