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HomeMy Public PortalAboutFW_ FW_ Acurate Drilling Insurance COI Renee Basel From:John Zoerhof <jzoerhof@HYPOWERINC.COM> Sent:Friday, June 13, 2014 11:04 AM To:Danny Brannon (DBrannon@BnGEngineers.com); Rita Taylor Subject:FW: FW: Acurate Drilling Insurance COI Attachments:HYPOWER- Gulf Stream COI 6-13-14.pdf , Regards John Zoerhof Division Manager – Power Services Direct 954.917.1439 Cell 954.448.0369 954.978.9300 – Main 954.978.8666. - Fax Please consider the environment before printing this e-mail  NOTICE: This email is intended solely for the use of the individual to whom it is addressed and may contain information that is privileged, confidential or otherwise exempt from disclosure. If the reader of this email is not the intended recipient or the employee or agent responsible for delivering the message to the intended recipient, you are hereby notified that any dissemination, distribution, or copying of this communication is strictly prohibited. If you have received this communication in error, please immediately notify us by telephone and return the original message to us at the listed email address. Thank You. From: ADS \[mailto:ads-inc_swfla1@comcast.net\] Sent: Friday, June 13, 2014 11:01 AM To: John Zoerhof Subject: RE: FW: Acurate Drilling Insurance COI Yes, Sir. Please find it attached, per your request. Let me know if everything looks good. Thanks, Patty R. ACCURATE DRILLING SYSTEMS, INC. P.O. BOX 3035 1 LABELLE, FL 33975 PH: 863-674-0803 PRIVILEGED COMMUNICATION—This e-mail, and any attachments thereto, is intended only for the use of the addressee(s) named herein and may contain legally privileged and/or confidential information. If you are not the intended recipient of this e-mail, you are hereby notified that any dissemination, distribution or copying of this e-mail, and any attachments thereto, is strictly prohibited. If you have received this e-mail in error, please notify me via return e-mail and by telephone and permanently delete the original e-mail and any printout thereof. ----- Original Message ----- From: John Zoerhof <jzoerhof@HYPOWERINC.COM> To: ADS <ads-inc_swfla1@comcast.net> Cc: Danny Brannon (DBrannon@BnGEngineers.com) <DBrannon@BnGEngineers.com> Sent: Thu, 12 Jun 2014 21:06:29 -0000 (UTC) Subject: RE: FW: Acurate Drilling Insurance COI Thank you, Has a Cert been sent to the Town of Gulf Stream as well? , Regards John Zoerhof Division Manager – Power Services Direct 954.917.1439 Cell 954.448.0369 The linked image cannot be displayed. The file may have been moved, renamed, or deleted. Verify that the link points to the correct file and location. 954.978.9300 – Main 954.978.8666. - Fax Please consider the environment before printing this e-mail  NOTICE:This email is intended solely for the use of the individual to whom it is addressed and may contain information that is privileged, confidential or otherwise exempt from disclosure. If the reader of this email is not the intended recipient or the employee or agent responsible for delivering the message to the intended recipient, you are hereby notified that any dissemination, distribution, or copying of this communication is strictly prohibited. If you have received this communication in error, please immediately notify us by telephone and return the original message to us at the listed email address. Thank You. From: ADS \[mailto:ads-inc_swfla1@comcast.net\] 2 Sent: Tuesday, June 10, 2014 3:02 PM To: John Zoerhof Subject: Re: FW: Acurate Drilling Insurance COI COI Attached ACCURATE DRILLING SYSTEMS, INC. P.O. BOX 3035 LABELLE, FL 33975 PH: 863-674-0803 PRIVILEGED COMMUNICATION—This e-mail, and any attachments thereto, is intended only for the use of the addressee(s) named herein and may contain legally privileged and/or confidential information. If you are not the intended recipient of this e-mail, you are hereby notified that any dissemination, distribution or copying of this e-mail, and any attachments thereto, is strictly prohibited. If you have received this e-mail in error, please notify me via return e-mail and by telephone and permanently delete the original e-mail and any printout thereof. ----- Original Message ----- From: John Zoerhof <jzoerhof@HYPOWERINC.COM> To: Lauro Acevedo (ads-inc_swfla1@comcast.net) <ads-inc_swfla1@comcast.net> Sent: Mon, 09 Jun 2014 16:08:11 -0000 (UTC) Subject: FW: Acurate Drilling Insurance The linke d imag e cann ot W Is this simply a renewal issue? You guys should actually be done by now. Thanks, John Zoerhof Division Manager – Power Services The linked image cannot be displayed. The file may have been moved, renamed, or deleted. Verify that the link points to the correct file and location. 