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HomeMy WebLinkAboutInsurance Certificate: Brown & brown Inc ETAl (2) BROWN-3 ,acoit° CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDlYYYY) 01108/2018 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 have ADDITIONAL INSURED provisions or 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 . NA . PRODUCER 386-239-7242 i COOMTACT LAURIE KOHLER #18009 Brown & Brown of Florida, Inc. PHONE 386-239-7242 FAX 386-323-9159 Daytona Beach Office INC, No, Ext : A/c, No P.O. Box 2412 -MAIL . Ikohler@bbdaytona.com Daytona Beach, FL 32115-2412 M. Decker Youngman INSURERS AFFORDING COVERAGE NAIC # INSURER A : Travelers Property & Casualty 125674 INSURED BROWN & BROWN INC ETAL INSURERS: Continental Ins Co 135289 P O BOX 2412 XL Special Insurance Company 137885 DAYTONA BEACH, FL 32115 INSURER C : INSURER D : Travelers Indemnity 25658 INSURER E : INSURER F : COVERAGES CERTIFICATE 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 TYPE OF INSURANCE ADDL SUB POLICY NUMBER POLICY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000000 CLAIMS-MADE a OCCUR Y TC2JGLSA9527B87418 01/0112018 01/01/2019 DAMAGE To RENTED $ 1,000,000 MED EXP An one person) 5,000 PERSONAL & ADV INJURY $ 1'000'000 GENT AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2,000'000 11 XX POLICY JECOT LOC PRODUCTS - COMP/OP AGG $ 2.000,000 !OTHER OMBINED SINGLE LIMIT 1,000,000 A I AUTOMOBILE LIABILITY (CEO, AUTO TC2JCAP9527B86218 01/0112018 01/0112019 BODILY INJURY Per person) OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident HIRED NON-oWNED Pe~acEcidentDAMAGE $ AUTOS ONLY AUTOS ONLY B X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 10'000,000 EXCESS LIAR CLAIMS-MADE 6011849429 01/01/2018 0110112019 AGGREGATE 10,000,000 DIED RETENTION $ A WORKERS COMPENSATION X PER OTH- AND EMPLOYERS' LIABILITY D Y/N TC2JUB9517B58018 01/01/2018 01/01/20191 EL EACH ACCIDENT $ ~ECUTIVE ❑ NIA ANY FFICERIMEMBER EXCLUDED? 1,000,000 O 1,000'000 (Mandatory in NH) TRKUB9518B76118 01101/2018 01101/2019 ! E.L DISEASE - EA EMPLOYEE I S If yes. describe under 1,000,000 DE RIPTION OF OPERATI N elow DISEASE - POLICY LIMIT C INS AGENT5 E&() ELU15345118 01/01/2018 01/01/2019 (LIMIT 20,000,000 AGGREGATE 20,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached It more space is required) RE NAMED INSURED: BEECHER CARLSON INSURANCE SERVICES, INC.; ON POINT UNDERWRITING, INC.; BROWN 8r 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 CANCELLATION CITYAS1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. CITY OF ASHLAND KARI OLSON 90 N MOUNTAIN AVENUE AUTHORIZED REPRESENTATIVE ASHLAND, OR 97520 ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD