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HomeMy WebLinkAboutcertificate of insuranceMarsh USA Inc. 10/28/02 1: 35 : PAGE 2/2 RightFAX A PRODUCER MARSH RISK 8 INSURANCE SERVICES P.O. BOX 193880 SAN FRANCISCO CA 94119-3880 CALIFORNIA LICENSE NO. 0437153 URSA-F-ALL-W/PRO- FL FTL URS THIS CERTFICATE 13 MUSED Al A MATTER OF INFORMATION ONLY ONO CONFERS MO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAR THOSE PROVIDED N THE POLICY. TI MI CERIFICATE DOES NOT AMEND. EXTEND OR ALTER THE COVERAGE AFFORDED NY THE POLICIESDEICRMED HEREIN. COMPANIES AFFORDING COVERAGE COMPANY A NATIONAL UNION FIRE INS. CO. OF PITTSBURGH, PA. CO LTR URS CORPORATION 100 CALIFORNIA STREET SUITE 500 SAN FRANCISCO, CA 94111 COMPANY B AMERICAN MANUFACTURERS MUTUAL INSURANCE CO. COMPANY C AMERICAN INTERNATIONAL SPECIALTY LINES INS. CO. COMPANY D INSURANCE CO. OF THE STATE OF PA THIS 18 TO CERTIFY THAT POL10E8 OF INSURANCE DESCRIBED HEREIN HAVE SEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED. NOTWTHSTANDING ANY REQUIREMENT, TERM CR CONDITION OF ANYCONTI/ALT OR OTHER DOCUMENTWTH RESPECT TO' MICR THE CERTIFICATE MAY BEISSIEDCDi1 MM• PERTAN. THE INSJRANCE AFPCRDED By THE P0u0113 DESCRIBE) HEREIN IS sumo' TO ALL TIE TERMS CONDITIONS AND 1?JC0.U8ON3 0+ S1C1 POLICES AGGREGATE LIMITS 3I0V#4 MAY HAVE BEEN REDUCED BY AD O.NM3 TYPE OF INSURANCE POLICY NURSER POUGY EFFEGT1VE DATE $IMJ00/YY) POLICY EXPIRATION DATE 4IMJDDIYY) LIMBS A B B B B GENERAL LIABILITY X COMMERCIAL GENERA. LIABILITY PO J CLAMS MADE a OCOJR CANNERS A CONTRACTOR'S PROT AUTOMODLE LIABILITY X X X ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-01NNED AUTOS GARAGE LIABILITY ANY AUTO A A O EXCESS LIABILITY X GL933.1972 FSY008395-00 AOS F5Y008398-00 HI F5Y006397-00 VA F5Y006398-001X X3P084803.00 MASS 04/01/02 04/01102 04/01/02 04/01/02 04/01/02 04/01/02 04/01/03 04101 /03 04/01 /03 04/01/03 04/01/03 04/01/03 GENERAL AGGREGATE 2,000,000 PRaDUCT3.CCMPIOP AGG $ 2,000,000 PERSONAL L AOV INJURY s 1,000,000 EACH OCCURRENCE S 1,000,000 PRE DAMAGE (Any melee) $ 1,000,000 MED EJLP jMy ale pram) COMBINED SNGLE UNIT $ 5,000 $ 1,000,000 BODILY INJURY (Pa perme) $ BODILY IN.LRY (Per amdenq S PROPERTY DAMAGE AUTO ONLY -EA ACCIDENT OTHER THAN AUTO ONLY EACH ACCIDENT $ S UMBRELLAFORM OTHER THAN UMBRELLA FORM WO KERS cd PEASATION AND EM PLOW R I' LIARFLRY THE PROPRIETOR/ PA RTNERS3ELTJTIVE IXFICER3 ME OIHlR PROF. LIABILITY (E80) CLAIMS MADE FORM X INCL BE 139-4050 708-4967 AOS 708-4988 CA 708-4970 MA, TX, VA 4785090 04/01/02 01/01/02 01/01/02 01/01/02 04/01/02 04/01/03 01/01/03 01/01/03 01/01/03 04/01/03 AGGREGATE $ EA01OCCURRENCE $ S4,000,000 AGGREGATE S $4,000,000 X WC STATU- TORY LIMITS EL EAOI ACOO@IT ER S EL DIMAS=-PQICY LIMIT S 1,000,000 EL OisEASEEAQJ•I EMPLOYEE S 1,000,000 EACH CLAIM AGGREGATE S5,000,000 S10,000,003 DESORPTION OF CPERATIOMSILOCATIOMSIVEHM:LE3I3PEam. ITEMS RE: PROGRAM MANAGEMENT SERVICES FOR FT. LAUDERDALE-HOLLYWOOD INT'L AIRPORT EXPANSION PROGRAM IN BROWARD COUNTY, FL PHASE III (AEP III). RLI #102301-RB THE COUNTY OF BROWARD 8 THE BROWARD COUNTY BOARD OF COUNT( COMMISSIONERS ARE ADDITIONAL INSUREDS AS RESPECTS GENERAL LIABILITY. 