12-12989 - Laserfiche WebLink

Browse Search

DATE(MM/DDIYYW) ACOR�� CERTIFICATE OF LIABILITY INSURANCE THI�RTIFICATE 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 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 Alliance Insurance Solutions, LLC ID� TLR coNrncr N,aME: Aimee Gra c/o TLR of Bonita ��1C PHONE NC No Ext: 727-$2�-7676 x 222 FAXlNC No): 727-525-3862 1700 Dr MLK Jr S�treet N Suite B E-MAIL ADDRESS: St. Petersburg, FL 33704 — — _INSURER5�AFPORDINGCOVERAGE _._ ____ _ NAICff _ _ �NSUrteaA. UNZ Insurance Company INSURED INSURER B As n Re-London-Best Ratin "A" TLR Of BO�tta, Inc dba EnterpriseHR INSURER C Catlin S ndicate-Llo ds-Best Ratin "A" _. __ _—_. Encore Busmess Solutions, Inc and its Subsidiaries INSURER D sr�t s ndicate-Llo ds-Best Rating��A� __ __ —_ 1700 Dr MLK Jr Street N , Ste B i►,suReR e __ —_ — - St Petersburg FL 33704 INSURER F. COVERAGES CERTIFICATE NUMBER: 12827702 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW NAVE 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 DESCRlBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS _ __ _ — POLICY EFF POLICY EXP LIMITS �LTR TYPE OF INSURANCE POLICY NUMBER MAAlOD/YYYY MMIDDlYYYY GENERAL LIABILITY EACH OCCURRENGE _ S _ _. _ � i DAM AGE TO RENTED COMMERCIAL GENERAL LIABILITY I PREMISES(Ea occurrence) $_ ___ � �CLAIMSMADE ��OCCUR I, MED EXP(Any one person) $ __ _ -- PERSONAL 8 ADV INJURY $ _ _ ��--- -- � I � GENERAL AGGREGATE $ _ �""— -� "— � I PRODUCTS-COMPlOP AGG $ GEN'L AGGREGATE LIMIT APPLIES PER. I F- POLICY PR6 � �'i L� $ E�a aButler�itSINGLE LIMIT $ AUTOMOBILE LIABILITY -- ------- ANY AUTO BODILY INJURY(Per person) $ F------ --- AUT0.S ED �_ AUT0.SULED , I �,BODILY INJURY(Per aceitlent) $ __ _ PROPE YTR DAMAGE � �NON-OWNED peraccWerrt ____ $ . -- HIRED AUTOS L_ AUTOS � - - - --- -- -$— UMBRELLALIAB EACH OCCURRENCE $ _ OCCUR ��---t--- � EXCESS LIAB �_L CLAIMS-MADE AGGREGATE _ $ — _ —t , J DED _,REfENTION$� I I � — - '� — i —�$ p'�' �$ A WORKERS COMPENSATION WCPE0000000107 6J1/201 1 6l112012 TORY LAMITS ER I AND EMPLOYERS'UA8ILITY Y!N ' EL EACH AGCIDENT '$ 'I OOOOOO ANY PROPRIETOR/PARTNERlEXECUTIVE❑ N�A — �- OFFICER/MEMBER EXCLUDED� E L DISEASE-EA EMPLOYEE $ 1 OOOOOO (Mandatory ln NH) I — If yes,describe under E L DISEASE-POLICY LIMIT $ 10��0� DESCRIPTION OF OPERATIONS below B Workers Compensation This is for informational purposes C Excess Coverage � and nothing shall create any right under such reinsurance. D DESCRIPTON OF OPERATIONS/LOCA710NS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) Coverage provided for all leased employees but not subcontractors of•Craftsman Group,Inc.dba Bruce Jones A!C Client Effective Oate 11l29/2007 CERTIFICATE HOLDER CANCELLATION 4836 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Clty of Zephyrhills Building Dept THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 5335 8th St, ACCORDANCE WITH THE POLICY PROVISIONS. Zephyrhiils FL 33542 AUTHORIZED REPRESENTATIVE �r'r�l�� J ,L�"` 0 � Glen J Distefano O 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010l05) The ACORD name and logo are registered marks of ACORD CEFT NO 12877702 CLTENT CObE TLR Aimee Gray P 727 520 7575 4/11/2012 12 17 55 PM Page 1 of 1