HomeMy WebLinkAboutCertificate Of Liability Ins.ACORD,„, CERTIFICATE OF LIABILITY INSURANCE
DATE (MMIDDIYYI
3/14/06
PRODUCER
•
Acordia
Miami Division
3225 Aviation Ave, Suite 400
Coconut Grove, FL 33133
305-443-4886
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
INSURED
Weekley Asphalt Paving, Inc.
20701 Stirling Road
Pembroke Pines, FL 33332
INSURER A:
Continental Casualty
INSURER B:
Transportation Ins. Co.
INSURER C:
American Casualty Ins. Co.
INSURER D:
St. Paul Travelers
INSURER E:
vTHE
ANY
MAY
POLICIES,
INS
LTA_
POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE IMM/P0!YYi
POLICY EXPIRATION
OATEIMMIDDNYL
UM7T5
A
GENERAL
X
LIABILITY
COMMERCIAL GENERAL LIABILITY
GL2068425464
3/01 /06
3/01/07
EACH OCCURRENCE
$ 1000000
FIRE DAMAGE (Any one fuel
$ 100000
CLAIMS MADE X j OCCUR
MED EXP (Any one person)
9 5000
PERSONAL & AOV INJURY
S 1000000
GENERAL AGGREGATE
$ 2000000
-GGEEN'L AGGREGATE LIMIT APPUES PER:
7! POLICY_ LOC
PRODUCTS - COMP/OP AGG
S 2000000
-
A
•
11110-1
AUTOMOBILE
X
IABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
BUA2068425268
3/01 /06
3/01/07
COMBINED SINGLE LIMIT
(Ea accident)
$ 1000000
BODILY INJURY
(Per person)
$
BODILY INJURY
(Per accident
9
PROPERTY DAMAGE
IPer accident)
9
—1
1
GARAGE
~
LIABILITY
ANY AUTO
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EA ACC
$
AVTO ONLY: AGG
$
B
EXCESS
X
X
UABIUTY
CUP2068425819
3/01 /06
3/01/07
EACH OCCURRENCE
$ 5000000
1 OCCUR CLAIMS MADE
DEDUCTIBLE
RETENTION 1 10,000
AGGREGATE
9 5000000
9
$
-
$
C
WORKERS
EMPLOYERS'
COMPENSATION AND
LIABILITY
WC257351877
3/01/06
3/01/07
WC STATU- OTH-
X TORY LIMITS - ER
E.L. EACH ACCIDENT
$ 500000
E.L. DISEASE • EA EMPLOYEE
S 500000
E.L. DISEASE - POLICY LIMIT
9 500000
D
OTHER
Lease/Rent
076008193B000
3/1/06
3/1/07
L&R Equip 500000
Ded 1000
DESCRIPTION
OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS
BROWARD COUNTY BOARD OF COMMISSIONERS
PROJECT #HZ0537661 - GENERAL ROADWAY / MISCELLANIOUS CONSTRUCTION
NAMED AS AN ADDITIONAL INSURED WITH RESPECTS TO THE GENERAL LIABILITY Approved by:
POLICY. Risk Management
WonnC o Dpj )0
-fi1/4.I. -, cu . s,
,aca r clsca•
BROWARD COUNTY BOARD OF COUNTY
COMMISSIONERS
115 S ANDREWS AVE, FM 212
FORT LAUDERDALE, FL 33031
L
_. -. _ _ _.
SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED 70 THE LEFT, BUT FAILURE TO DO SO SHALL
IMPOSE NO OBLIGATION OR UABIUTY OF ANY KIND UPON THE INSURER. ITS AGENTS OR
REPRESENTATN
AUTHORIZE ENTATIVEr
h w nnnn rnao/lo A rlfll 104R
ACORD 25-S (7197)
60- 59
IMPORTANT
If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement
on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
If SUBROGATtON IS WAIVED, subject to the terms and conditions of the policy, certain policies may
require an endorsement. A statement on this certificate does not confer rights to the certificate
holder in lieu of such endorsementis).
DISCLAIMER
The Certificate of Insurance on the reverse side of this form does not constitute a contract between
the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it
affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon.
1111
ACORD 25-S {7/97)
***ADDITIONAL DESC. SECTION FOR WEEKLEY ASPHALT PAVING CERTIFICATE***
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GENERAL LIABILITY:
[x] Commercial Liability
IliPremises -Operations
Explosion & Collapse Hazard
[x] Underground Hazard
[x] Products/Completed Operations Hazard
[x] Contractual Insurance
[x] Broad Form Property Damage
[x] Independent Contractors
[x] Personal Injury
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