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HomeMy Public PortalAboutCertificate of Liability Insurance 2021ACOR" CERTIFICATE OF LIABILITY INSURANCE FDATE(MM/DD/YYYY) III12/27/2019 EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. THIS CERTIFICATE IS ISSUED ASA 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 have ADDITIONAL INSURED provisions or 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 CONTACT NAME: RSC Insurance Brokerage, Inc. PHONEFAX NENo, Ext): AIC, No 650 Dundee Road E-MAIL EACH OCCURRENCE $ 1,000,000 ADDRESS: Suite 170 X primary/non contributory INSURER(S) AFFORDING COVERAGE NAIC # Northbrook IL 60062 INSURERA: Valley Forge Ins Co 20508 INSURED INSURER B; Continental Insurance CO Baxter & Woodman, Inc. INSURER C : Continental Casualty Company 477 S. RosemaryAvenue 6045872351 INSURER D; Suite 330 INSURER E: West Palm Beach FL 33401 INSURER F: COVERAGES CERTIFICATE NUMBER: CL19122744705 REVISION NUMBER - THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FORTH E POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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 LTR TYPE OF INSURANCE ADDL INSD SUBIR WVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X OCCUR EACH OCCURRENCE $ 1,000,000 DAMAG TO N D PREMISES Ea occurrence $ 1'000'000 X primary/non contributory MED EXP (Any one person) $ 15,000 A X subject to written contract 6045872351 01/01/2020 01/01/2021 &ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- X JECT LOC -PERSONAL GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OPAGG $ 2,000,000 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 i Ea accident X ANY AUTO BODILY INJURY (Per person) $ B OWNED SCHEDULED AUTOS ONLY AUTOS 6045872348 01/01/2020 01/01/2021 BODILY INJURY (Per accident) $ X HIRED�/ NON -OWNED AUTOS ONLY /� AUTOS ONLY PROPERTY DAMAGE $ (Per accident X UMBRELLA LAB X OCCUR EACH OCCURRENCE $ 5,000,000 B EXCESS LIAB CLAIMS -MADE 6045872365 01/01/2020 01/01/2021 AGGREGATE $ 5,000,000 DED RETENTION $ $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE1,000,000 OFFICER/MEMBEREXCLUDED? F-1 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA 6045872379 01/01/2020 01/01/2021 X PER STAT UTE ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 C Professional Liability AEH591900841 01/01/2020 01/01/2021 Per Claim 5,000,000 Aggregate 5,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Re: General Engineering Services CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town of Gulf Stream Attn: William Thrasher, ACCORDANCE WITH THE POLICY PROVISIONS. 100 Sea Road AUTHORIZED REPRESENTATIVE Gulf Stream FL 33483 © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD