HomeMy WebLinkAboutExhibit 5CERTIFICATE OF
PRODUCER Morgan Insurance Group
13155 SW 42nd Street, Suite #107
Miami, FL 33975
Phone (305)222-9001 Fax
INSURED BCLS LANDSCAPING GROUP INC
1528 NW 43 St
Miami, FL 33142-
1(305) 305-3244
LIABILITY INSURANCE J °A 10 11/08m'
THIS CERTIFICATE IS ISSUED AS AM ATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES FtFi nw
INSURERS AFFORDING COVERAGE MAIC #
INSURERA: BRIDGEFIELD CASUALTY INS COMP 10335
INSURER D:
INSURER E:
COVERAGES ( INSURER F:
THE POLICIES OF INSURANCE LISTED HAVE BEEN ISSUED TO THE INSURED NAkED 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
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ADD'L
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I TYPE OF INSURANCEPOLICY
NUMBER
POLICY EFFECTIVE
DATE MM/DD/YY
POLICY EXPIRATION
DATE MM/DD/YY
LIMITS
DAYS WRITTEN NOTICE TO TOFPERTIFICATE HOLDER NAMED TO
❑
GENERAL LIABILITY
❑ COMMERCIAL GENERAL LIABILITY
❑ ❑ CLAIMS MADE ❑ OCCUR
❑
OF ANY KIND UPON T INSU ITS ENTS OR REPRESENTATIVES.
6TH FL
EACH OCCURRENCE
DAMAGE TO RENTED
PREWSES Ea occurence
MED EXP (Any one person)
PERSONAL & ADV INJURY
❑
GENERAL AGGREGATE
GEN'L AGGREGATE LIMIT APPLIES PER:
❑ POLICY ❑ PROJECT ❑ LOC
PRODUCTS - COMP/OP AGG
❑
AUTOMOBILE LIABILITY
❑ ANY AUTO
❑ ALL OWNED AUTOS
❑ SCHEDULED AUTOS
❑ HIRED AUTOS
❑ NON OWNED AUTOS
❑
COMINED SINGLE LIMIT
(Ea a-cident)
BODILY INJURY
(Per person)
BODILY
� DSI )Y
PROPERTY DAMAGE
(Per accident)
❑
GARAGE LIABILITY
❑ ANY AUTO
❑
AUTO ONLY- EA ACCIDENT
OTHER THAN EA ACC
AUTO ONLY: AGG
EXCESS/UMBRELLA LIABILITY
❑ OCCUR ❑ CLAIMS MADE
❑ DEDUCTIBLE
❑ RETENTFON S
EACH OCCURRENCE
AGGREGATE
A
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
ANY PROPRIETOR / PARTNER/ EXECUTIVE
OFFICER I NEMBER EXCLUDED?
ff yes, describe under
SPECIAL PROVISIONS below
0810055
10/13/08
10/'1 3/09
❑ WC STATU- ❑ OTH-I
T RY LIMITS ER
E.L. EACH ACCIDENT 1,000, 000
E.L. DISEASE - EA EMPLOYEE 1, 000, 000
E.L. DISEASE - POLICY LIMIT 1,000,000
OTHER
DESCRIPTION OF OPERATIONS / LOCATIONS 1 VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
CERTIFICATE HOLDER CANCELLATION
ACORD 25 (2001108) t1F ` IV Al. VKU L:VKYVKAI IVN 1855
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
CITY OF MIAMI
DAYS WRITTEN NOTICE TO TOFPERTIFICATE HOLDER NAMED TO
444 SW 2 AVE
THE LEFT, BUT FAIL U D S MPOSE NO OBLIGATION OR LIABILITY
OF ANY KIND UPON T INSU ITS ENTS OR REPRESENTATIVES.
6TH FL
AUTHORIZED REP SENT
MIAMI, FL 33130
ACORD 25 (2001108) t1F ` IV Al. VKU L:VKYVKAI IVN 1855