20-62 - Laserfiche WebLink

Browse Search

® DATE(MMIDD/YYYY)" ACOORDO CERTIFICATE OF"LIABILITY INSURANCE 2/19/2020 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 have ADDITIONAL INSURED provislons 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: KBII DDUgherty Consolidated Insurance Center, Inc. PHONE 443=738-2756 " " FAX No:410-363-3520 11403.Cronridge Drive, Ste 2'70 EA"Owings"Mills MD 21117 ADDRESS:_kdlju he consolidatedinsurahee.corb . INSURERS AFFORDING COVERAGE - ".NAIC#. INSURER A:Gotham Insurance Company"_ 25569." INSURED SOLAENE-03 INSURER B:New York Marine and General Insurance - Solar.Energy World, LLC 201 Kelsey Ln,Suite C INSURER o:'Builders Mutual Insurance Como 10844" Tampa.FL 33619 INSURER D INSURER E . . . . INSURER F:. -COVERAGES . CERTIFICATE NUMBER:1121916615 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. INSR. TYPE OF INSURANCE ._ ADDL SUER _ _ POLICY NUMBER " .. .MM/DDIYYYY MM/DD EXP LTR' 'LIMITS" A' X. COMMERCIAL GENERAL LIABILITY PK201900018162 7/1/2019 7/1/2020 EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED CLAIMS-MADE OCCUR - .PREMISES Ea occurrence $360,000 MED EXP(Any one person). -S 10,000-. _ PERSONAL&ADV INJURY $1,000;000, GEN'L AGGREGATE LIMIT APPLIES PER: �GENERALAGGREGATE - $2,000;000 POLICY PRO . LOC PRODUCTS-COMP/OPAGG $2,000;000, PRO .. OTHER: B -AUTOMOBILE LIABILITY AU201900017022 7/1/2019 7!1/2020 COMBINED SINGLE LIMIT - $1,000;000" Ea accident X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) -$ AUTOS ONLY AUTOS X. HIRED NON-OWNED. PROPERTY DAMAGE AUTOS ONLY X AUTOS ONLY Per accident $. ' 'A'. X• UMBRELLA LIAB X OCCUR PM201900008267 7/1/201,9 7/1/2020 EACH'OCCORRENCE $:5,000;000, EXCESS LIAB. CLAIMS-MADE AGGREGATE $5,000-000 DED" '.X RETENTION$jn nnn $" C. WORKERS COMPENSATION WCP 1059469 01 7/8/2019 7/8/2020 X AND EMPLOYERS'LIABILITY Y/N STATUTE OR H ANYPROPRIETOROARTNER/EXECUTIVE I NIA E.L.EACH ACCIDENT .. $1,000;00A, OFFICER/MEMBEREXCLUDED? - (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE S 1,000,000, If Dyes,describe under . E.L.DISEASE-POLICY LIMIT $.1,000;000,DESCRIPTION under OPERATIONS below " A Equipment Floater PK201900018162 7/1/2019 7/1l2020 Leased/Rented Limit' -50,000- DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) - CERTIFICATE HOLDER. .'. CANCELLATION . SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City.of Zephyrhills 5335 8th'Street ZepFlyrhills FL 33542 AUTHORIZED REPRESENTATIVE l ©1988-2015 ACORD CORPORATION: All rights reserved. ACORD 25(2016/03) The ACORD name and-logo are registered marks of ACORD