3 From: Danny Brannon \[mailto:DBrannon@BnGEngineers.com\] Sent: Monday, June 09, 2014 12:02 PM To: John Zoerhof Cc: Rita Taylor Subject: Acurate Drilling Insurance The Town has been notified by Liberty Mutual that the insurance for Accurate Drilling will be cancelled as of 6/18/2014. Please have a new certificate provided to the Town prior to that date if you wish to continue to use that contractor. Danny P. Brannon, P.E. Brannon & Gillespie, LLC Consulting Engineers 631 US Highway One, Suite 301 North Palm Beach, Florida 33408 Off: (561) 847-4435 Cell: (561) 307-9454 Website: www.BnGEngineers.com This email is free from viruses and malware because To help prot avast! Antivirus protection is active. ect your priva cy, W 4 CERTIFICATE HOLDER ©1988-2010 ACORD CORPORATION.All rights reserved.ACORD 25 (2010/05) AUTHORIZED REPRESENTATIVE CANCELLATION DATE (MM/DD/YYYY)CERTIFICATE OF LIABILITY INSURANCE LOCJECT PRO-POLICY GEN'L AGGREGATE LIMIT APPLIES PER: OCCURCLAIMS-MADE COMMERCIAL GENERAL LIABILITY GENERAL LIABILITY PREMISES (Ea occurrence)$DAMAGE TO RENTED EACH OCCURRENCE $ MED EXP (Any one person)$ PERSONAL &ADV INJURY $ GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ $RETENTIONDED CLAIMS-MADE OCCUR $ AGGREGATE $ EACH OCCURRENCE $UMBRELLA LIAB EXCESS LIAB DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) INSR LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFF(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)LIMITS WC STATU- TORY LIMITS OTH- ER E.L.EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE E.L. DISEASE - POLICY LIMIT $ $ $ ANY PROPRIETOR/PARTNER/EXECUTIVE If yes,describe under DESCRIPTION OF OPERATIONS below (Mandatory in NH) OFFICER/MEMBER EXCLUDED? WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED HIRED AUTOS NON-OWNED AUTOS AUTOS AUTOS COMBINED SINGLE LIMIT BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE $ $ $ $ THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL WVD SUBR N / A $ $ (Ea accident) (Per accident) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION 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 endorsement(s). The ACORD name and logo are registered marks of ACORD COVERAGES CERTIFICATE NUMBER:REVISION NUMBER: INSURED PHONE (A/C, No, Ext): PRODUCER ADDRESS: E-MAIL FAX (A/C, No): CONTACT NAME: NAIC # INSURER A : INSURER B : INSURER C : INSURER D : INSURER E : INSURER F : INSURER(S)AFFORDING COVERAGE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. INS025 (201005).01 6/13/2014 Alan Williams & Assoc Ins Agency Inc 13720-2 Ben C. Pratt/ Six Mile Cypress Pkwy Ft.Myers FL 33912 Joyce Delisle (239)418-1100 (239)418-1164 joyce@awainsurance.com Accurate Drilling Systems, Inc. P O Box 3035 LaBelle FL 33975 Ohio Casualty Insurance 24074 American States Insurance 90093 Bridgefield ESI 10701 Progressive Express 10193 14/15 all renewed A X X X X BL053217918 5/27/2014 5/27/2015 1,000,000 300,000 15,000 1,000,000 2,000,000 2,000,000 B D X X X X PIP 10,000 25CC36934810 5/27/2014 5/27/2015 023190930 10/7/2013 10/7/2014 1,000,000 Medical payments 5,000 A X X X 10,000 USO53217918 5/27/2014 5/27/2015 5,000,000 5,000,000 C 0830-35473 1/1/2014 1/1/2015 X 1,000,000 1,000,000 1,000,000 A Inland Marine BMO53217918 5/27/2014 5/27/2015 On file with Company Cert sent prior 5/22/14: Project: Gulf Stream Phase 1 Utility Undergrounding Initiative #2012/13-50: Town of Gulf Stream and Florida Power and Light their officers, agents are named as additional insured with respect to general liability and work performed by the named insured. Coverage is primary non-contributory per form CG8810 10/09 includes completed operations per form CG8584 10/09 with waiver of rights on the GL per form CG8810 10/09. Per Project is included . Umbrella is following form. 30 day notice of cancellation applies except 10 days for non-pay Esther Maddux/CL10 Town of Gulf Stream Rita Taylor 100 Sea Road Gulf Stream, FL 33483-7427 rtaylor@gulf-stream.org