HomeMy WebLinkAboutcertificate of liability insurance11-10v--1 i-2003 09:11 AM MAHN + GRAY INS 410 742 2473
P.01
ACORQ,. CERTIFICATE OF LIABILITY INSURANCE
FEMUR
MUM i GRAT INSURANCE ASSOCIATES
100 S. CAM7EN AVE.
Fruitla>zd MD 21826-
RISUM
Davis, Stavin Cropper
10025 MAPLE AVE,
Coivabla
COVERAO11
MD 21046-
DATE
1 11 •03
THI CERTIFI E IS ISSUED AS A MATTER OF FO r T
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, UTEND OP
SAL ER THE COVERAGE AFFORDED EY THE POLICIES BELOW.
INSURERS AFFORDING COVERAGE
IVIUR1iRA,NATIONAL GRAN= MUTUAL
INSuRIR t
INIURIR C.
MUM
IM uOIR t
THE POUCIE5 OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED MOVE FOR THE POLICY PERIOD INDICATED. NOTIMTHSTANOING Ai,
REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERT1FICATE MAY BE ISSUED OR MAY PERTAII
THE INSURANCE AFFORDS° BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERM&. EXCLUSICNS AND CONDITIONS OF SUCH POLICIE
AGGRO:ATE LIMITS SHOWN MAY NAVE SEEN REDUCED BY PAID CLAIMS.
min
TYPI OP INiunANCI
POLICY NUMBER
POLICY IF1ICTIVI
DATP IMMrDDrYY!
POLICY I1P1RAT10N
DATE IAIM1001YY1
LAMLTA
A
40iN1RALLIAIIIRY
COMMERCIAL OEN IAIILITY
CI•ALMI MADE al Gatti*
138P69535
01/25/2003
/ /
/ /
/ /
01/25/2004
/ /
/ /
/ /
IACHDccuI i1NCE
I
1,000,0
? RE DA3,tAG9 (AT ens bsl
1
500,0
M ED EXP (ASV one person)
s
5 , 0
IRjONAL / AOV INJUIIV
i
0
14004
CENERALAccma0AT1
i
2,000,0
G5N'L miORIOATU LIMpIIT. A�P'P''L'I1J$ PER:
P RODUCTI • COUPS). A00
i
2,000,0
^aL1C ! PY n WI i 1..,s
l
AUTOMOBILE
L_
LAa1LITY
ANY AUTO
ALL OWNED AUTOS
SGr1DULE0 AUTOS
HIRED AUTOS
NON•OWNi3 Auras
2\sc/iR
/ /
/ /
/
/ /
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/
/
11
�7,
$11 J
C CHAINED SINGLE LIMIT
(it' LI 6014SALI
BODILY INJURY
I ae, mew)
_
IIOOILY tNJUIIY
`oy aeadanll •
—�
i
1
�-
—_
�
s,RORERTY DAMAGE
(ow swarm
�'
OARAOI
�
LABILITY
ANY
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I
ACKa•ur)
0
_1
ONLY • EA ACCIDENT
3
IrrN VI1 TMAN 4.4 ACC
I
,,urQ ONLY. ADO
I
EXCESS
LIABILITY
/ /
/ /
/
/ /
1;300•1_;0 UA1IENCC
i
OCCUR ❑ CLAIM/ MACE
L%CICRiCATE
1
DeoucTleLl
RETENTION I
i
A
D veMyof �CCMAENlATIONANO
I
wCSS3538
01/25/2003
/ /
01/25/2004
/ /
hrORYTIM BI 00.
EACHACOI0ENT
I
1,000,0
—iL
mugs/ • IA EMPLOYE!
i
0
1,0004
-..L,
3 L. DIS1A10 • POLICY LIMIT
I
300,0
•
OTHER
/ /
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DESCRIPTION OP OPIRATIONIILOCATION/NINICLE0IHXCLUION S AOOI0 0Y ENOOIIIMINTIIFUCIAL PAOV1SIONS
CITY OF 1Qa14x Al ALDIZIONAL IIfALT11>ED
ESQ main 01-02-222 DEVILOPWE}N2 0/' C014FAIH1131BIVZ =ROOMY MAIIACIIQ:NT PLAN
's'O INCLUDE PART C 5IRV;CIS
CERTIFICATE HOLDER
ADDITIONAL INSURED; INWRV Lim"
CTY OF MIAMI/JULIA MARTIN ADM. ASSISTANT
DEPT. OF FIRE —RESCUE
444 S.W. 2ND AVENUE 10TH FLOOR
MIAMI SL 33130-
ACORD 234 (7197)
IN30251(iolol al
CANCELLATION
!MOULD ANY OP THE AIOVI D!t•CRIIID POLiCIEI MI CANCELL10 11FOR1 TH
EXPIRATION DATE THEREOF, The 111UING INSURER WILL INDIAVOR TO VA
10 OATS WRITTIN Nan CI TO Till CIRTIP1CATI HOLON* NAMED TO THI LIFT, SU
FAILURE TO 00 SO SHALL IMPOSE Nt1 OILIOATIOH OR LIAIILITY OP ANY KIND UPON TN
INSURER, Ire AGENT+ OR RICRIe1N11ATIVSI.
AUTN • ID S1Ui11NTASIVE
ILICTRCMiC LASER ra1M1 INC • J8301317•0343
eAGORD CORPORAT