HomeMy WebLinkAboutLiability InsuranceaCoRa. CERTIFICATE OF LIABILITY INSURANCE page 1 of 2 07/17/200$
PRODUCER $77-945-7378 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Willis North America, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
26 Century Blvd- ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
P, O. Sox 345191
Nashville, TH 372305191 INSURERS AFFORDING COVERAGE NAIL#
INSURED JPMorgan Chase a Co. and subsidiary, INSURERA:Liberty Mutual Fire insurance Company 23035-001
affiliated and associated companies thereof INSURERS: Liberty Insurance Corporation 42404-001
270 Park Avenue
Nov York, MY 10017 INSURERC:
INSURER D:
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAIVIFU ABUVE Ferri I Flt rULILJT rtIKIUIJINUIGA I LU. NU I VVI I „a I ANDING
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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR ' pOLICYEFFECTiVE POLICYEXPIRATiON LINIFTS
r•m o TYPEOFINSURANCE POLICY NUMBER I DATEfghWD(YYl OATEiMNIDD_ -
ANY AUTO
EXCESBIUMSRELLA LIABILITY
OCCUR FICLAIMS MADE
PRODUCTS-COMP/OPAGG
S 1 00, OQk
X COMMERCIAL GENERAL LIABILITY
DEDUCTIBLE
COMBINED SINGLE LIMIT
; 1,00D,000
(En erclda l
BODILY INJURY
S
(Pef person)
BODILY INJURY
S
CLAIMS MADE 10 OCCUR
PROPERTY DAMAGE
.
(Pereccidwd) .
WORKERS COMPENSATION AND
AUTO ONLY -EAACCIDENT
S
OTHERTHAN EAACC
S
GEN'LAGGREGATE LIMIT APPLIES PER:
AUTO ONLY: AGG
5 1, GOO,-QQQ
POLICY F__1,P)fRQ0T FXJLOC
EMPLOYERS' LIASPUTY
WC7621004667138
4/1/2006
A
B
AUTOMOBlLELLMMAY
WC7621004667148
AS2621OD46671SB
4/1/2008
4/1/2009
S 1r 000, OQQ
E.L.DISEASE-POLICY LIMIT
IL
ANY AUTO
If yet, describe under
SPECIAL PROVISIONS hn{ow04
W10 5 6726
4 1 200
44142009
H
OTHER
ALL OWNEDAUTOS
1 2 08
4 1 2009
Yxcess INC for OH
SCRE13ULEDAUTOS
HIRED AUTOS
1-o
-
NON.OWNEOALR08
h'' i' '•i 'J
L0
_
ANY AUTO
EXCESBIUMSRELLA LIABILITY
OCCUR FICLAIMS MADE
PRODUCTS-COMP/OPAGG
S 1 00, OQk
DEDUCTIBLE
COMBINED SINGLE LIMIT
; 1,00D,000
(En erclda l
BODILY INJURY
S
(Pef person)
BODILY INJURY
S
(Parecadent)
PROPERTY DAMAGE
S
(Pereccidwd) .
WORKERS COMPENSATION AND
AUTO ONLY -EAACCIDENT
S
OTHERTHAN EAACC
S
1 S
AUTO ONLY: AGG
DESCRIPTION OF OPERATIONS/LOCATLON SIVEHICLESIEXCLUSIONS ADDED BY ENOORSEMENTISPECIAL PROVISIONS
Re: Commercial Card Classic Agreement
Department•of Off -Street Parking of the City of Miami d/b/a Miami Parking Authority is included as
an Additional Insured but only to the extent required by referenced agreement.
CERTIF
Department of Off -Street Parking of the
City of Miami
d/b/a Miami Parking Authority
190 N.B. 3rd Street
Miami, PL 33132
SHOULD ANY OF THE ABOVE DESCRBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
CATS THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRFr ru
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO 00 SO SHALL
IM1208E NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OF
' REPREeENTAT/VEB. n
AUTHORIZED F{EPRESENTAjWE
D25(2001108) Coll:2418482 Tpl:753446 Cert:lP75594
ACCIRD CORPORATION 186
DEDUCTIBLE
f _.
RETENTION i
S
S
WORKERS COMPENSATION AND
WA762DO04667208
4/1/2008
4/1/,2009
g �J ON
X TORYLIMRS I
E,L. EACH ACCIDENT
5 1, GOO,-QQQ
H
EMPLOYERS' LIASPUTY
WC7621004667138
4/1/2006
4/1/2009
B
ANY PROPRIETORIPARTNER/EXECUTNE
OFFICERIMEMBER EXCLUDED?
WC7621004667148
4/1/2008
4/1/2009
E.L. DISEASE -EA EMPLOYEE
S 1r 000, OQQ
E.L.DISEASE-POLICY LIMIT
i 1,000,00Q
B
If yet, describe under
SPECIAL PROVISIONS hn{ow04
W10 5 6726
4 1 200
44142009
H
OTHER
EW762N004 671913
1 2 08
4 1 2009
Yxcess INC for OH
1
$1,000,000 Limit
DESCRIPTION OF OPERATIONS/LOCATLON SIVEHICLESIEXCLUSIONS ADDED BY ENOORSEMENTISPECIAL PROVISIONS
Re: Commercial Card Classic Agreement
Department•of Off -Street Parking of the City of Miami d/b/a Miami Parking Authority is included as
an Additional Insured but only to the extent required by referenced agreement.
CERTIF
Department of Off -Street Parking of the
City of Miami
d/b/a Miami Parking Authority
190 N.B. 3rd Street
Miami, PL 33132
SHOULD ANY OF THE ABOVE DESCRBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
CATS THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRFr ru
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO 00 SO SHALL
IM1208E NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OF
' REPREeENTAT/VEB. n
AUTHORIZED F{EPRESENTAjWE
D25(2001108) Coll:2418482 Tpl:753446 Cert:lP75594
ACCIRD CORPORATION 186
Page 2 of 2
IMPORTANT
If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. A statement
on this certificate does not confer rights to the certificate holder in lieu or such endorsement(s),
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).
DISCLA,ER
Wti�iri��.,�
The Certificate of Insurance on the reverse side of this form does not constitute a contract between
the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it
affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon_
t
ACORD 26 (2001109) Coll:2416482 Tp1:753446 Cort:11075594