Edward Dugger & Assoc. - Laserfiche WebLink

Home Browse Search

ACORDTM CERTIFICATE OF LIABILITY INSURANCE I DATE (MMfDD/YYYY) 4/30/2012 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). PRODUCER ~~~~~CT ISU Sun coast Insurance Assoc WgNJo Extl: 813 289-5200 I i.fi~, Nol: 813-289-4561 P.O. Box 22668 E.MAIL ADDRESS: Tampa, FL 33622-2668 CUSTOMER 10 #: 813 289-5200 INSURER(S) AFFORDING COVERAGE NAIC# INSURED INSURER A : Old Dominion Insurance Company 40231 Edward Dugger & Associates PA INSURER B : Travelers Casualty & Surety Co 31194 4490 SW Long Bay Dr. INSURER C : XL Specialty Insurance Company 37885 Palm City, FL 34990 INSURER 0 : INSURER E : INSURER F : Client#: 11289 DUGGEDW3 COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 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. IINSR TYPE OF INSURANCE !\DDL UBR P~~)g~/~~~YI POLICY EXP VI I LIMITS LTR NSR WVD POLICY NUMBER MM/DDIYYYY A GENERAL LIABILITY BPG3057B 01/25/2012 01/25/2013 EACH OCCURRENCE $1,000 000 - ~~~~~~J?E~~~J~r~ncel ~ COMMERCIAL GENERAL LIABILITY $50 000 - o CLAIMS. MADE [!] OCCUR MED EXP (Anyone person) $5,000 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~ POLICY n ~~2T n LOC $ A AUTOMOBILE LIABILITY BPG3057B 01/25/2012 01/25/2013 COMBINED SINGLE LIMIT $ f-- (Ea accident) 1.000,000 ANY AUTO BODILY INJURY (Per person) $ - I-- ALL OWNED AUTOS BODILY INJURY (Per accident) $ 'X SCHEDULED AUTOS PROPERTY DAMAGE $ HIRED AUTOS (Per accident) f-- X NON-OWNED AUTOS $ f-- $ UMBRELLA L1AB H OCCUR EACH OCCURRENCE $ - EXCESS L1AB CLAIMS-MADE AGGREGATE $ 1- DEDUCTIBLE $ RETENTION $ $ B WORKERS COMPENSATION UB5663Y51 01 0 01/02/2012 01/02/2013 .xlf~sr6~VTS I 1 g~H- AND EMPLOYERS' LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVED E.L. EACH ACCIDENT $500,000 OFFICER/MEMBER EXCLUDED? N/A (Mandatory In NH) E.L. DISEASE - EA EMPLOYEE $500,000 If yes. describe under E.L. DISEASE - POLICY LIMIT $500,000 DESCRIPTION OF OPERATIONS below C Professional DPS9686583 09/12/2011 09/12/201' $1,000,000 per claim Liability $1,000,000 annl aggr. DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 10t, Additional Remarks Schedule, If more space Is required) Ref: CITY RFP NO. 12-04-03. Professional Liability is written on a claims made and reported basis. CERTIFICATE HOLDER CANCELLATION City of Sunny Isles Beach SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Office of City Clerk ACCORDANCE WITH THE POLICY PROVISIONS. 18070 Collins Avenue Sunny Isles Beach, FL 33160 AUTHORIZED REPRESENTATIVE I oLb~ o&-Cl.. .a- ACORD 25 (2009/09) 1 of 1 #S381377/M360396 @1988.2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD JMB