Loading...
HomeMy WebLinkAboutCertificate of Liability InsuranceACORD CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YY) 03/14/2006 PRODUCER Serial # 109501 BONDING & INSURANCE SPECIALISTS AGENCY, INC. 9340 S. HARLEM AVENUE IHIS CEKF11-IOATE1S ISSUED AS A MAI IEH F INI-URMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. BRIDGEVIEW, IL 60455 t. INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A, ARCH SPECIALTY INSURANCE COMPANY MCO ENVIRONMENTAL, INC. INSURER B: 7275 NW 64TH STREET INSURER c: MIAMI, FL 33166 INSURER D: I 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 POLICES DESCRIBED HEREIN 15 SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IOTA NSRC TYPE OF INSURANCE POLICY NUMBER DATE(MMIDONY) DATE(MMIDDIYY) LIMITS A GENERAL X LIABILITY COMMERCIAL GENERAL LIABILITY 12 EM P 43532 01 03/01/06 \ 03 1 /07 E OCCURRENCE $ 1 ,000,000 AMAGE 10 RENTED PREMI (Ea occurence) 50 000 XP {Any ore person) $ 5,000 CLAIMS MADE 7 OCCUR P ONAL S. A INJURY $ 1, 000,000 X *CONTRACTORS POLLUTION LAMA ITV. aSPFTC1 /I PM-1/11.S GEN AL GREGATE $ 2,000,000 PR ❑ S - COMP/OP AGG $ 2,000,000 GEN'L 7 AGGREGATE LIMIT APPLIES PER: POLICY n JECOT n LOC I- CLAIM 1,000,000 AUTOMOBILE T . _ LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS • 0 COMBINED SINGLE LIMIT (Ea ac accident) $ BODILY INJURY• (Per person) $ BODILY INJURY Per accident} $ PROPERTY DAMAGE {Per accident) $ Pr GARAGELIABILITY7/.7 —1 A ANY AUTO (--------.) AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY n OCCUR CLAIMS MADE DEDUCTIBLE RETENTION $ EACH OCCURRENCE $ AGGREGATE $ $ $ $ • • WORKER'S COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERJMEMBEREXCLUDED? If yes, describe under SPECIAL PROVISIONS below r Ty�OY LhMITS EIR EL EACH ACCIDENT $ EL DISEASE - EA EMPLOYEE $ EL DISEASE - POLICY LIMIT $ A OTHER CONTRACTORS pouuTioN CLAIMS MADE FORM 12 EMP 43532 01 03/01/06 03/01/07 $1,00g000 - MOLD LIMIT - PER CLAIM $1,000,000-MOLD AGGREGATE $1,000,000 - PER CLAIM PROFESSIONAL LIABILITY -CLAIMS MADE FORM DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS ALL PROJECTS DONE DURING THE CAPTIONED POLICY TERM. THE CERTIFICATE HOLDER IS ALSO NAMED AS ADDITIONAL INSURED UNDER THE GENERAL LIABILITY POLICY. CERTIFICATE HOLDER CANCELLATION CITY OF MIAMI ATTN: PURCHASING DEPARTMENT 444 S.W. 2 AVENUE, 6 FLOOR MIAMI, FL 33130 KAO SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BF CANCELLED BEFORE THE EXPIRATION HATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO D0 SO SHALL IMPOSE ND OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 25 (2001108) CERTIFICATE OF LIABILITY INSURANCE DATE IMMIDD/YY) 11 /30/2005 PRODUCER CONDON MEEK 1211 COURT STREET C RWATER, FL 33756 Serial # 009827 THIS CERTIFICATE IS ISSUED 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 NAIC# €N5.-...D CRUM RESOURCES II INC 100 S MISSOURI AVENUE CLEARWATER FL 33756 1-800-277-1620 INSURER A'. FRANK WINSTON CRUM INSURANCE, INC. INSURER S: INSURER C: INSURER D: INSURER E: 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 OF 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. t •INSR LTR ADO'L INSRD TYPE OF INSURANCE POLICY NUMBER TOLICY EFFECTIVE DATE IMMIDDIYY} POLICY�XPTRATION DATE MWDDlYYL LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY c\,,,i) EAC OCCU ENCE $ FIRED AGE (Any a fire) $ CLAIMS MADE []OCCUR MED EX n person) $ PERSONAL d ADV INJURY $ GE LAGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: []POLICY FIPROJECT nLOC ROOUCTE- COMP/OP AOG $ AUTOMOBILE T — LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS \ J�)�� \'' COMBINED SINGLE LIMIT (Ea acckdenl) $ BODILY INJURY • $ BODILY INJURY (Per acciden!