HomeMy WebLinkAboutCertificate of Insurance! ! L11 U-' V ?Z... 11.1 1 1 I v,P% I w.# I L. LP (r r . st a' 1 , r, 11s." $4.0 t $ •
PRODUCER
AMERI-1 f 05/1.3/05
Assurance Brokers Ltd.
90 Kriege Farm Road
Glen Carbon IL 62034
Phone: 610-692-9800 Fax:618-692-9865
THIS CERTIFICATE IS IS ..EO AS A MATTER OF INFORMATION
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
NAIL V
IUSUREI}
American Environmental Contrac
920 Stillwater Drive
Miami Beach FL 33141
INSURER A: s1., Pot}. 1jrc E liarir,r C.0
INSURER 13: Commerce & Industry Ins .
INSURER C:
INSURER ❑:
INSURER E:
THE POLICIES Of INSURANCE_ LISTE.D BELOW HAVE BEEN ISSUED TO THE INSURED (JAWED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHS7A.NDING
ANY REOUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY DE ISSUED OR
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL 711E TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES. AGGREGATE L tMr(S SHOWN MAY RAVE BEEN REDUCED BY PAID CLAIMS.
INS0
I-TR IIJSRE
APD'C
TYPE OF INSURANCE
POLICY NUMBER
'POLICY EFFECTIVE
DATE (MM/DD(YYI
POLta EkPIRT iIION
DATE (MMiDDivY)
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
E 1000000
A
X
X
COMMERCIAL GENERAI.1-IABILITY
01406800172
05/03/05
05/03/06
DAMAGE TONIE:
"i{E'PREMISES{F.BOccOf EKE)
TT
CLAIMS MADE I X OCCUR
MED EXi' (Any one person)
1.
X
J
Pollution Lia%ili
PERSONAL &ADVINJURY
$1000000
GENERAL AGGREGATE
1; 2000000
GEM.
AGGREGATE LIMTI APPLIES PER:
PRODUCTS - COMP/OP AGG
1.1000000
POLICY n EiEC7' �I LOC
AUTOMOBILE
LIABILITY
ANY AUTO
COMBINED SINGLE LIMIT
(Ea accident)
ALL OWNED AUTOS
SCHEDULED AUTOS
BODILY INJURY
(Per person)
'
HIRED AUTOS
NON -OWNED AUTOS
BODILY INJURY
(Per accident)
PROPERTY DAMAGE
S
(Per accident)
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
S
ANY AUTO
OTHER THAN EA ACC
S
AUTO ONLY: AGG
5
EXCESS/UMBRELLA LIABILITY
LACHOC.CURRENCE
9
OCCUR i CLAMS I1j,DE
- ..,._ LiLDLIGTIPLL
IRETLlinKIN L
AGCRI:C:/AT
5
5
5
`
B
KERS CDA9PEWSATION AND
WORKERS
EMPLOYERS' LIABILITY
ANY pROPRIrT'ORIPARTNI_r,.EKTCUTIVf_
OFF ECFR/I EMREREXCLUDED:
14C584.5886
05/10/05
05/10/06
t
I INC, SITAT11- T ORY LIMIT S l ER
E,L EACH ACCIJLNi
El DISLASI: - EA EMPLOYEE`
s 1000000
51000000 _
II vus. descrOx urine/
SPECIAL PROVISIONS below
E .L DISEASE •POLICY 1-H,1l1 15 100 00 0 0
A
OTHER
Inland Marine
0L06800172
05/03/05
05/03/06
Sched Egu 111,500
DESCRIPTION OF OPEPATlONS I LOCATIONS 1 VEHICLES $ EXCLUSIONS ADDED UY ENDORSEMENT f SPFr.IAL PROVISIONS
CERTIFICATE HOLDER
CANCELLATION
MIAMIDA
ACORD 25 (2001108j
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, EUT FAILURE TO D0 SD SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
REPRESENTAT€VES,
AUTHORIZED REPRESENTATIVE
WQ OACpR>TION 1988
6300 Wilson Mills Road
Mayfield Village, OFI 4'l 143
140O 444-44k7
CERTIFICATE OF INSURANCE
PRDSRELUL/E'
1NSl]R14_._....
_ m
AGENT
AMERI.CAN ENVIRONMENTAL
920 STILTWATER DR
MIAMI BEACH FL 33141
PROGRESSIVE
PO BOX 94739
CLEVELAND OH44101
CERTIFICATE, OF INSURANCE
THLS DCICUMENTCERTIFIES THAT INSURANCE POLICIES IL)ENTIVIED BELOW HAVE BEEN ISSUED BY THE DESIGNATED INSURER 'I'OTHE INSURED
NAMED ABOVE FOR THE PERIOI)(S) INDICATED. THIS C:F:R.TIFICATF{ IS ISSUED FOR INFORIvLLT1ON PI IR POS ES ONLY, rr CONFERS NO RIGIiTS
UPON THE CERTIFICATE HOLDER .AND DCIE:S NOT CHANGE, ALTER., MODIFY, OR EXTEND THE COVE RAGI:(S) AFFORDED F3Y THE POLICIES LISTED
HE:I.OW. THECOVEILAGIE(s) .AFFORDED HY THE POILCIILS LISTED BELOW AREsUCiil?L:'r TO ALL THE TERMS, EXCLUSIONS, LIMITATIONS,
!';AI DORS E:MI:NTS, .AND CONDITIONS OE' THESE PO LJ.CI FPS.
INSLIR.FR(S)AND INSURANCE COVF:RAGES(S)
POLICY
EFFECTIVE
DATE
EXPIRATION
DATE
LIMrr(S)(W
LIABILITY
Progressive Express Insurance Company
CA: 02109583-2
04/23/05
04123/06
1,000,000 CSL
Comprehensive/
Collision less $1,000
DED
Basic PIP $10,000
Hired Auto Liability
$1,000, 000
Non --Owned Liability
$1,000,000
Scheduled Autos:: 2001 DODGE PICKUP 1B7MC336X1J269791
CERTIFICATE BOLDER
" '
Should any of the above described policies be cancelled
before the expiration date t.herol, the insuring company will
endeavor to mail 30 days written notice to the certificat
holder named to the left., but failure to mail such notice shill
impose no obligation or liability of any kind upon the
company, its agents or representatives.
ATTN: Carlos
FAX:
305-867-5050
�-
CERTIFICATE NUMBER: 18705PB9583