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HomeMy Public PortalAboutRE_ FW_ Acurate Drilling Insurance COI Renee Basel From:John Zoerhof <jzoerhof@HYPOWERINC.COM> Sent:Thursday, June 12, 2014 5:06 PM To:ADS Cc:Danny Brannon (DBrannon@BnGEngineers.com) Subject:RE: FW: Acurate Drilling Insurance COI Attachments:Hypower COI 2014-2015.pdf 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 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: 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 1 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. 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 2 This email is free from viruses and malware because To help prot avast! Antivirus protection is active. ect your priva cy, W 3 A� "® CERTIFICATE OF LIABILITY INSURANCE DATE 5/22/2014 ' 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(les) 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). PRODUCER Alan Williams & Assoc Ins Agency Inc 13720-2 Ben C. Pratt/ SIX Mile Cypress Pkwy Ft.Myers FL 33912 CONTACT Joyce Dellsle NAME: y PHONE(239)418-1100 FAX (239)418-116 A1C No 4 ADDRIE :joyce@awainsurance.com INSURERS AFFORDING COVERAGE NAIC # INSURERA:Ohio Casualty Insurance 24074 INSURED Accurate Drilling Systems, Inc. P 0 Box 3035 LaBelle FL 33975 INSURERBAmerican States Insurance 90093 INSURER C:Brid efield ESI 10701 INSURER D:Progress ive Express 10193 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:14/15 all renewed REVISION NUMBER: 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. I TR TYPE OF INSURANCE D B POLICY NUMBER POLICYEFF POLICY EXP LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE Fx_1 OCCUR BLO53217918 /27/2014 /27/2015 -TO REWED PREMISES Ea occurrence $ 300,000 MED EXP (Any one person) $ 15,000 PERSONAL &ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG $ 2,000,000 X POLICY PRO LOC $ AUTOMOBILE LIABILITY Gaccl nt IN LE LIMIT 1,000,000 Ecde BODILY INJURY (Per person) $ B D X ANY AUTO ALLOWNED SCHEDULED AUTOS X AUTOS NOTOSWNED HIRED AUTOS 4dX 5CC36934810 023190930 /27/2014 10/7/2013 /27/2015 10/7/2014 BODILY INJURY (Per accident) $ R(PePERTYdenAMAGE $ Medical payments $ 5,000 PIP 10,000 X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 A EXCESS LIAB CLAIMS -MADE DED X RETENTION$ 10,00 $ S053217918 /27/2014 /27/2015 C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y I N ANY PROPRIETOR/PARTNERIEXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory In NH) NIA 0830-35473 1/1/2014 1/1/2015 X WC STATU- OTH- E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 A Inland Marine BM053217918 /27/2014 /27/2015 Onfiilewith Company DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) Re: Gulf Stream Phase 1 Utility Undergrounding Initiative # 2012/13-50: Hypower is named as additional insured with respect to general liability and work performed by the named Insured per form CG8810 10/09 including primary and waiver of rights. ULKI IFIL;A I t HULUtK (954)978-8666 Hypower 5913 Northwest 31st Avenue Fort Lauderdale, FL 33309 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Esther Maddux/CL10 ACORD 25 (2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. INS025 (gmnnsi nt The Ar r)pn name 2nrf Innn ern raniefnrarl mnrlea of Arr)pn