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HomeMy WebLinkAboutInsurance Certificate: Brown & Brown Inc Etal ~~•-1 BROWN-3 OP ID: JW TE (MMIDD/YYYY) ACORD 7112/22/2015 CERTIFICATE OF LIABILITY INSURANCE 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 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 NCONTACT AME: LAURIE KOHLER #16009 Brown & Brown of Florida, Inc. PHONE FAX Daytona Beach Office A/c No Ext :386-252-9601 A/c No 386-239-5729 P.O. Box 2412 E-MAIL Ikohler bbda tona.com Daytona Beach, FL 32115-2412 ADDRESS: M. Decker Youngman INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Travelers Prop & Cas of Amer 25674 INSURED BROWN & BROWN INC ETAL INSURER B: Continental Casual Co 20443 P O BOX 2412 INSURERC:Travelers Indemnity 25658 DAYTONA BEACH, FL 32115 WSUREIRD:XL Special Ins Inc. 37885 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 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 ADDL SUB POLICY EFF POLICY EXP LIMITS LTR TYPE OF INSURANCE POLICY NUMBER MM/DD/YYYY MM/DD/YYYY A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 CLAIMS-MADE OCCUR TC2JGLSA9527B87416 01101/2016 01/01/20171 DAMAGE TO RENTED 1,000,00 PREMISES Ea occurrence $ MED EXP (Any one person) $ 5,00 PERSONAL & ADV INJURY 1 $ 1,000,00 GEN'L AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE $ 2,000,00 POLICY [7 PRO JECT ❑ LOC PRODUCTS - COMP/OP AGG $ 2,000,00 OTHER $ AUTOMOBILE LIABILITY EOa accident SINGLE LIMIT $ 1,000,00 A ANY AUTO TC2JCAP9527B86216 01/01/2016 01/01/2017 BODILY INJURY (Per person) $ ALL OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ X HIRED AUTOS X AUTOS Peraccident X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 10,000,00 B EXCESS LIAB CLAIMS-MADE 6011849429 01/01/2016 0110112017 AGGREGATE $ DED RETENTION $ $ WORKERS COMPENSATION X PER OTH- AND EMPLOYERS' LIABILITY STATUTE ER A ANY PROPRIETOR/PARTNER/EXECUTIVE Ya TC2JUB9517B58016 01101/2016 01/01/2017 E.L. EACH ACCIDENT $ 1,000,00 OFFICER/MEMBER EXCLUDED? N / A C (Mandatory in NH) TRKUB9518B76115 01101/2016 01/0112017 E.L. DISEASE - EA EMPLOYEE $ 1,000,00 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,00 D INS AGENTS E&O ELU142465-16 101/01/2016 0110112017 EACH LOSS 10,000,00 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE NAMED INSURED: BEECHER CARLSON INSURANCE SERVICES, INC.; ON POINT UNDERWRITING, INC.; BROWN & BROWN OF ARIZONA, INC.; BROWN & BROWN OF OREGON, INC. CERTIFICATE HOLDER IS ADDITIONAL ON THE GENERAL LIABILITY PER FORM CG D2 48 08 05. CERTIFICATE HOLDER CANCELLATION C ITYAS 1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN CITY OF ASHLAND ACCORDANCE WITH THE POLICY PROVISIONS. KARI OLSON 90 N MOUNTAIN AVENUE AUTHORIZED REPRESENTATIVE ASHLAND, OR 97520 ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD