Loading...
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*** *****.**************************************************************** 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 ********************************************************************** • •