HomeMy WebLinkAboutcertificate of insfib. 4G1t 1 irlvM 1 c yr I.Ir1aii..1 1 1 111.71.0ivNWWI. I 04/21/2004
FROM M C800)407-4077 FAX (321)752-7910
Environmental Insurance Specialists
139 N. Harbor City s1 vd .
Melbourne. FL. 32935
SA MATTER OF RPM N EION
' THIS ONLY IFAN? Neat UPON THEcDRTIncATE
HOLUM THIS C6R ICA�E DOER NOT AMEND. EXTEND OR
/y-T1t TIP Q�yE AFFORDED §Y TI$-P(JCEd BELOW,
INSURERS AFFORDING COVERAGE
NATO 0
rams Eastern Waste Systems. Inc
1660 M 19th Avenue
Poopana Reach, FLA 33069
INIUIIRRA, Interstate Fire 6 Casualty (A RA"
ED)
w1uf1Rl. Lincoln General Insurance (A RATED)
INSURER 0:
MIMIJRRII D:
• MNJIJAIR M: -
ANREQUIREMENT,�REOF $TERM OR CONDITION O► ANY CONTRACT OR OTHER INSURED
A9� FOR
ANYwO
N t1 RESPECTHWHICFH�S CERT1FIICATE D MAY SE �u DTOR�
MAY PO kESEDuCEDES RIBEAY HEREIN O SUUJECT TO ALL THE WRNS. EXCWSIONS AND CONDITIONS OF SUCH
a ERIESAGGREGATE THE MURA
RA1I RSIFFOR MAY Y THE
POLPI
Pak
TYPe OF INIURAMC1
POLICY NUMMMp
F
QFg , • ;`"'J' 1..
`
UNITS
A
X
ORMEIML
LIMMIY
COMMERCIAL 01MIRAL LIAPIUTY
CLP6241917
0E/06 200
0a/ .r / 6 ,
memocCL,RNEI,CM
s 1 J OQO N 000
p ,,, ,r 'oc, ,)
$ 1Q4 jO00
CuuaS MADE [J OCCUR
$ j Q00
MED S P Wm ono WM)
X
X
CONTRACTUAL WAIL
PERSONAL t ADV INJURY
A151
S i lope . 000
Waiver of Subropat
GENERAL AOGRMCATE
1 2.000.000
GMNL AGGREGATE LLIp4f APPUEC PE*
PROOUCT$ • COMPoQP AGO
$ 14000.000
7 POLICY 11 iF?;T i l LOC
B
At/MOW
ETHNICITY
ANY AISO
ALL OWNMD AUTOS
SCHEPIMP ANTOS
I4IRTiO AUTO:
NON OWNEO AUTOS
COMP- $2,500
LW1101022
03/06/2003
OS/06/2004
COMIrNEP MINGLE WANT
as mufti°
s 1.000.000
X
$OO LY INJURY
mvPrinau
I
-1
PODILY INJURY
IPIIr JIor.o.ntJ
M
—
iI
PROPERTY DAMAGE
IFS •G0i°•'•I
$
X
COLL in 52,500 -
EOM
LnY
MY AUTO
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Fat,t,OO�&CY - EA ACCIDENT
1
ACC
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A
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PMCMMMIUMM
ICLUI uaraurf
OCCul1 [l CAMS MAM
FFX6202915
02/12/Z004
01/06/2004
iAGM OCCURRINCf
� 1 1.000.00O
AtNNEOATE
s
..I
DEOUCTIMLR
RIITINTION s
Umbrella aver
s 1,000.000
s
GL & AUTO
s
WN]I4ms OOMPIMSATION AMP
/AIM�PLOOVIIIRFLJAPILITY
CFFIC P R<IAPiMAR EARNS ? T"
11541:4024786 below
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I TG�'TI t I Olt
ILL EACHACCIDENit
i
EL DISEASE • EA EMPLOYEE
1
LL 0.11*U • POLICY LMFIT
1
OTNEA
OF t
rill II rigA ZIll ItERAL LIABILITY
CFRT1F1CATE HOLDER
CITY OF MIAMI
1290 NW 20TH STREET
MIAMT. FL 33142
ACORD 24 I200110/0
OVULATION
WI/MAW OP MANIA ORSCRm$P POLICIns or Gme0111111 IMPOSE THI
EXPIRATION OATS THOR130P. THE ISSUING MUM' MALL eNOIAVO* TO MAIL
30 , 1AY$ WRITTEN NOTICE TO TH1 CERTIFICATE HOLUMR MEMO TOWS LMIT,
TUT FALURM TO MAIL SUCH NOTICM SMALL IMAOS1 NO OOLEMMDI, OR LIAIML ITY
OF ANY IOND UPON 'NC 1N$UMSI fT$ AGENTS OP REti'REMEMYATAIM1.