7,1 BROWARD COUNTY BOARD OF ` `• COUNTY COMMISSIONERS • ATTN: MARY MEISTER, ASST. RISK MGR. 115 S. ANDREWS AVENUE ROOM 212 FT. LAUDERDALE, FL 33301-4804 L'! SHOULD ANY Or TIP MUMS OESTANIEO TI O N SE CANCELS° BEFORE THE ESTIRATON DATE imam r THq INA1l3R AROROIND COVEAAQ VMLL EINIQQ PPCM MVL SO DAYS WRITTEN mom TO TH! CERTPICATE HQOER HWMID HEREIN 6 i1. .�R.v�y�'Y',.�'y'uA'i a`r�i r-�F�. .W"•� �1.i�' Oro... k' ,FS i.r� APISH USA NG. r. MId io Nekda .r!,. t-. !` `i �!�� •,�i.;hf�d.�yr';r�.`�S"���3.I+w �V,l Xk',t?EF:,:ii;'3'd �°. ', ,P ' Marsh USA Inc, 10/28/02 1:41: PAGE 2/2 RightFAX PRODUCER MARSH RISK & INSURANCESERVICES P.O. BOX 193880 SAN FRANCISCO CA 94119.3880 CALIFORNIA LICENSE NO. 0437153 CERTIFICATE NUMBER SEA-000018141•01 THIS OERTMICATE Y ISSUED Al A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED N THE POLICY. THIS CERTFICATE DOES MOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY NE POLICES DISCERN D HEREIN. COMPANIES AFFORDING COVERAGE RSA-F-XS-ONLY- FL FTL URS COMPANY A AMERICAN INTERNATIONAL SPECIALTY LINES INS. CO. NSURED URS CORPORATION 100 STREET ct>vlPAvr E SUITE 500ORNIA SAN FRANCISCO, CA 94111 CCM;AIY C THIS 18 TO CERTIFY THAT PQJOII CF INSURANCE DESCRIBED HERON HAVE BEEN NOIUMTHSrMJDING ANY REOJ MEN?, TERM OR CONDITICH OF ANY CONTRACT OR OTHER PERTAN, THE INBJRANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN ISSUBJECT LIMITS 340VM1 MAY HAVE BEEN REDUCED EY PAO CLAIMS COMPANY D • ISBUED TO THE 1NSJRED NAMED HEREIN FOR THE POLICY PERIOD INDICATED. DOCUMENTWTH RESPECT TO WHICH THE CERTIFICATE MAY BE IBEUED OR MAY TO ALL THE TERMS CONDI/1C'M$ AND EXCLUHCNS CF SUOI POLICIES AGGREGATE co LTR TYPE OF INSURANCE ~ POLICY POLICY EFFECTIVE DATE (IA M10OIYY) POLN:YEXPIRATION DATE (MMIDDI'IY) —— LIMITS GEMERAL — LIABILITY GENERAL AGGREGATE $ COMMERCAL GENERA. LIMILITY PRODUCTS-CC7NPICPAGG $ Q.AMSMADE E OCCUR PERECIN AL 4 ACV INJURY $ — O NNER'S IL CQITAACTOR'S PROT EACH OCCURRENCE $ FIRE $ DAMAGE(Myal.Ire1 MED EMI (My mepa'em) $ AUTOM00LE _` LIABILITY INV AUTO cQ4BINEOSINGLE UNIT 5 T ALL QhNE0 AUTOS SCHEDULED AUTOS BODILYIN.URV (Per Imam) $ •,,i.y —, HIRED AUTOS NOV-OWNED *' 4EC AUTOS BOOILYIN.LRY (Per 9edde ) PROPERTY DAMAGE $ pARAIiEl1ABILI Y AUTO ONLY -EA ACOOENT $ ANY AUTO OTHER THAN AUTO ONLY EACH ACCIDENT $ AGGREGATE $ A EXCESS LIABILITY 819-4188 04/01/02 04/01/03 EACH OCCURRENCE$ 30 X UMBRELLA FORM AGGREGATE $ 30 OTHER THAN UMBRELLA FORM EAC H CLAIM S $5,000,000 WC}RKERS C 0IPERSATION AND EMP LOVERS' LIABILITY 4VC �ATU. 6M TCRV LIMIT8 ER EL EACH ACCIDENT $ THE PROPRIETCRI PARTNERS'EJECUTIYE INCL EL OISEASEpQ C,'UMIT S C CFFICERSARE' etc_ ELDIIEASEEAO EMPLOYEE $ OTHER DESORPTION OF CPERATIONSLOCATIONSIVEHNLEStEPEON. ITEMS RE: PROGRAM MANAGEMENT SERVICES FOR FT. LAUDERDALE-HOLLYWOOD INTL. AIRPORT EXPANSION PROGRAM IN BROWARD COUNTY, FL PHASE III (AEP III). RLI 1#102301-RB � t q h`'.4',, ''''"'r .`'' ., •tihs'f nt. Sr L.•''''•' �t,., , '' �, 4.v L i't. ,'^'S K. 7 '."k•,,, ,I di T,S,,i1,•T� &I°tr�Ll wah p., igf�l.4 A.. a .. .. rii,+'' 1 BROWARD COUNT/ BOARD OF ' COUNTY COMMISSIONERS f -i . , SHOULD AM/ 4F ►Fi POLICIES DESCUI1011ERIN SE CANCILLE0 EFFORT TIC IIfPlMIlOM tan maim, THE INIILRER AFFORDING OOVIRACE WILL IITElWW9(X PAIL _3Q DAYS V*ITIIN NOYIC' TO TIN a11TIFICATI wain!NPPeD Helton ' ' ,. ..•. '+ ,.., '. • ' :... , . , . . . A 11N: MANY INSISTER, ASST. RISKMGR.`" '- 115 S. ANDREWS AVENUE ROOM 212 FT. LAUDERDALE, FL 33301-4804