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