HomeMy WebLinkAboutCertificate of InsuranceMARSH
CERTIFICATE OF INSURANCE CERTIFICATE NUMBER
CHI-001756294-14
PRODUCER
Marsh USA Inc.
2405 Grand Boulevard
P.O. Box 419105
Kansas City, MO
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE
POLICY. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE
AFFORDED BY THE POLICIES DESCRIBED HEREIN.
64141-6105
Attn: KansasCity.Certrequest@marsh.com Fax 212-948-0015
COMPANIES AFFORDING COVERAGE
•81623-003-McGIa-07/08 Ft.Lau 85
COMPANY
A ACE AMERICAN INSURANCE CO
INSURED
McGladrey & Pullen, LLP
One H&R Block Way
COMPANY
B ST. PAUL FIRE & MARINE INSURANCE COMPANY
Kansas City, MO 64105
COMPANY
C INDEMNITY INSURANCE CO. OF NORTH AMERICA
COMPANY
D AXIS REINSURANCE COMPANY
COVERAGES This certificate supersedes and replaces any previously issued certificate for the policy period noted below. 1
THIS IS TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED.
NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDmON OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAY BE ISSUED OR MAY
PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. CONDmONs AND EXCLUSIONS OF SUCH POLICIES. AGGREGATE
LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO
LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE (MMIDD/YY)
POLICY EXPIRATION
DATE (MM/DD/YY)
LIMITS
A
GENERAL LIABILITY
HDOG23724546
05/01/07
05/01/08
GENERAL AGGREGATE
$ 10,000,000
X
COMMERCIAL GENERAL LIABILITY
PRODUCTS - COMP/OP AGG
$ 2,000,000
CLAIMS MADE
X
OCCUR
PERSONAL & ADV INJURY
$ 2,000,000
OWNER'S & CONTRACTOR'S PROT
EACH OCCURRENCE
$ 2,000,000
FIRE DAMAGE (Any one fire)
$ 1,000,000
MED EXP (Any one person)
$ N/A
A
AUTOMOBILE
X
LIABILITY
ANY AUTO
ISAH08229119
05/01/07
05/01/08
COMBINED SINGLE LIMIT
$ 2,000,000
A
ALL OWNED AUTOS
SCHEDULED AUTOS
BODILY INJURY
(Per person)
$
H
HIRED AUTOS
NON -OWNED AUTOS
BODILY INJURY
(Per accident)
$
PROPERTY DAMAGE
$
GARAGE
UABILITY
AUTO ONLY - EA ACCIDENT
$
ANY AUTO
OTHER THAN AUTO ONLY:
EACH ACCIDENT
$
AGGREGATE
$
B
EXCESS LIABILITY
QK01201557
05/01/07
05/01/08
EACH OCCURRENCE
$ 5,000,000
X
UMBRELLA FORM
AGGREGATE
$ 5,000,000
OTHER THAN UMBRELLA FORM
$
A
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
WLRC44470822 (CA)
05/01/07
05/01/08
X I TORS L NUTS
ER
C
WLRC44470834 (AOS)
05/01/07
05/01/08
EL EACH ACCIDENT
$ 1,000,000
C
THE PROPRIETOR/
X
INCL
SCFC44470846 (WI)
05/01/07
05/01/08
EL DISEASE -POLICY UMrr
$ 1,000,000
PARTNERSJEXECUTNE
OFFICERS ARE:
EXCL
EL DISEASE -EACH EMPLOYEE
$ 1,000,000
D
OTHER Property
RCB 726493-07
05/01/07
05/01/08
$100,000,000
Blanket Limit, All Risk
Replacement Cost Basis
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLESISPECIAL ITEMS
RE: Office # 108 - McGladrey & Pullen, LLP, 100 NE 3rd Avenue, Ft. Lauderdale, FL 33301
City of Miami included as an additional insured. Employees included as insured. Contractual liability.
CERTIFICATE HOLDER
CANCELLATION
SHOULD ANY OF THE POUCIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,
THE INSURER AFFORDING COVERAGE WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE
City of Miami
c/o Purchasing Department
RFP No. 32050
444 SW 2nd Avenue, 6th floor
Miami, FL 33130
CERTIFICATE HOLDER NAMED HEREIN, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
LIABILITY OF ANY KIND UPON THE INSURER AFFORDING COVERAGE. RS AGENTS OR REPRESENTATIVES, OR THE
ISSUER OF THIS CERTIFICATE.
MARSH USA INC.
BY: Keith A. Stiles 611. )1,1
MM1(3/02) VALID AS OF: 10/02/07