HomeMy WebLinkAboutCertificate-Liability Ins.Arco D® CERTIFICATE OF LIABILITY INSURANCE Page 1 of 2FDATE 26i2 0 )
PRODUCER 877-945-7378 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Willis of New York, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
26 Century Blvd. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
P. O. Box 305191
Nashville, TN 37230-5191
INSURED JPMorgan Chase & Co. and Subsidiary,
affiliated and associated companies thereof
270 Park Avenue
New York, NY 10017
rnVFRAnFS
INSURERS AFFORDING COVERAGE I NAIC#
INSURERA:Liberty Mutual Fire Insurance Company 23035-001
INSURERB:Liberty Insurance Corporation 42404-001
INSURER C:
INSURER D:
INSURER E:
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.
INSR
LTR
OkDD'L
NSR
TYPE OF INSURANCE
POLICY NUMBER
POLICYEFFECTIVE
DATE MMIDD
POLICYEXPIRATION
DATE MM/DD/YYYY
LIMITS
A
X
GENERAL LIABILITY
TB2621004667169
4/1/2009
4/1/2010
EACHOCCURRENCE $ 1,000,000
PREMISES(E.Eoccccurrence) $ 11000,000
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE a OCCUR
MED EXP (Any one person) $
PERSONAL&ADV INJURY $ 11000,000
GENERAL AGGREGATE $ 2,000,000
GEN'LAGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP/OP AGG $ 2 000 000
POLICY JECT X LOC
A
X
AUTOMOBILE
LIABILITY
AS2621004667189
4/1/2009
4/1/2010
COMBINED SINGLE LIMIT
(Ea accident) $ 1,000,000
X
ANY AUTO
BODILY INJURY
$
ALL OWNED AUTOS
SCHEDULED AUTOS
(Perperson)
BODILYINJURY
$
X
HIREDAUTOS
X
NON -OWNED AUTOS
(Peraccident)
PROPERTY DAMAGE $
O
Om
D(Per
accident)
GARAGE LIABILITY
AUTO ONLY -EA ACCIDENT $
OTHERTHAN EAACC $
ANY AUTO
(
AUTO ONLY: AGG $
EXCESS I UMBRELLA LIABILITY
,
EACH OCCURRENCE $
OCCUR 7 CLAIMS MADE
AGGREGATE $
$
DEDUCTIBLE
$
RETENTION $
B
WORKERS COMPENSATION
WA762DO04667209
4/l/2009
4/1/2010
X I TORYLIMITS I OER
B
AND EMPLOYERS' LIABILITY YfN
ANY PROPRIETOR/PARTNER/EXECUTIVEO
WA762DO04667269
4/1/2009
4/1/2010
E.L. EACH ACCIDENT $ 11000,000
E.L. DISEASE - EA EMPLOYEE $ 11000,000
B
OFFICERIMEMBEREXCLUDED?
(Mandatory in NH)
WC7621004667139
4/1/2009
4/1/2010
E.L. DISEASE - POLICY LIMIT $ 11000,000
B
If yes, describe under
SPEC IAL PROVISIONS below
WC762100466714
4 1 200
4 1 2010
B
OTHER
EW762NO04667199
4 1 2009
4/1/2010
Excess WC for OH
jj-
$1,000,000 Limit
DESCRIPTION OF OPERATIONS/ LOCATIONS /VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
Contractual Liability is included under General Liability.
It is agreed that City of Miami are included as Additional Insureds as respects to General
Liability and Auto Liability.
Waiver of Subrogation applies in favor of City of Miami with respects to General Liability.
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3 0 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
City of Miami
c/o Purchasing Department REPRESENTATIVES.
444 SW 2nd Avenue, 6th Floor AUTHORIZED REPRES NTATIVE
Miami, FL 33130
ACORD 25 (2009/01) Coll:2654057 Tp1:903258 Cert:122 907 c 1988-2009 ACORD CORPORATION. All riclhtsreserved
The ACORD name and loan arP rPai-tPrad mark- of ACORD
Page 2 of 2
IMPORTANT
If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement
on this certificate does not confer rights to the certificate holder in lieu of 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).
DISCLAIMER
This Certificate of Insurance 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.
ACORD 25 (2009/01) Coll:2654057 Tp1:903258 Cert:12270907