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HomeMy WebLinkAboutInsurance Certificate: Brown & Brown Inc Etal (2) A4COR ® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDlYYYY) 2/2/2016 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 endorsements . PRODUCER CONTACT NAME: LAURIE KOHLER 1625_5_ Brown & Brown - Daytona Beach PHONE FAX ExtIT- - 220 S. Ridgewood Ave., Suite 210 IAE(GMAIL Nd, 386-239-7242 p/C Na1: 386 239-5729 Daytona Beach FL 32114 ADDRE s: LKOHLER@BBDAYTONA.COM INSURER(S) AFFORDING COVERAGE NAIC # INSURER A :Travelers Prop & Gas of Amer 25674 INSURED BROWN-3 INSURERS Continental Casualty Company BROWN & BROWN INC ETAL IN_s_URER_ C_:Travelers Indemnity 25658 P0BOX2412 w DAYTONA BEACH FL 32115 suRERO:XL SpecialtyIns Inc. 37885 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 616292864 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. ADDLSUBR[ j POLICY EFF POLICY EXP LIMITS INSR f TYPE OF INSURANCE LTR INSD WVD POLICY NUMBER MM/DD/YYYY MMIDDIYYYY A X COMMERCIAL GENERAL LIABILITY CUR j TC2JGLSA9527B87416 1/1/2016 1/1/2017 EACH OCCURRENCE $1_,00.0,000 i - DAMAGE TO RENTED - l J r J PREMISES Ea occurrence_ $1,000,000 I - MED EXP (Any one person) $5,000 I. PERSONAL & ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER j GENERAL AGGREGATE $2,000,000 PRO- _ X ~i POLICY ❑ JECT L-1 LOC PRODUCTS COMP/OPAGG $2,000,000 OTHER: $ A AUTOMOBILE LIABILITY TC2JCAP9527B86216 1/1/2016 111/2017 COMBINED SINGLE LIMIT $ Ea accident 1,000,000 BODILY INJURY (Per person) $ ANY AUTO I' ALL OWNED f SCHEDULED BODILY INJURY (Per accident) $ AUTOS AUTOS X PROPERTY DAMAGE NON-OWNED t $ I HIRED AUTOS ^ I AUTOS (Peracciden I~ _ - $ B UMBRELLA LIAB X OCCUR 6011849429 1/1/2016 1/112017 EACH OCCURRENCE $5,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $5,000,000 DED RETENTION $ $ WORKERS COMPENSATION B58016 - A TRKU69518676116 PER ANDEMPLOYERS'LIABILITY ❑ 1/1/2016 1/1/2017 STATUTE ER C OFFICE EXCLUDED? YIN 1/1/2016 1/1/2017 EL EACH ACCI( OTH ANY PROPRIETOR /PARTNER/EXECUTIVE )ENT $1,000,000 NIA MEER (Mandatory E, NH) E.L. DISEASE - EA EMPLOYEE $1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT 1 $1,000,000 D ERRORS & OMISSIONS ELU14246516 1/1/2016 1/1/2017 PER CLAIM $5,000,000 AGGREGATE $25,000,000 ~ I DESCRIPTION OF OPERATIONS I 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 City of Ashland ACCORDANCE WITH THE POLICY PROVISIONS. 20 E Main Street Ashland OR 97520 AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD