HomeMy WebLinkAboutCertificate of Liability 2ACORD„ CERTIFICATE OF LIABILI
PRODUCER
Highpoint Risk Services LLC
14160 Pallas Parkway #500
Dallas, TX 75254
(800) 632-5096 (972) 715-0959
Fax: (972) 404-4450
INSURED: AMS 1/c/f:.
THUNDER DEMOLITION, INC.
75 NW 116TH ST.
MIAMI, FL 33168
(305) 899-2240 Fax: (305) 899-2241
COVERAGES
A
TY INSURANCE
CERTIFICATE NO.! DATE
:2 29/2 p6D31a 25 29AM
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 •
INSURERA: Companion Property and Casualty Insurance Comp
INSURER B:
INSURER C:
INSURER D:
INSURER E:
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLIO
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHIC
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN I8 SUBJECT TO ALL TEH�EE TERMS
POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID C OLMY,Ff„(C A PbAO
TYPE OF INSURANCE
GENERAL LIABILITY
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE El OCCUR
GEN'L AGGREGATE LIMIT APPLIES PER:
7 POLICY n
PLP& n LOC
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
GARAGE LIABIUTY
RANY AUTO
EXCESS LIABILITY
OCCUR ID CLAIMS MADE
DEDUCTIBLE
RETENTION $
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
OTHER
POLICY NUMBER
WC77779990101
04/01/2006
04/01/2007
DESCRIPTION OF OPERATIONSROCATIONSIVEHICLE$IEXCLU8ION8 ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
1. This certificate remains in effect, provided the client's account is in goo
is not provided for any employee for which the client is not reporting wages
employees of AMS leased to THUNDER DEMOLITION, INC., effective 04/01/2006.
***PLEASE SEE ATTACHED EMPLOYEE ROSTER.***
CERTIFICATE HOLDER
ADDITIONAL INSURED: INSURER LETTER:
CITY OF MIAMI -
MIAMI RIVERSIDE CENTER
444 S.W. 2ND AVENUE
MIAMI, FL 33130
Y PERIOD INDICATED. NOTWITHSTANDING
N THIS CERTIFICATE MAY BE ISSUED OR
, EXCLUSIONS AND CONDITIONS OF SUCH
1 LIMITS
EACH OCCURRENCE
5
FIRE DAMAGE (Any One Flre)
$
MED EXP (Any one person)
5 -
PERSONAL & ADV INJURY
5
GENERAL AGGREGATE
$
PRODUCTS - COMP/OP AGO
5
COMBINED SINGLE LIMIT
(Ea eccldent)
$
BODILY INJURY
(Per person)
$
BODILY INURY
(Per accident)
$
PROPERTY DAMAGE
(Per accident)
$
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EA ACC
5
AUTO ONLY: AGO
1
EACH OCCURRENCE
$
AGGREGATE
$
$
$
$
X L RTATA 1 1° -
E.L. EACH ACCIDENT
$ 1000000
E.L. DISEASE- EA EMPLOYEE
$ 1000000
E.L. DISEASE- POLICY LIMIT
$ 1000000
LIMITS
$
UMITE
$
standing with AMS. Coverage
o AMS. Applies to 100% of the
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3 0 DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
IMPOSE NO OBUGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
REPRESENTATIVES
AUTHORIZED REPRESENTATIVE
ACORD 25-S (7/97)
0 ACORD CORPORATION 1988