Laserfiche WebLink
,acoRV° CERTIFICATE OF LIABILITY INSURANCE <br />DATE(61RI/DDA'YYY) <br />112/1/2011 <br />THiS CERTIFICATE 1S ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RiGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the pollcy(ies) must be endorsed. If SUBROGATION iS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such ondorsenlent s . <br />PRODUCER <br />Fortun Insurance <br />365 Palermo Ave. <br />Coral Gables FL 33134 -6607 <br />CONTACT <br />PHONE E 5- FA No :8 6 I 5-0825 <br />E•1,1AIL <br />ADDRF.SSM)ail@fO[JUO[nsurenre.com <br />_ INSURERiS) AFFORDING COVERAGE <br />NAIC 9 <br />1/112012 <br />INSURER A:$4J Paul GuaLdIan I- nSurance CQjn <br />5 <br />PREt, I E Ea oo ence <br />INSURED 51999 <br />IIISURER B : 0 1 <br />$5,00 <br />INSURERC• TPAUL FIRE & M <br />�Z67 <br />Superior Landscaping & Lawn Service, Inc. <br />2200 NW <br />IN$URERD: <br />GENERALAGGREGATE <br />23rd Avenue <br />Miami FL 33142 <br />INSURER E: <br />- -___ -- <br />$2,000,000 <br />INSURER P : <br />_ <br />B <br />COVERAGES CERTIFICATE NUMBER: 1458758143 REVISION NUMBER: <br />THIS IS 70 CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONSAND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY )LAVE BEEN REDUCED BY PAID CLAIMS. <br />L 7 Z2 <br />TYPE OF 114SURANCE <br />ADD <br />INS <br />S B <br />1'No <br />POLICY NUMBER <br />POLICY EFF <br />L161/DDNYYY I <br />POLICY EXP <br />0,iMfDD1YYYYI <br />LIMITS <br />A <br />GENERAL LIABILITY <br />001d1AERCIAL GENERAL LABILITY <br />CLARAS -IMOE E OCCUR <br />GLOB102620 <br />1/1/2011 <br />1/112012 <br />EACHOCCURRENCE <br />$1.000,000 <br />PREt, I E Ea oo ence <br />$100,000 <br />MED EXP (Any one person) <br />$5,00 <br />PERSON14AL & ADV INJURY <br />$1,000,000 <br />GENERALAGGREGATE <br />$2 000,000 <br />GEHL AGGREGATE LIMIT APPLIES PER: <br />POLICY X PRO• LOC <br />PRODUCTS - COIAPiOPAGG <br />$2,000,000 <br />_ <br />$ <br />B <br />AUTOMOBILE <br />X <br />LIABILIIY <br />ANYAUTO <br />ALLOS74ED SCHEDULED <br />NON•OYMED <br />HIREDAUTOS AUTOS <br />BA- 399M500A -11 <br />1/7/2011 <br />11712012 <br />T. [NE ' <br />Eaawdentl <br />S1.0004_00 <br />BODILY INJURY (Per person) <br />$ <br />OCOLY INJURY (Per acddent) <br />S <br />PROPERTY DAMAGE <br />(PeratcidenU <br />-- <br />S <br />S <br />C <br />X <br />UMBRELLALIAB <br />EXCESS LIAO <br />X <br />_]_CLAIMS.R4ADE <br />OCCUR <br />QK06804776 <br />1117/2011 <br />1/7 /2012 <br />EACH OCCURRENCE <br />$3,000,000 <br />AGGREGATE <br />$3,000,000 <br />DED X RETeNTION$10,000 <br />$ <br />WORKERS COMPENSAVON <br />AND EMPLOYERS' LIABILITY Y/ N <br />ANYPROPRIETORIPAR7NERrEX £CUIVE("'� <br />OFFICERRAEMSER EXCLUDE07 t___J <br />(Mandatory In NH) <br />I(yyas,doscribaunder <br />D .SCRIPTION OF OPERATIONS boknv <br />N/A <br />L'1CSTA7U• OTH- <br />O Y LI 1 <br />E.L. EACHACCIDENT <br />$ <br />E.L 01SEASE. EA EMPLOYE <br />--- <br />$ <br />E.L. DISEASE - POLICY 1-11SIT <br />— — <br />$ <br />DESCRIPTION OF OPERATIONS /LOCATIONS 1 VEHICLES (Attach ACORD 101, Additional Remarks Schedule, It more space Is required) <br />Subject to all policy terms and conditions <br />I..CRI it IVH I C riVLUCR L:ANGkLLAI IUN <br />SAMPLE <br />SAMPLE <br />SAMPLE S S <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESPITA�_TIVVE_ <br />(..1 cx l <br />©1988 -2010 ACORD CORPORATION. All riflhts reserved. <br />ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD <br />