HomeMy WebLinkAboutInsuranceACORD CERTIFICATE OF LIABILITY INSURANCE OP ID MF1
DATE(MWlDDNYYY)
GATEH-1
1 09/02/08
FRODUCER
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Brown & Brown of Florida, Inc.
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Daytona Beach Office
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
P.C. Box 2412
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW,
Davtcna Beach FL 32115-2412
EACH OCCURRENCE S 1,000,000
Phone:386-252-9601 Fax:386-239-5729
INSURERS AFFORDING COVERAGE MAIC
INSURED
INSURER A; Lexington Ins Co 19437
MADISON HOUSING, LTD
MADISON HOUSING II LTD
THE GATEHOUSE GROUb, INC
_
INSURER B: The North River Ins Co 21105
INSURERC:
120 FORBES BLVD
MANSFIELD MA 02048
INSURER D:
INSURER E:
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
=JJY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
-CLICIE S. AGGREGATE 'LIMITS SHCWN MAY HAVE SEEN REDUCED BY PAID CLAIMS.
TYPE OF INSURANCE
POLICY NUMBER
DATE MMIDD
DATE MM/DD LIMITS
GENERAL LIABILITY
REPRESENTATIVES.
AUTHORIZED RE AESENTATIVE
EACH OCCURRENCE S 1,000,000
X+ X
X COMMERCIALGENERALLIAB{L"
1275832
01/29/08
04/01/09 PREMISES Esocarence $ 50,000
77 CLAIMS MADE OCCUR
MED EXP (Any one person) $ EXCLUDED
�~
PERSONAL.& ADV INJURY $1,000,000
GENERAL AGGREGATE s2,000,000
GENT AGGREGATE LIMIT APPLIES PER.'
PRODUCTS -COMPIOPAGG $1,000,000
POLICY PRO
JECT LOC
I
f
AUTOMOBILE
LIABILITY
ANY AUTO(
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
(
COMBINED SINGLE LIMIT $
Ea axJdent)
BODILY INJURY
(Per person) S
BODILY INJURY S
(Per accident)
PROPERTYDAMAGIE S
(Per accident)
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT S
OTHER THAN EA ACC $
AUTO ONLY: AGG 5
ANY AUTO
EXCESSIUMBRELLA LLPaUT'Y
EACH OCCURRENCE s 25,000,000
AGGREGATE s25,000,000
B i occuRCLAIMSMADE
5520131559
0I/29J08
04/01(09
E
DEDUCTIBLE
$
$
! IX RETENTION $ 0
�•�'-i WORKERS COMPENSATION AND
VFSTA7U-
TORY LIMTfS ER
EMPLOYERS' LIABILITY
ANY PROPRIETOR,PARTNEWEXECUTIVE
OFFIGERWEIABER EXCLUDED?
�
E.L. EACH ACCIDENT S
_
E.L. DISEASE - EA EMPLOYEE S
H yes, describe under
SPECIAL PROVISIONS below
I
!
E. DISEASE -POLICY LIMIT I S
OTHER
I
' DESCRIPTION OF OPERATIONS I LOCATIONS( VEHICLES I EXCLUSIONS ADDED BY ENDORSFMENTI SPECIAL PROVISIONS
CANCELLATION: EXCEPT 10 DAYS FOR NON—PAYMENT OF PREMIUM
w
ERT HD: -DER IS ADD'L 114S REGARDING; MADISON VIEW APTS, NORTH A1 -TD SOUTH SIDE
I OF NW 7TH STREET, BET -?MEN Nel 5TH AVENUE AND NW 6TH AVENUE , MIAMI, FL 33136
r"CaT'IFI(`d TF Pr)l rnFR CANCELLATION
CITYM-1
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EKPIRATIO
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
CITY OF MIAMI
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
BUILDING ZONE DEPT,
444 N. W 2ND AVE.
REPRESENTATIVES.
AUTHORIZED RE AESENTATIVE
1 MIAMI FL 33130