Loading...
HomeMy WebLinkAboutExhibit4ACORD CERTIFICATE OF LIAB' PRODUCER Brown & Brown of Florida, Inc. Daytona Beach Office P.O. Box 2412 Daytona Beach FL 32115-2412 Phone:386-252-9601 Fax:386-239-5729 INSURED BROWN & BROWN INC ETAL P 0 BOX 2412 DAYTONA BEACH FL 32115 IN'Vncn... INSURER E: ) DATE (MM/DD/Y YY) 12/05/07 J NIFORMATION 1TIFICATE EXTEND OR JCIES BELOW. NAIC # Amer 25674 COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO 7HE 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 POLICIES DESCRIBED HEREIN IS SUBJECT 70 ALL THE TERMS, EXCLUSIONS ANO CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR-WOO-L LTR NSRC TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM/OD/YYI POLICY EXPIRATION DATE (MM100rYY1 - LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1 , 0 0 0 , 0 00 A X COMMERCIAL GENERAL LIABILITY 6305355C242 07/19/07 07/19/08 UIaE PREMAMAISES(Ea accurI(JTitNIUence) $ 300, 000 . CLAIMS MADE X OCCUR • MED EXP (Arty one person) $ 5 , 000 X EBL CLAIMS MADE PERSONAL 8 AOV INJURY $ 1 , 000 r 000 GENERAL AGGREGATE $ 1 , 000 , 000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGG $ 2,000,000 —1 POLICY I- JET 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 (Per accident) $ LIABILITY AUTO ONLY- EA ACCIDENT $ �G"ARAGE 7 1 ANY AUTO OTHER THAN EA ACC S AUTO ONLY: AGO $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR I I CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND ITWY SA S _ lift EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ $ yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES! EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS CERTIFICATE HOLDER IS ADDITIONAL INSURED ON THE GENERAL LIABILITY AS RESPECTS ACTS OF NEGLIGENCE ARISING OUT OF OPERATIONS OF THE NAMED INSURED. CERTIFICATE HOLDER CANCELLATION CITYM-1 CITY OF MIAMI 444 S W 2ND AVE 9TH FL MIAMI FL 33130 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 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 THE INSURER, ITS AGENTS OR REPRESENTATIVES. AIWZ RESE ATIV ACORD 25 (2001/08) ©ACORD CORPORATION 1988