HomeMy WebLinkAboutCertificate of Liability Insurance 2ACORD CERTIFICATE OF LIABILITY INSURANCE > EOFAD.I.KT
DATE IMWDO/YYYY)
12/12/06
PROOUCER
Preferred Services Group
707 Wescchester Ave., Ste 201
White Plains NY 10604
Phone1914-683-3990 Pax:914-948
-9360
INSURED
Fuel Miami LLC
2160 NorthL3]Mi7ami Avenue
M
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
INSURER A; Twin City lire Iaaeraaae Ca
INSURER B:
NAIL #
347
INSURER C:
INSURER D:
INSURER E:
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PSEUDO INDICATED. NOTWITHSTANDING
ANY REOUIREMENT, 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 18 SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
ThaR.
AMYL N3RC
TYPE OF INSURANCE
POLICY NUMBER
OAFh IMMID CT E
POATB (H}(airLIMITS
A
X
GENERAL
X
LIABILITY
COMMERCIAL GENERAL LIABILITY
12LBNTG0161
02/01/06
02/01/07
EACH OCCURRENCE
$ 1000000
'OAnvive -I u rsem W
PREMISES fEaaccureneel
$ 300000
CLAIMS MADE E OCCUR
MED EXP (Any one parson)
$ 10 000
PERSONAL 4ADVINJURY
i 1000000
_ GEN.
T
AGOREGATE UMIT APPLIES PER
GENERAL AGGREGATE
52000000
PRODUCTS - COMP/OP AGG
$ 2000000
POLICY FT 7M n LOc
E p Ben.
1000000
X
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
12IIENTG0261
02/01/06
02/01/07
COMBINED SINGLE LIMIT
IEracddrnil
51000000
_
X
X
BODILY INJURY
(Per !Arson)
$
BODILY INJURY
(Per SCGitlent)
X
PROPERTY DAMAGE
/Per acetdenl)
GARAGE
LIABILTIY
ANY AUTO
AUTO ONLY • EA ACCIDENT
$
OTHER THAN EA ACC
S
-II
AUTO ONLY: AGO
i
GICESSIUMBRELLALIABIUTY
X_I
1}
,#
OCCUR U CLAIMSMADE
12XHI7VK8891
02/01/06
01/01/07
EACH OCCURRENCE
i
AGGREGATE
S 10000000
DEDUCTIBLE
RETENTION S
_
i
—
WORKERS COMPEI13ATIONAND
EMPLOYER& LIABILITY
ANY PROPRIETOR1PARTNERIEXECUTIVE
OFFICERIMEMBER EXCLUOGDI
11yp dewihaunder
SPECIAL PROVISIONS bylaw
I�
TO LIMBS UCH.
E.L. EACH ACCIDENT
• .-
S
E.L. DISEASE . !A EMPLOY! -+
S
E.L DISEASE • POLICY LIMIT
3
OTHER
DESCRIPTION OF OPERATION! I LOCATIONS 1 VEHICLES I R%CI.431ONi ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
The Certificate Molder ip included as an additional insured under the
Comprehensive General Liability Policy and Commercial Automobile Policy
effective December 7, 2006.
CERTIFICATE HOLDER
CANCELLATION
CITT002
The City of Miami
Attn: Director, Public Works
444 S.W. 2 Avenue, 10th 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 30 DAY! WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO TRW LEFT, BUT FAILURE TO DO SO SHALL
IMPOSE NO OELIOATION OR LIABILITY OF ANY IOND UPON THE INSURER, ITS AGENTS OR
REPRESENTATIVES.
D REPR)ESETATI
ACORD 25 (2001/08)
ID ACORD CORPORATION 1988