HomeMy WebLinkAboutInsuranceFROM :NELI PROVIDENCE CHURCH
FAX NO. :305-759-5030 3ep. 18 2007 02:56PM P1
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ACCPR L7'
Producer
CERTIFICATE OF LIABILITY INSURANCE
9/17/2007
GRAHAM HOPKINS
PO BOX 621268
ORLANDO. FL 32862
THIS CERTIFICATE IS ISSUED AS A NATTER OF INFORMATION
ONLY AND COWERS NO RIGHTS UPON THE CERTIFICATE HOLDER.
THIS CERTIFICATE DOES NOT AMEND. EMEND OR ALTER THE
COVERAGE AFFORDED BY THE POLICIES BELOW.
ENSURER
A
INSURERS AFFORDING COVERAGE
American States Insurance Company
NAIC #
19704
r+eiMea
NEW PROVIDENCE MISSIONARY BAPT
760 NW 53RD ST
MIAMI, FL 33127
INSURER
B
MISuNEA
C
COVERAGES 'i'14 i
THE PCTLICIES OF INSURANCE MID) BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR 7AEY PERIOD�TED.
NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO IN ICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIQEO HEREIN IS SUBJECT TO AU, THE
TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POUCIES. AGGREGATE OMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAMIS.
INSR
LTR fSO
TYPE OF INSURANCE
A
GLAOG tam- APPLIES PER
VIPOLICY 11PROJECTFILDC
AUTOMOBILE LIABILITY
ANY AUTO
OWNED AUTOS
$;KOLILED AUTOS
MED AUTOS
-OWNED AUTOS
GARAGE auxin,
AUTD
'EXCESS LIABNJTY
Dom* QC,ASES MADE
3NIrtIFDUCTISLE
rJ>Ntlow
'WORKERS' COMPENSATION &
EMPLOYERS' UAB1IJEY
POLICY NUMBER
DATE
POLICY
EFFECTIVE
INNOCLAN
POLICY
01CH52502510 6/1/2007 6/1/2008
LIMITS
$ TNUL ODU
DAMAGE TO WIRED PRIMES $ ZIIG uUU
PIMP10
PERSONAL AIIDv MIRY! 1 k1 U At
GENERAL AGGREGATE_
PRcwttcTs- COMP/ D►Ada t IMJ,
EACH OCCURRENCE
COMM= SeXa.E LEW
aeddinS
II
s
HI1
III
EtODILY SEAMY
tip
lODILY INJURY
psf•xosio
!
PMOPOETY DAMAGE
acdoSNO
Aura ONLY - EA ACCIDENT
!
$
units THAN
AUTO ONLY:
CA ACC $
AGG $
EACH OCGJRNENCE
!
AGGREGATE
!
a
$
$
1WC Sratisory kd 1 )one a :::r:::,�. s: �,r!=, ;•:��:�..
EL EACH' AGOVOS'T $
EL DISEASE - EACH EMPLOYEE i
4
EL DISEASE - POLICY USW f
OTHER
OESOINPTION OF OPERATIONS I LOCATIONS / VEHICLES I EXCLUSIONS ADDED NY ENDORSEMENT / SPECIAL PROVISIONS
Certificate Holder is awn A�dditionall Insured per Written Contract, Agreement or Permit Per Form CG7635 09/05
'$411!estpscts to **** 10 AYS NOTICE FOR NON-PAYMENT OF PREMIUM fra*********""
RTIFICATE HOLDER
CANCEU ANION
i.`
City 444 SW end Ave
9th Floor
Mini, FL 33130
SHOULD ANY OF THE ABOVE DESCRMED POLICES BE CANCEUEb BEFORE THE
EXPIRATION DATE THEREOF. THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
30 • DAYS WRITTEN NOTICE TO THE CERTFICATE HOLDER NAMED TO THE
LEFT. BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION
OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRE-
SENTATIVES.
AUTHOALTED
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