ALSINCEimED REPRMMENTAINC
Paul Zizzo/ST
CIACOR0 CORPORATION 1802
ACORQ ',CERTIFICATE OF LIABILITY
INSURANCE
DAl
S /
PRODIA.eII
AJB Insurance Group, Inc.
8300 W. F lee Street Ste 250
Miami, FL 33144 '
(305) 554-0800 Fax (305) 559-3044
THIS CER1 IFICATE IS ISSUED AS A MAT I tH OF INI-ORMA1 ION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER, THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
TER THE COyERA GE AFFORDED BY THE POLICIES BELOW,
INSURERS AFFORDING COVERAGE
NAIC N
*NUM
The Cum Group, Inc., et al dlb/a Certified HR Services
5101 NW 21 st Ave STE 350
Fort Lauderdale, FL 33309
INSURER A Union American Insurance Co.
INSURER s
INSURER C.
INSURER D
INSI e?FIa F
COVERAGES
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 AL L THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
NS
i
TYPE OF NSURANCE
POLICY NUMBER _
POUCY EFFECTNE
aiE 1MV0CfYYT
- POUCYEMP1RATFON
MTV (lMlT OMY}
-
WAILS
GENERAL
'—
LIABILITY
COMMERCIAL GENERAL LIABILITY
ECCH OCCURRENCE
S
fr7EDAMAQE1Anvone lifel
S
CLAIMS MADE ❑ OCCUR
MED DIP IA n one oersonl
S
GEN'L
PERSONAL 6 ADY INJURY
S
G NNRAL AGGREGATE
$
AGGREGATE LIMIT APPUES PE
POLICY PRo- ('�'i LOC
II JECT I I
PRODUCTs•�pMPrgPAGG
s
AUTOMOBILE
_
.--^-,
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTCIS
HIRED AUTOS
NON -OWNED AUTOS
COMBINED
(Ea accident)SINGLE LIMIT
$
y
BODILY INJURY
(Per person)
S
BODILY INJURY
(Pa( accident)
PROPERTY DAMAGE
(Per accident)
S
S
GARAGE
LIABILITY
ANY AUTO
91JTQ ONLY • EA ACCIDENT
S
OTHER THAN EA ACC
f
AUTO ONLY: AGO
f
EXCESS
-}
—
LIABALRY
OCCUR . CLAMS MACE
DEDUCIBLE
RETENTION f
EACH OCCURRENCE
$
AQGREGATE
S
S
s
S
A
WORKERS COMPENSATION AND
EMPLDVERS' LABILITY
WCU001FLO603N
06/30/03
12/31/04
X roRVlimeir3 LH-
El. EACIJACCQENT
s 1,000,000
E.L DISEASE•EA EMPLOYEE
1 1,000,000
EL OISEASE•POLICY LIMIT
f II ,000,000
OTHER
or scRIPTION-OFiR•tro IONsA map WNsivoi/CL-ESEXCEIRKIN$ ADD dT LNUURbrVENlltil'tL N. Nl4UVId1JF1B QOF]OA0a091
Workers' Compensation benefits provided for employees of (not subcontractors of):
Client It: 70I-300:•:2 Name: EASTERN WASTE SYSTEMS, INC.
Effective: 06/30/2003
This Florid' Workers' Compea,ahan polity a extended to aspire on lunte4 and rewires no further enure. Conuwadon a- coverage ,,,,Uhue to be provided threug, a new pricy, issued by UAIC or such eAlonred
min. attar =Fianoo. This cn0&o,sa reflect, a 9 month Mansion for the oriyvl coverer period of 6130103 - 4130104 emended to 6130103 • 12131/04.
CERTIFICATE HOLDERS ADDITIONAL INSURED; INSURER LETTER
CANCELLATION
City of Miami
1290 NW 20 St.
Miami, FL 33142
SHOULD ANY OF THE MOVE DESCREED POLICES BE CANCELLED BEFORE THE EXPIRATION
DATE TI-EREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE
TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO CO S0 SHALL PAPOSE
NO OBLIGATION CR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR
REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
Jose M. Alvarez
ACORD 25 (2001/08)
® ACORD CORPORATION 1988