} $ PROPEI1ent) AGE (Per acclden[} $ GARAGE RANYAUTO LIACRLITY AUTO ONLY • EA ACCyOENT $ OTHER THAN EA ACC $ AUTO ONLY: AGO $ EXCESS / UMBRELLA LIABILITY OCCUR ElCLAIMS MADE DEDUCTIBLE RETENTION $ EACH OCCURRENCE $ AGGREGATE $ $ $ $ A WORKERS COMPENSATION AND EMPLOYERS LIABILITYWC ANY PROPRIETOR I PARTNER I EXECUTIVE OFFICER! MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below 6 0000 0000 1/1/2006 1/1/2007 WC STATU- X TORY LIMITS OTHER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000, 000 OTHER DESCRIPTION OF OPERATIONS / LOCATIONS !VEHICLES / EXCLUSIONS ADDEO BY ENDORSEMENT! SPECIAL PROVISIONS THIS CERTIFICATE REMAINS IN EFFECT PROVIDED THE CLIENT'S ACCOUNT IS IN GOOD STANDING WITH CRUM RESOURCES II INC COVERAGE IS NOT PROVIDED FOR ANY EMPLOYEE FOR WHICH THE CLIENT IS NOT REPORTING HOURS TO CRUM RESOURCES II INC EFFECTIVE 06/07/2004, APPLIES TO 100% OF THE EMPLOYEES OF CRUM RESOURCES II INC LEASED TO MCO ENVIRONMENTAL, INC. 305-468-1649 CERTIFICATE HOLDER CANOE CITY OF MIAMI ATTN: PURCHASING DEPT 444 S.W 2ND AVE. MIAMI, FL 33130 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, BUT FAILURE TO DO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Feb, 28. 2006 4:11 PM Policy Number: ACORD. CERTIFICATE OF LIABILITY INSURANCE PROot4KR INTELINST]RANCE, INC, 6529 SW $TFI STREET, I4IAMI , PLOR1DA 33134 (305)260-9505 IN$LIRED ' MCO VIRO NTAL, INC. ME. JULIO OTABO 7275 NW 64 STREET MIAMI, FL 331E6 No, 2550 P. 9 Date Entered: 2/28/2005 THIS CERTIFICATE 1S ISSUED AS A ONLY AND CONFERS NO RIGHTS HOLDER. THIS CERTIFICATE DOES ALTER THE COVERAGE AFFORDED INSURERS AFFORDING COVERAGE DATE IMMr156lNYYYI 2/2e/200B MATTER OF INFORMATION UPON THE CERTIFICATE NOT AMEND, EXTEND OR BY THE POLICIES BELOW, NAIC # • INSURERA: SORTE ZNTE CABLT,LTT LNECIRAITCE CO_ INSURER B: INSURER C; INSURER (3; INSURER E; COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE ?OA THE POLICY PERIOD INDICAT$D, NOTWITHSTANDING ANY REEOUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BB ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED SY THE POLICIES DESCRIBED HEREIN I5 SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CCINb1TION8 or SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR AOD'L IN5Rp TYRE 0P tN URANCE POLICY NUMBER POLICY EFFECTI S OUG'Y EXPIRATION DATEAMWDDNYI DATE RIMIQpNYI GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE I I OCCUR O EN'L AGGREGATE LIMIT APPLIES DER: I POLICY PJ C LOC AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NO),LOWNED AUTOS MP022800600 GARAGE LIABILITY —1 ANY AUTO EXCESS/UMBRELLA LIABILITY OCCUR CLAIMS MADE DEDUCTIBLE RETENTION S WORKERS COMPENSATION AND SMPLOYERE' LIABILITY ANY PROPRIETDR/PARTNER/EXECUTIVE OFFICE J 1EMIIER EXCLUDED? If yea, describe under SPECIAL PROVISIONS balsa LIMITS EACH 0 OE E EXCLUDED DAMAGE NTE6 EXCLUDED PFtEmleE8 curonce / $ MED EXP (Any a onl E EXCLUDED PERSONAL & ACV INJURY ENE fjA AGGREGATE PRDGUCTS . COMPJOP AGO $ FXCLtTDED EXCLUDED $ ExCLt7DEA 8/20e6 2/28/20 COMBINED SINGLE LIMIT IEe aocldent) $ 1.,000,.000,00 BODILY INJURY (For person) 3 INCLUDED BODILY INJURY (Per accident. $ INCLUDED PROPERTY DAMAGE (Per imalda,!) $INCLUDED AUTO ONLY . EA ACCIDENT S EXCLUDED OTHER THAN AUTO ONLY; EA AGO $ EXCLDDED AWL $ EXCLUDED EACH OCCURRENCE $ EXCLUDED AGGREGATE 1 EXCLUDED $ EXCLUDED $ EXCI cm iD $EXCLUDED , STATU- TORY UAAITS E.L. EACH ACCIDENT OE1�'RH= $ EXCLUDED E,L, DISEASE - EA EMPLOYEE $ EXCLUDED OTHER EL. OISEASE • POLICY LIMIT S EXCLUDED EXCLUDED RkOLDDED ExCLUnE;a DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES 1 EXCLUSIONS ADDED BY ENDORSEMENT 1 SPECIAL PROVISIONS GENERAL CONTRACTORS FOR ENVrR0NMENTAL WORKS — 7275 NW 64 STREET, MI.AMI, FL 3316B UNINSURED MOTORIST S300,000.00 / HIRED & NON OWNED VEHICLES: MEDICAL PAYMENT: S2,000.00 COMP & COLL: 01,000.00 DEDUCTIBLE INCLUDED CERTIFICATE HOLDER • CITY OF MIAMC BUILDING DEPARTt4,NT 444 9R 2N0 Avm, MIAMI, FL 33130 CANCELLATION SIHIN.LD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIOR OAT& THEREOF, THE 'OSUING INSURER WILL ENDEAVOR TO NAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON TKE INSURER, ITS AGENTS OR REPRESENTATIVES, AUTHO1RtYJ3 D REPRE6RNTATIVE ACORD 25 (2901/08) Ewa J& eL9 ACORD CORPORATION 1988 PrpeUced using Forms Boss Plua sartware. www.Forms6oas.cam; !mproselve Publishing goo-208.19T7