HomeMy WebLinkAboutCertificate of Insurancei _- . ■J„� t�� �� y7y��,DATE
A CORDTM J S i¢ �)
(MM/DD/YYYY) t
^ R 01/05/2009
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PRODUCER
Aon Risk services, Inc of Florida
1001 Bri ckel 1 Bay Drive
Suite 1100
, I
THIS CERTIFICATE IS ISSUED AS A NIATTCR OF INFORMATION ONLY
AND CONFERS NO RIGHTS UPON THE CERTIFICA'T'E HOLDER. THIS
CERTIFICATE DOES NOT ANIEND, EXTEND OR ALTER THE
Miami FL 33131 USA
COVERAGE AFFORDED BY THE POLICIES BELOW.
INSURERS AFFORDING COVERAGE NAIL#
PHONE-(866) 283-7122 FAX-(847) 953-5390
INSURED
INSURER A: Lexington Insurance Company 19437
INSURER B:
University of Miami
P.O. Box 248106
INSURER C:
coral Gables FL 33124-1437 USA
INSURER D:
INSURER I-'
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 WI-IIC14 THIS CERTIFICATE MAY BE ISSUED OR MAY
PERTAIN, TIIE 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. LIMITS SHOWN ARE AS REQUESTED
INSR
1ZR
ADDIL
INSIZE
'TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE(MM\DDWY)
POLICY EXPIRATION
DATE(MM\DDWN')
LIMI'T'S
A
Ir
ERAL LIABILITY
1993540
06/01/08
06/01/09
EACII OCCURRENCE $1,500,000
DAMAGE TO RENTED $1,500,000
PREMISES (En occunancc)
x
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE ® OCCUR
MLU EXI'(Any one person) EXC U e
PERSONAL & ADV INJURY $1,500,000
GENERAL AGGREGATE $1,500,000
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS•COMP/OPAGO $1,500,000
❑X POLICY LOC
JECT
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT
ANY AUTO
(Ea accident)
ALL OWNED AUTOS
BODILY INJURY
SCHEDULED AUTOS
( Per Person)
HIRED AUTOS
BODILYTNIURY
NON OWNED AUTOS -
(Per accident)
PROPERTY DAMAGE
(Per accident)
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
ANY ADTG
OTHER THAN EA ACC
8
AUTO ONLY
AGO
EXCESS /UMBRELLA LIABILITY
EACH OCCURRENCE
❑ OCCUR ❑ CLAIMS MADE
AGGREGATE
DEDUCTIBLE
RETENTION
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITI'
WCSTATU- OT11-
t t
E.L. EACH ACCIDENT
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICERIMEMBER EXCLUDED?
E.L. DISEASE-EA EMPLOYEE ,
Hyes, describe under SPECIAL PROVISIONS
E.L. DISEASE-POLICY LIMIT i
below
OTHER
1
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
Re: General Liability
city of Miami, 1151 NW 7 ST, 3rd Floor, Miami, FL 33136 is added as an Additional Insured excluding workers' i
V BOOM
city Of Miami SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
1151 NW 7 ST 3rd Floor DATE THEREOF, TIIE ISSUING INSURER WILL ENDEAVOR TO MAIL r
Attn: Kristin ]ordahl 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, �
BUT 17AILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY
Miami FL 33136 USA OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE n/f ��f• �C��Ga �i5Z� j
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i � z.. L Q ::t��:,r� xr: �„¢"'.�s.A .`.«..,-ri.+1'.x.s..F.-_:t x ..a�,E._.n ,x.C-.�'�5�^x.r,�it��. ..r s.�zen, ;- a��,�..r rP
Attachment to ACORD Certificate for University of Miami
The terms, conditions and provisions noted below are hereby attached to the captioned certificate as additional description of the coverage
afforded by the insurer(s). This attachment does not contain all terms, conditions, coverages or exclusions contained in the policy.
INSURED
university of Miami
P.o. Box 248106
Coral Gables FL 33124-1437 USA
INSURER
INSURER
INSURER
INSURER
ADDITIONAL POLICIES If a policy below does not include limit information, refer to the corresponding policy on the ACORD
certificate form for policy limits.
INSR
LTHINSRU
ADD'L
TYPE OF INSURANC$
POLICYNUMBER
TOLICY DESCRIPTION
POLICY
EFFECTIVE
DATE
POLICY
EXPIRATION
DATE
LIMITS
DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
Compensation and Employers' Liability as required by written contract but limited to the operations of
the insured under said contract, and always subject to the policy terms, conditions and exclusions.
Certificate No : 570032417579