G. Batista 2 - Laserfiche WebLink

Home Browse Search

C G. BA nSTA &AMCQATES INSURANCE INFORMATION GENERAL LIABILITY INSURANCE OP ID: CM A� JRD CERTIFICATE OF LIABILITY INSURANCE GATE iM ^�D +; YYI 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 954.467 -8738 CONTAC NAME. Premier Protection Insurance 409 SE 7th St 954.844.1681 Re, Fort Lauderdale, FL 33301 ( EaU: (AC, No): EMAIL Douglas A. Levy ADDRESS: OAMAOF TO RENTED CUSTOMER ID a: REALE -1 COMMERCIAL GENERAL LIABILITY INSURERS) AFFORDING COVERAGE NAIC0 INSURED G. Batista & Associates INSURER A: United Specialty Ins. Co. 10400 Griffin Road Suite 201 INSURER B: Evanston Insurance Co. Cooper City, FL 33328 ... .... - -- 11000,00 INSURER C . GENERAL AGGREGATE S INSURER D: INSURER E GEN L AGGREGATE LIMIT APPLIES PER INSURER F 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 FOR YOUR RECORDS ONLY INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EX" TR POLICY NUMBER MMIOD/YYYY MMIODIYYY LIMITS GENERAL LIABILITY EACHOCCURRENCE 3 1,000,00 A X NS1211055 10127111 10127112 OAMAOF TO RENTED 100,00 COMMERCIAL GENERAL LIABILITY PREMISFS(Eaocanance) _ -3 CLAIMS -MADE X OCCUR MEO EXP (Ar y ane Parson) . S 5,00 PERSONAL & AOV INJURY S 11000,00 GENERAL AGGREGATE S 2,000,00 GEN L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMWOP AGG 3 2,000,00 X POLICY PRO- LOC - 5 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S (Ea acedenl) ANY AUTO BODILY INJURY 'Pe' Person) f ALL OWNED AUTOS -- BODILYINJURY(Peracc a t) 3 –'– - -- SCHEDULED AUTOS .PROPERLY -- -'--' DAMAGE S –' --- HIRED AUTOS IPeramaenn NON OWNED AUTOS 3 3 UMBRELLA UAe OCCUR - EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE f DEDUCTIBLE f RETENTION S 3 WORKERS COMPENSATION WC STATU OTH AND EMPLOYERS' LIABILITY YIN TORY LIMITS. ER ANY PROPRiETORIPARTNERIEXECUTIVE OFFICERYMEMBER E %CLUUED� NIA E L EACH ACCIDENT 3 iManaalory In NH) EL DISEASE - CA EMPLOYEE S IIr pa5ff_a `' DESCRIPTION OF OPERATIONS WI- EL DISEASE - POLICY LIMIT S ESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (AUech ACORO HH, AEGINOne) Remarks Schad,* If mere space Is 11WIted) enereI Contractor INSURED SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE " "" "INSURED COPY "'• "' THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. FOR YOUR RECORDS ONLY AUTHORIZED REPRESENTATIVE ©1988.2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009109) The ACORD name and logo are registered marks of ACORD t 4@ CITY OF SUNNY ISLES BEACH RFQ No. 12 -04 -01