HomeMy WebLinkAboutcertificate of liability -5Client#: 26684
19MARLIENG
AooRI„ CERTIFICATE OF LIABILITY INSURANCE
PRODUCER'
Summit Global Partners
PO Box 141916
Coral Gables, FL 33114.1916
(305) 669.6000
DATE IMA.'DOryr
05/05/03
THIS CERT1FICAtE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW
INSURERS AFFORDING COVERAGE
INSURED
Marlin Engineering Inc
2191 NW 97 Ave
Miami, FL 33172
INSURER A: Hartford Casualty Insurance Co
INSURER e: Hartford Ins. Co. of the Southeast
INSURER C: Hartford Underwriters Insurance Co
INSURER D: Continental Casualty Company
INSURER E:
VERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING
ANY REOUIREMENT, 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 DA EYAIMAIDACCI pployivE JPDA E MMA:IONYI UNITS
LTR TYPir OF INSURANCE POLICY NUMBER
A GENERAL LIABILITY :21SBALI1672 01/12/03 101/12/04
' EACH OCCURRENCE $1,000,000
X COMMERCIAL GENERAL LIABILf1Y
FIRE DAMAGE (MyaneIIre) S300,000
CLAIMS MADE X OCCUR MED EXP (My one Demon) S10,000
— + PERSONAL 8 ADV INJURY 51,000,000
, GENERAL AGGREGATE $2,000,000
GEN'LAOGREGATELIMIT APPLIES PER: + PRODUCTS •COMP/OPAGG $2,000,000
POLICY JEPRO. LOC
B AUTOMOBILE LIABILITY 21 UECLJ2719 : 09/01/02 1
_ ANY AUTO
ALL OWNED AUTOS ••
09/01/03 COMBINED SINGLE LIMIT
. (EA occident) $1,000,000
BODILY INJURY $
(Per person)
—
X SCHEDULED AUTOS
•
HIRED AUTOS •
• BODILY INJURY : s
• (Per accident)
—
— NON -OWNED AUTOS
• PROPERTY DAMAGE , $
D
LIABILITY
\ilIcl
— ANY AUTO
j(Per*CCident)GARAGE
AUTO ONLY • EA ACCIDENT . S
JQ7 EA ACC : $
. OTHER THAN
• AUTO ONLY: AGG S
EXCESS LIABILITY—
EACH OCCURRENCE S
OCCUR — CLAIMS MADE
: AGGREGATE ; $
—_ . DEDUCTIBLE
RETENTION $
s
, s
C WORKERS COMPENSATION AND ; 21 WECEX0S23 ! 04/01/03 !
EMPLOYERS' UABIUTY
04/01/04 i X DRY LIMITS ER•
1 E.L. EACH ACCIDENT : 5500,000
E.L. DISEASE • EA EMPLOYEE. $500,000
E.L. DISEASE • POLICY LIMIT I $500,000
D OTHER PROF LIAB 1AEA113760453 104/11/03 , 04/11/04 : $1,000,000 OCCURRENCE
$1,000,000 AGGREGATE
DESCRIPTION OF OPERATIONM.00ATIONaNEHICLEE)EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
Re: Professional Services 2002, 2003 & 2004
Certificate Holder is Additional Insured as respects General and -
Automobile Liability but only as respects work performed by or on
behalf of the named Insured.
CERTIFICATE HOLDER
AD DRIONAL INSURED; INSURER LETTER:
CITY OF MIAMI
DEPT OF PUBLIC WORKS
PO BOX 330708
MIAMI, FL 33233-0708
ACORD 25-5 (7/97)1 of 2 *M337355
CANCELLATION
SHOULD ANY OFTHE ABOVE DESCRIBED PCLICIESEE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TONAL 30_ DAYS WRITTEN
NOTICETOTH! CERTIFICATE NOLO ERNAMED TOTHE LEFT, BVTFAILURE TODOSO$NALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR
REPRESENTATIVES.
A D BENTATIV!
iitriur
O ACORD CORPORATION 168
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