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HomeMy WebLinkAboutInsuranceClinnth- 579Qn nr)aSY ACORD. CERTIFICATE OF LIABILITY INSURANCE MIDD/YYYY) 3120/ 03/20/07 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Paul H. DeSiIVa Bateman, Gordon 8r Sands, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P.O. Box 1270 POLICY NUMBER Pompano Beach, FL 33061 INSURERS AFFORDING COVERAGE MAIC # INSURED INSURERA: Amerisure Mutual Insurance Co. Door Systems of South Florida, Inc. and Overhead Door Company of the Gold Coast P.O. Box 970475 Boca Raton, FL 33487-0475 INSURER B: INSURER C: INSURER D: INSURER E: !`nVRRAI MPA 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CTR NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MMOD POLICY EXPIRATION DTE MM/DD/YY LIMITS A X GENERAL LIABILITY GL20421900000000 01/14/07 01/14/08 EACH OCCURRENCE $1,000,000 PREMISESDAMAGE TO RENTED s300,000 COMMERCIAL GENERAL LIABILITY CLAIMS MADE a OCCUR MED EXP (Anyone person) $5,000 PERSONAL & ADV INJURY $1,000,000 X PO Ded:2,000 GENERAL AGGREGATE $2 000 000 GENIAGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG s2,000,000 POLICY X PCT LOC A AUTOMOBILE LIABILITY X ANY AUTO CA2042188000000 01/14/07 01/14/08 COMBINED SINGLE LIMIT $1,000,000 (Ee aoddent) BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Peraccident) $ X HIRED AUTOS X NON -OWNED AUTOS PROPERTY DAMAGE $ (Peracddent) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN FA ACC $ ANY AUTO AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ AGGREGATE $ OCCUR FICLAIMS MADE $ DEDUCTIBLE $ RETENTION $ A WORKERS COMPENSATION AND WC204219201 01/14/07 01/14/08 X WC`SLIMIT7U- CER E.L. EACH ACCIDENT $1,000,000 EMPLOYERS' LIABILITY ANY PROPRIETOR(PARTNERIEXECUTIVE OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $1,000,000 If yes, describe under SPECIR PROVISIONS below E.L. DISEASE - POLICY LIMIT $1,000,000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS Holder captioned below Is an additional insured for general liability coverages only as their interest may appear for the work performed by the Insured. City of Deerfield Beach 210 Goolsby Blvd Deerfield Beach, FL 33442 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3_ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER. ITS AGENTS OR ACORD 25 (2001/08) 1 of 2 #181555 SS © ACORD CORPORATION 1988