HomeMy WebLinkAboutCertificate of Liability InsuranceACORD„ CERTOFOCATE OF
IABOLITY ONSUIt ANCE Page 1 of 2
DATE
03/03/2008
PRODUCER
INSURED
877-945-7378
Willis North Anarica, Loc.
26 Century Blvd.
F. 0. Box 305191
Nashville, TN 372305191
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
T.Y. Lin Iataraatioaal/H.J. Roes
Two Barrier Street
Suite 500
Boa Francisco, CA 94105
MAILS
INSURERS, National Union Firs Insurance Company Of
INnIRERB: Hartford Fire Insurance Company
tN URERC: National Onion Fire Ina Co of Fitton
19445-076
19682-100
19445-100
INSURER Loxin9ton Insurance Company
INSURERS
19437-000
COVERAGES
THE POLICIES
ANY REQUIREMENT.
MAY PERTAIN,
OF INSURANCE USTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POI -ICY PERIOD INDICATED. NOTWTTHSTANDINO
TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALLTHE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIM S.
p�gPPOIJCIES.
L7R
ISM
TYPEOFINSURANCE
POLICY NUMBER
pA7Ep EW
ep Y
LIMITS
A
3
BEagaatUsaLITY
G1,1617549
3/1/2008
3/1/2009
EpARCAIHpOGCWIRENCE
$ 1.000.000
X
PR gilig=l
$ 1.000.000
COMMERCIAL GENERALBaJ1Y
LA
CLASIBMADE I8 I OCCUR
MEO ERE (Any arepewws)
$ 10, 000
X
CONTRACTUAL LIABILITY
PERSONAL SAININJURY
$ 1.000,000
X
CROSS LIABILITY
OENERALACOREOATE
$ 2,000,000
c8N'LAODRE�O--AI
T�EUMJTAPPLESP62:
PRODUCTS- COMPOPA00
$ 2. 000, 000
YIDGm nI.00
9
r
AUTOMOBILELIASILfY
lC
ANYAUTO
5713UNTM3465
3/1/2008
3/1/2009
co a sosNm.suwi
(Ea oxidant)
$ 1, DOD, 000
—
ALLOWNEDAUTOS
GODLY INJURY
$
SCHEDULED AUTOS
(PerpersoN
HIRFDAUTOS
BODILY INJURY
$
NON.OWNEDAUTOS(Peenciden)
tV.....,
�'L� ,`\t;; .
;u
-- 01
i
PROPERTYDAMA0E
acmm,
$
GARAGE
UADRRY
,AUTOONLY-EAACCIOBITAHYAU70OTI�iTHAN
EA ACC
$
'/OAVV
AUTOONLY: 500
$
ERCESSMINTRSLLALABLITY
EACHOCOURREFICE
$
OCCUR l I CLAIMS MADE
AGGREGATE
$
_
E
DEDUCTIBLE
$
RETENTION -$
c
WORKERS COMPENSATIONAND
EMPLOYER, LABILITY
MC1393776 (CA)
3/1/2008
3/1/2009
8 1414911Nil nt
E.LEACHACCOENT
3 1, 00D, 00D
A
ANY ME
IC1593777 (ADS)
3/1/2008
3/1/2009
�p��
yyes.,.6e TCLUOEOT
8PEaA
El_ 018EASE-EA EMPLOYEE
$ 1, 000, 000
ELOWEASE-POLICYLIMf
$ 1, 900, 000
PROVISIONS below
D
ouan
1156902
2/27/2008
2/27/2009
Professional Liability
SACS man $1,000,000
3 0RHOATH 61,000,000
DESCRIPTENOFOPER/RI010LOCABONSRIENICLEMEXCWSIDNSADDE)9Y ENDOMMTI NTRIPECAL PROVISIONS
The City
of Miami is named as
an Additional Insured under the General and Automobile Liability
policies
performed by or on behalf of the Named Insured. This insurance is
as respects to work
Noss -Contributory
Primary and
with other insurance maintained by the Additional Inured where
required by written contract.
CERTIFICATE HOLDER
CANCELLATION
City BoffDM$iami
Ri444 SW tad Avenue B
Miami, FL 33130
ACORD 25 (2001/08) Co11: 2279225 Tp1: 742 938
SHOULD ANY OF THE ABOVE DESCRIBED POUCIEE BECANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE MUMS INSURER ebl ENDEAVOR TO MAIL 30 DAYS ORRTEN
NOTICE TOTHE CERTIFICATE !OLDER NAMED TO ME LEFT, BUT FAILURE TO DO 10 SHALL
IMPOSE NO OBLJSATIDN OR LLAEUTY OF ANY XOID UPON 'ME INSURER. ITS AGENTS OR
REAIESENTATIVE6.
REMITS ME
Certl10 69161
Page 2 of 2
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 SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may
require an endorsement. A statement on ttds certificate does not confer rights to the certificate
holder in lieu of such endorsement(s).
DISCLAIMER
The Certificate of Insurance on the reverse side of this form does not constitute a contract between
the issuing Insureds), authorized representative or producer, and the certificate holder, nor does it
affirmatively or negatively amend, extend or alter the coverage afforded by the polities listed thereon.
ACORD 25 (2001/08)
C011:2279225 Tp1:742938 Cart:10369161