Laserfiche WebLink
A �,. °Rp� CERTIFICqTE OF LIABIL <br /> ITY I N S U RAN C E �ATE (MM/DD/YYyY) <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS <br /> CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BYTHE POLICIES <br /> BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BE7WEEN THE ISSUING INSURER(S), AUTHORIZED <br /> REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br /> IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to <br /> the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certiticate does not confer rights to the <br /> certificate holder in lieu of such endorsement(s). <br /> PRODUCER <br /> Risk Transfer Programs, LLC �A <br /> 219 East Livingston Street NAME: <br /> Orlando, FL 32801 PHONE gg�qg�_9363 FAx — <br /> A/C No Ext : NC No : <br /> E-MAIL <br /> ADDRESS: — <br /> INSURER S AFFORDING COVERAGE <br /> NAIC # <br /> INSURED INSURER A:CastlePOint National Insurdnce Com an <br /> CoAdvantage Corporation 40134 <br /> iNSUrteR e.Tower tnsurance Com an of New York <br /> 3350 Buschwood Park Drive 44300 <br /> SUite 200 INSURER C : <br /> Tampa, FL 33618 <br /> INSURER D -- <br /> INSURER E : --- <br /> COVERAGES INSURER F ; — <br /> CERTIFICATE NUMBER:P�sctsMNY <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAM D E T P OLICY PERIOD <br /> INDICATED. NOTWITHSTAND�NG ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> INSR AD U <br /> LTR TYPE OF INSURANCE POLICY EFf POLICY EXp <br /> GENERA� LIABILITY POLICY NUMBER MMlDD MM/DD — <br /> LIMITS <br /> COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ <br /> CLAIMS-MADE � OCCUR PREMISES Ea occurrence $ <br /> MED EXP (Ariy one person) $ <br /> PERSONAL a ADV INJURY $ <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ <br /> POLICY PR� LOC PRODUCTS - COMP/OP AGG $ <br /> AUTOMOBILE LIABILITY $ <br /> COMBINED SINGL LIMIT <br /> ANY AUTO Ea accident $ <br /> AUTOS NED SCHEDULED BODILY INJURY (Per person) $ <br /> AUTOS <br /> NON-OWNED BODILY INJURY (Per accident) $ <br /> HIRED AUTOS AUTOS PROPERTY DAMAGE -- <br /> Per accident $ <br /> UMBRELLA LIAB g -- <br /> OCCUR <br /> EXCESS LIAB CLAIMS-MADE EACH OCCURRENCE $ <br /> DED RETENTION $ AGGREGATE $ <br /> A WORKERS COMPENSATION WSLTHPE00008208 $ <br /> B AND EMPLOYERS' LIABILITY WSLTHPE00030002 01/01/2012 01/01l2013 X ORY LIM T � R <br /> ANY PROPRIETOR/PqRTNER/EXECUTIVE Y! N <br /> OFFICER/MEMBER EXCLUDED? ❑ N/ A E.L. EACH ACCIDENT <br /> (Mandatory In NH) $ 1,000,000 <br /> If yes, describe under <br /> DESCRIPTtON OF OPERATIONS below E.L. DISEASE - EA EMPLOYEE $ 1,000,000 <br /> E.L. DISEASE - POLICY LIMIT $ 1,000,000 <br /> $ <br /> a <br /> s <br /> DESCRIPTION OF OPERATiONS / LOCAilONS / VEHICLES (Attach pCORD 107, Additional Remarks Sehadufe, if more s ace is $ <br /> Coverage is extended to the leased employees of alternate employer in all states except in monopolistic stat (ND,�OH, WA, WY): Sunshine Pressure Cleaning, Inc <br /> #4103507 (Effective 9/25/11) <br /> CERTIFICATE HOLDER <br /> CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> ACCORDANCE WITH THE POLICY PRONISIONS. <br /> AUTHORIZED REPRESENTATNE <br /> �rnon �c i�n�n�ns� Page 1 of 1 OO 1988-2010 ACORD CORPORATION. All rights reserved. <br /> T►... wrnor� ......... .....� �...... .,... .....:��......� ......�� ..s nrnon <br />