HomeMy WebLinkAboutExhibitDEXHIBIT D
CERTIFICATE OF INSURANCE
(See Section 45.5 - Insert form Certificate's of Insurance)
51
AcoRP CERTIFICATE OF LIABILITY INSURANCE CSR DI GATE{MMrDD1YYYY)
RECRE-1 12/W04
PRODUCER
P.J.K. INSURANCE, INC.
2500 NORTH POWERLINE ROAD
POMPANO BEACH FL 33069
Phone:954-979-5855 Fax:954.-979-6788
INSURED
Recreational Design &
Construction, Inc.
3990 Powerline Rd
Oakland Park FL 33309
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION I
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
NAIC 0 _
INSURER A: Lexington Insurance Company
----
INSURER B: LANDMARK INSURANCE CO .
_--
INSURER C: ASSURANCE CO OF AMERICA
19305
INSURERD: HARBOR SPECIALTY INS. CO.
INSURER E: COLUMBIA CASUALTY INS. CO.
---
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 ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS,
A,la AOD•L
LTR INSRCI TYPE OF INSURANCE
A
POLICY NUMBER
DATE (MMFDDIYY)E POLICY
(MMIDWYY))N
GENERAL LIABILITY
X X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE n OCCUR
X $10,000 Ded.
GEN'L AGGREGATE LIMIT APPLIES PER:
h l POLICY 1 !NeiLOG
AUTOMOBILE LIABILITY
X
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
GARAGE LIABILITY
71 ANY AUTO
EXCESS/UMBRELLA LIABILITY
11 OCCUR n CLAIMS MADE
DEDUCTIBLE
RETENTION S 10,000
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
OFFICEWMEMBER PROPRIETOR/PARTNER/EXECUTIVE
ECUTIVE
If yes, describe under
SPECIAL PROVISIONS below
OTHER
2897484
037733871
LHN025066
099000006248203
06/09/05
03/12/04
03/15/04
12/01/04
10/01/04
03/15/05
03/12/05
03/15/05
12/01/05
E Professional CPE114045042
Liability (E&O)
DESCRIPTION OF OPERATIONS r LOCATIONS I VEHICLES 1 EXCLUSIONS ADDED BY ENDORSEMENT 1 SPECIAL PROVISIONS
CERTIFICATE HOLDER IS NAMED ADDITIONAL INSURED FOR GENERAL LIABILITY.
10/01/05
LIMITS
EACH OCCURRENCE
51,000,000
RMA1akS(8.oc,rU
PREMISES {Ea uccurence)
$ 50, 000
MEO EXP (Any one person)
i
PERSONAL 8 ADV INJURY
5.1, 0 0 CI , CI 0 0
GENERAL AGGREGATE
$ 2, 0 0 0, CI 0 0
PRODUCTS •COMP/OP AGG
$ 2; 00CI, CI00
COMBINED SINGLE LIMIT
(Ea accident)
$1, 000, 000
BODILY INJURY
(Per person)
S
BODILY INJURY
(Per accident}
$
PROPERTY DAMAGE
(Per accident)
i
-
AUTO ONLY • EA ACCIDENT
S
THAN EA ACC
S
OTHER
AUTO ONLY: AGG
EACH OCCURRENCE
S __
s3,000,000
5
AGGREGATE
s
$
$ _
X ITORY LIMITS I ER.
E.LEACHACCIDENT
S 1000000
E.L. DISEASE - EA EMPLOYEE
$ 10 0 0 0 0 I)
EL DISEASE • POLICY LIMIT
S 10 0 0 0 0I)
Per Claim $1,000,,000
Aggregate $1,000,000
CERTIFICATE HOLDER
MIAMIDA
MIAMI- DADE COUNTY
,iiSA. mli7eSiC IdrabEr arls1XLSZCAT
Z71 "lfivrepo gsorwrinrcr
MIAMI FL 33128
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES DE CANCELLED BEFORE THE EXPIRATIO
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO 9'0 SHALL
'Mnges: u X.P& AYw4LIYALI110171JE JALSUEBB,J7SA11EAELS,DR
REPR E TATI S,
A T-1' _PRESENT V
a e, CEO
® ACORD CORPORATION 198
ACORD 25 (2001108)