HomeMy Public PortalAboutPRR 14-1263TOWN OF GULF STREAM
PALM BEACH COUNTY, FLORIDA
Delivered via e-mail
August 28, 2014
Martin E. O'Boyle [records @commerce - group.com]
Re: GS #1263 (Insurance Certificates), #1264 (contracts, rates), #1265 (contracts - Brannon
& Urban), #1266 (copy of calendar), #1267 (copy of all job agreements)
Insurance certificates for Brannon & Gillespie as well as for Urban Kilday Design.
Contracts, rates, retainers, billings, payments from Richman & Greer Law Office.
Copies of contracts for Brannon & Gillespie as well as for Urban Kilday Design
Wanted to take a picture of Bill Thrasher's desk calendar.
Copies of all other job agreements with Urban Kilday Design mimes the most recent one.
Dear Martin E. O'Boyle [records @commerce- group.com],
Thank you for your public records requests that were made verbally on August 27, 2014. This is
just confirmation of receipt and production of the above requests as we understood them.
GS #1263 —Gave copies of both certificates.
GS #1264 — Informed you that we have no such records.
GS #1265 — Gave you a copy of Brannon's contract and a copy of the most recent Urban Kilday
job agreement at a charge of $2.40 for copies.
GS #1266 — Informed you that Mr. Thrasher does not have a desk calendar, thus, no such record.
GS #1267 — Copies are available now to be picked up at a cost of $8.25 for the copies.
Unless we hear back from you, we consider these matters closed.
Sincerely,
Town Clerk
Custodian of the Records
10.00:57 a.m. W -27 -2010 1 2 1 F u rver
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ACORD_ CERTIFICATE OF LIABILITY INSURANCE °" 27/201
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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 pollcy(les) must be endorsed. If SUBROGATION IS WANED, subject to
the terms and conditions of the policy, certain policies may require an endomenumL A statement on this certificate does not confer rights to the
certificate holder In lieu of such endamement(al.
USI Insurance Services, LLC
2054 Vista Pkwy, Suite 400
West Palm Beach, FL 33411.2718
561693-0500
INSURED Brannon 6 Gillespie LLC
631 US Highway One
Suite 301
North Palm Beach, FL 33408
P °%o. E, 551593-0500
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ADDRESS,
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NEURERA: Old Dominion Insurance Co
40231
INSURER 8: Continental Casualty Company
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INSURERS:
7/021201407/02/201
INSURERF:
EACH OCCURRENCE
CDVFRAr PR CFRTIFInATF NIIN1APP.
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$500000
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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUEJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. UNITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
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ME OF INSURANCE
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GENL AGGREGATE LIMIT APPLIES PER:
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1,000,000
DESCRIPTION OF OPERATIONS I LOCATIONS /VEHICLES (AWebACORD 101,AddebnN RourLs SeMdulr, Nmen apsoi a'W'*
Fax 561- 737 -0188
Town of Gulf Stream SHOULD ANY OFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
100 Sea Road ACCORDANCE WITH THE POLICY PROVISIONS.
Gulf Stream, FL
'P /0'*U®
01989 -2010 ACORD CORPORATION" All rights reserved.
ACORD 25 (2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD
#$13167216/M72751480 GJKHJ
CERTIFICATE OF LIABILITY INSURANCE DATE (03/11/2014
03/11/2014
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 INEURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
(IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the pclicy(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 an this certificate does not confer rights to the certificate holder In lieu of such endomement(s).
PRODUCER
Leatzow Insurance
500 W. Madison St. - Suite 3000
Chicago, IL 60661
INSURED
Urban Design Studio, LLC
d /b /a: Urban Design Kilday Studios
477 S. Rosemary Avenue
Suite 225
West Palm Beach, FL 33401
COVERAGES CERTIFICATE NUMBER:
CONTACT NAME Karen Bronson
PHONE (312) 930 -5556 FAX
EMAIL ADDRESS karen@leatzowinsurence.com
INSURERS) AFFORDING COVERAGE
INSURER A: New Hampshire Insurance Com Danv
INSURER B:
INSURER C:
INSURER 0:
INSURER E'.
INSURER F:
REVISION NUMBER:
741 -2778
NAIC #
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
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TYPE OF INSURANCE
ADDISUBF
INSR
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IS
COMMERCIAL GENERAL LIABILITY
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PREMISES Oct ence)
MED EXP (Any one person)
$
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PERSONAL AND ADV INJURY
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GENERAL AGGREGATE
$
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS- COMP/OP AGO
S
POLICY 7PROJECT 7 LOC
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Autos
❑ALL OWNED ❑Nona ned
AUTOS Autos
❑
❑
DOES NOT APPLY
COMBINED SINGLE LIMIT
(Ea accidi n )
$
BODILY INJURY (Per person)
$
BODILY INJURY (Per accident)
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PROPERTY DAMAGE
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UMBRELLA LIAR OCCUR
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WC STAN•
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E. L. DISEASE - EA EMPLOYEE S
E.L. DISEASE • POLICY LIMB IS
A
PROFESSIONAL LIABILITY
020452350
3/17/2014
3/17/2015
1,000,000 each claim
1,000,000 aggregate
DESCRIPTION OF OPERATIONS/ LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required)
CERTIFICATE HOLDER
CANCELLATION
Town of Gulf Stream
100 Sea Road
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH
Gulf Stream, FL 33483
THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
t LEATZOW INSURANCE
®1988 -2010 ACORD CORPORATION. All rights reserved.
ACORD 25 (2010/05) The ACCORD name and logo are registered marks of ACORD