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HomeMy WebLinkAboutinsurance certificate�Vare1Y. Iry v11.1 11 IV PRODUCER VI I.1,1-71./I1 1 II 1 11\VVe V NATI-12 1 OW O/04 Brown & Brown, Inc. P. 0. Box 1229 Tampa FL 33601-1229 Phone:813-226-1300 Fax:813-226-1313 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATIE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW INSURERS AFFORDING COVERAGE NAIC INSURED National Lift Truck Service Inc etal 1901 Nw 2nd Street Ft Lauderdale FL 33311 INSURER A. Southern owners insurance Co. INSURER B: AUTO OWNERS INSURANCE 1,8988 INSURER C: St. Paul Pita 4 Marina In1.Co. 24767 INSURER D: INSURER E. 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. INse LTR ADDS INSRD TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATEIMMIDDIYY) POLICY EXPIRATION DATE (MMIDDM} LIMITS A GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY 20075826 06/01/04 .-..:re.:. • 06/01/05 f�%, IY 1. 4" EACH OCCURRENCE $ $1, 000, 000 X UAMAut IU KhNIkU PREMISES (Ea accurence) $$50r000 lCLAIMS MADE '" I.J OCCUR MED EXP (Any one person} $ $ 5 F 0 0 0 PERSONAL a ADV INJURY S Si 0 0 0 0, 0 0 0 GENERAL AGGREGATE S $2,, 000, 000 GEN'LAGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG S $10 000, 000 POLICY n JECT n LOC AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS t '` ` ' j,.� r + ;,I / IQ 0`j FIE� COMBINED SINGLE LIMIT (Ea accidenl) $ BODILY INJURY (Per person) S BODILY INJURY (Per accident} $ PROPERTY DAMAGE (Per accidenl) $ B GARAGE LIABILITY ANY AUTO 4507582600 06/01/04 06/01/05 AUTO ONLY - EA ACCIDENT $ 1, 0 0 (I , 0 00 X OTHER THAN EA ACC $ AUTO ONLY: AGG $ C EXCESS/UMBRELLA LIABILITY QK06800742 06/01/04 06/01/05 EACH OCCURRENCE $$ 4 r 000 , 000 X OCCUR CLAIMS MADE DEDUCTIBLE RETENTION S AGGREGATE S $4 r 000, 000 S S $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY PROPRIETORIPARTNERlEXECUTIVE OFFICERJMEMBEREXCLUDED?' --- ............... If yes, describe under SPECIAL PROVISIONS below ........ _._ .... MIOIH• OR L TORY LIMITTSS ER E.L. EACH ACCIDENT 4ANY E.L. DISEASE • EA EMPLOYEE :i , E.L. DISEASE • POLICY LIMIT , $ OTHER DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES! EXCLUSIONS ADDED BY ENDORSEMENT ! SPECIAL PROVISIONS Certificate holder is additional insured as respects service of equipment7. , r.h0 .. .-1 CERTIFICATE HOLDER CANCELLATION MIAMICI City of Miami 444 SW 2nd Ave 6th Floor Miami FL 33130 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 010 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO 50 SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITE AGENTS OR REPRESENTATIVES. AU7fIQRIZE RESENTATIV E ACORD 25 (2001108) ® ACORD CORPORATION 1988 02/04/2005 09:57 FAX 18006101 Ia%1s pMwlDorrm BD. CERTIFICATE OF LIABILITY INSURANCE atio aos „ TFlis CERTIFICATE 16 ISSUED CONFINE NO ,,AB MAMA G�I�IF IIiA 10 on 01041oph0r EL Gardner do SSllersltuykandolL LLC HOLDER. T DOZE MT ��re ND CERTIFICATE 1560 Orange Avenue _AMRi- j O • . _ . �.• •• - 1'•- l Sulta 760 Winter Park, FL 32780-8552 INSURERS AFFORDING COVERAGE Iil, MO PIeuRP' ZUIIpMArflNiCin Intlurant a Ccf1 PIrIY 3ta1An8 Concept' IntemstIoltal, Inc. Mal AIL Lmp: NATIONALLtI17 TRUCK S' SERVICE Iti OIC: _.__ 4224 West Henderson dive. TrrlPe , FL 33629 MASA tst- --- ultaremw THE POLICIBB ANY R!OuIRIM!NT. MAY PERTAIN, POLICIES. OF INeURANCE U8TEO BELOW NAVE BEEN ISIUED TO THE INSURED NAMED ABOVE FORTHTI POIJCV PIR OD INDICATED. No-rwt H*TAIICIING TERM OR CONDITION OF ANY CONTRACT OR O1NSR DOCUMENT iMT„�{ Ri6PECT TO WHICH T1118 CS -SWIM' M&V YE !SKIED OR THE INSURANCE AFFORDED BY TM@ POLJCIEI DuI.1t1Et'.0 lIEREIN 16 SMUT TO ALL THE TERMS, EXCLUISI0NB AIJO CONDITIONS OF WON ASO/MATE Ulan SHOWN MAY HAYS USN REDUCED BY PAID CLAIMS. „ a Tv.. Pauv mow umr__ LTn e.IIIIIAL LIAWITY COM McRoul OINULAOLINUTT �0G ...-_. peon 1 CLAWS NADI Li occua mED OtF emu met „r FIMI* AL I AQV I,' 1Y I `_ lfGIRq�AoO 1GAT $ — , dritrLACANsp_11, NM Q, Nix(' LOC MOWDMPCP A - ... ,. oco.00Ll uABl%JTY ANT ALL OW► IO AUTOS "ammo AMA�,+D NoteoWNIO Autos 1 ^ o0M49lM[l; CILI WI I -. IIi�� �o+M MOO IRS« I .-- r-- p�l°M,PI Y UDAmoes I� RI s ` �- IAPA.tLtkolu T ANYAUTo ALITO. ,Y-IA *moor L --. T RA ACC I „� 212r ONLYt Aim, I _ = �AIs,ITY aocu* 1 JJ mama i war Relemnow e `EACH OVEOlr AINall 1 —_ norpANMILlu J aooa15nte 1 1 r-- A wonstI11IengerMIAMIAND Jerst.ou a mAs"01, �ay� � cu, __-__ 1PE�C1ALI�o ears •MWl WC 45-57.044-00 on lam 03 1/20O5 x 41E04I -Qat, E L �p 1 t160 000 e a LL f +tin0,000 IL 01 4 . POLIC` $ 1 C0.000 WWII Location Caverns Fariod: 03/01/2004 03/01/2005 a $etelt: 04FL100737040 ellen* o1d70 DEJICRIPTM]rtOPop.aATIo1Ia&LOGamallmow. summo. , Ammo NY ParomoomorT1J W1 LPRoVI01o.e moon* N provided Tor only NATIONAL LIFT TRUCK SERVICE those omPloytoo Nand to 1901 MN 2ND STREET tut not suboon twist or FT. LAUDERDALE, FL SMS111ST63 CERTIFICATE I1QS.DER sty of Mend 444 9W 2nd Ave 61h FICor Miami. FL 33174 ACOIlf Si (250110iy CANCELLATION I14O140 AW OT NI AIMS ONOORIMFD MAIM tee OAMILLI1D WORN THE W1I trno" bwro THIItIOF. PM Msu poem WLL INonwog 7o NAL 30 ems ee.nyiM NOTICI TO TIE C[ICTPICAT1 IIOLOIII IlWWINN TO TIM LJITT, IUT FAILURE To CO Io 11Ntk ONPoso No 0111 MT10N c 11ASIWTM OP ANY IdrlD UPON TIM INTUFINN. I I soElhf ea RNPRI TINTA1Tv At/MONO= RHnuuENTATNII waACo CORPORAM1� taes-