Laserfiche WebLink
07/16/2010 13:25 3217831516 -1 NEW FAX! SPACE COAST PAGE 02/03 <br /> May. 25. 2010 12:35PM LRA Insurance No, 5696 P. 1/1 <br /> Act> R d CERTIFICATE OF LIABILITY INSURANCE DATE 9' <br /> PRODUCER (321) 453 -1530 PAX: (321)452 -3925 THIS CERTIFICATE 1S ISSUED AS A MATTER OF INFORMATION <br /> Lutabra Robinson. S 11AiAtocia **.ea -Hrev d ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> 300 Magnolia Avenue Suite B HOLDER THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> 9n ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. , <br /> Merritt Island • N'L 32952 INSURERS AFFORDING COVERAGE NAIC # <br /> INSURED INSURER A Crum & Forster Specialty <br /> Space Coast Tire and Safety, Inc. INSURER a Bridgefield Employers <br /> INSURER a colony Insurance Caopany <br /> 420 Manor Drive INSURER D. <br /> Merritt ( Island FL 32952 INSURER E <br /> COVERAGES <br /> THE POLICIES of INSURANCE LISTED BELOW HAVE PEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTAN DING <br /> ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br /> MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN I5 SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OFSUCH <br /> POLICIES. AGGREGATE LIMBS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> LIR NSRD TVPF lIP IYCIaMANCE POLICY rHNABER DATE r (MMEIOIYYYY) DA LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE 5 1,000,000 <br /> X COMMERCIAL GENERAL UABIUTY P R RE EMII SE S � (E e occurrence) 5 50 , 000 <br /> A I CLNMS MADE © OCCUR GL0161089 8/24/2009 8/24/2010 MEDEXP (Any on, person) i Excluded <br /> PERSONAL & ADV INJURY t 1,009_, 000 <br /> GENERAL AGGREGATE t 2.000,000 _ <br /> GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP /OP AG,G r 2 , 000, 000 <br /> POLICY 76 I1 LoC <br /> AUI'DMOB9.E LIABILITY <br /> COMGINED SINGLE UNIT $ 1,000,000 <br /> _ ANY AUTO <br /> (Ea =cant) <br /> A ^ ALL OWNEDAUTOS 2Loi61099 8/24/2009 8/24/2010 BODILY INJLIRY <br /> _ SCHEDULED AUTOS (Per person) <br /> X HIRED AUTOS <br /> BODILY INJURY 1 <br /> X NON -OWNED AUTOS (Perecddcna <br /> PROPERTY DAMAGE <br /> (Per ea de d) <br /> GARAGEUABaITY REVISED UMBRELLA. AUTO ONLY - EA ACCIDENT S <br /> H ANY AUTO SEE BELOW om THAN EA ACC t <br /> AUTO ONLY: AGO 1 <br /> EXCESS I UMBRELLA LIABM-ITY EACH OCCURRENCE S 2,000,000 <br /> OCCUR I1 CLAIMe AGGREGATE S 2,000,000 <br /> A R DEDUCT1BLE as 0131031 8/24/2009 8/24/2010 S _. <br /> RETENTION $ $ <br /> g WORKERS COMPENSATION X I TWCSr1RY 1 ATV- R <br /> I MOTH. <br /> AND EMPLOYERS' UNARY VI T IMIT FR <br /> ANY PROPR$TORIPARTTERIE)eCUTIVE E.L. EACH ACCIDENT S 1,000,000 <br /> OPPICERMEMBER EXCLUDED? <br /> 1MenastaryInNH) 0830 -43054 10/22/2009 10/22/2010 E.L. DISEASE - EA EMPLOYEE S 1,000,000 <br /> Ifyes, descnpe ands <br /> BPEaAL PROVIBIOr4G moo. Et. DISEASE - POUCY LIMIT $ 1,000,000 <br /> OTHER <br /> C Contractors Install. Mus11460 09/20/2009 09/20/2010 sae,000. 11ste <br /> Float= <br /> DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES 1 OCCLUSIONS ADDED BY ENDORSE/AGRI) SPECIAL PROVISIONS <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANYOFTNEAYOVG DESCRIBED POLICIES BECANCELLED BEFORE EXPIRATION <br /> DATE THEREOF, TIC ISSUING USURER WILL GNDEAYOR TO MAIL DAYS WRT('EN <br /> NOTICGTD THE CERTIFICATE HOLDER NAMED ?OWE LEFT, BUT FALURB TO DO SO SHALL <br /> IMPOSE NO OBLIGATION OR LIABILIT OF ANY KIND UPON THE INtURRR, ITS ACGNTS OR <br /> ReES9JTATIVES. <br /> Ausim aix9 RIPR66EJTATN6 • <br /> B Richard /BARB IE dr3h <br /> ACORD 25 (2009/01) (D1988 -2008 ACORD CORPORATION. All rights reserved. <br /> 19025 Romp ) The ACORD name and logo are registered marks of ACORD <br />