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HomeMy WebLinkAboutInv# 2024-00000797 - BANK OF AMERICA - 08/31/202411/16/2023 Norco Holdings Inc., dba Norton Insurance of FL 102 Beal Pkwy SW Fort Walton Beach, FL 32548 Melisa Bouchard (850)244-1574 (850)243-9428 mbouchard@norton-insurance.com 95953435-655082 7 Govea Trucking Inc PO Box 7448 Hollywood, FL 33081 Progressive Express Insurance Company 10193 A Y Y 08138753 07/11/2023 07/11/2024 X X X 1,000,000 PIP 10000 Berkshire Hathaway Direct Insurance Company biB 10391 B Y N9WC215376 11/16/2023 11/16/2024 N X 1,000,000 1,000,000 1,000,000 Progressive Express Insurance Company 10193 A 08138753 07/11/2023 07/11/2024PHYSICAL DAMAGE STATED AMOUNT W/ $ 1,000 DED SEE ATTACHED ACORD 101 FORMING PART OF THIS CERTIFICATE OF INSURANCE Auto Liability policy endorsed with Additional Insured and Waiver of Subrogation in Favor of Below; Workers Compensation has a Blanket Waiver of Subrogation: The City of Dania Beach 100 West Dania Beach Blvd Dania Beach, FL 33004 (MKB) Printed by MKB on 11/16/2023 at 08:43AM ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? INSR ADDL SUBR LTR INSD WVD DATE (MM/DD/YYYY) PRODUCER CONTACT NAME: FAXPHONE (A/C, No):(A/C, No, Ext): E-MAIL ADDRESS: INSURER A : INSURED INSURER B : INSURER C : INSURER D : INSURER E : INSURER F : POLICY NUMBER POLICY EFF POLICY EXPTYPE OF INSURANCE LIMITS(MM/DD/YYYY)(MM/DD/YYYY) AUTOMOBILE LIABILITY UMBRELLA LIAB EXCESS LIAB WORKERS COMPENSATION AND EMPLOYERS' LIABILITY DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) AUTHORIZED REPRESENTATIVE EACH OCCURRENCE $ DAMAGE TO RENTED CLAIMS-MADE OCCUR $PREMISES (Ea occurrence) MED EXP (Any one person)$ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER:GENERAL AGGREGATE $ PRO-POLICY LOC PRODUCTS - COMP/OP AGG $JECT OTHER:$ COMBINED SINGLE LIMIT $(Ea accident) ANY AUTO BODILY INJURY (Per person)$ OWNED SCHEDULED BODILY INJURY (Per accident)$AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $AUTOS ONLY AUTOS ONLY (Per accident) $ OCCUR EACH OCCURRENCE $ CLAIMS-MADE AGGREGATE $ DED RETENTION $$ PER OTH- STATUTE ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ If yes, describe under E.L. DISEASE - POLICY LIMIT $DESCRIPTION OF OPERATIONS below INSURER(S) AFFORDING COVERAGE NAIC # COMMERCIAL GENERAL LIABILITY Y / N N / A (Mandatory in NH) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 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. 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 endorsement(s). COVERAGES CERTIFICATE NUMBER:REVISION NUMBER: CERTIFICATE HOLDER CANCELLATION © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORDACORD 25 (2016/03) CERTIFICATE OF LIABILITY INSURANCE Printed by MKB on November 16, 2023 at 08:43AM 95953435 2 Norco Holdings Inc., dba Norton Insurance of FL N/A Multiple Carriers Govea Trucking Inc 25 Certificate of Liability Insurance VEHICLES: YEAR MAKE/MODEL VIN# TRUCKS: 1992 PETERBILT DUMP TRUCK 1XPFDB9X4ND319104 2005 HINO DUMP TRUCK JHBNV8JR351S10054 1980 AMGE H-1 HUMMER 052493 2021 PETERBILT 389 TRACTOR 1XPXP4TX4MD769849 1995 PETERBILT TRACTOR 1XP5DB8X2SN381197 TRAILERS: 1999 EAGER BEAVER LOWBOY TRL 112SD2489XL054059 1976 TONCO LOW BOY FB TRL 35LSD476216 1997 WAREN DUMP TRAILER 1W9DS2636V1199424 2005 GREAT DANE FLATBED TRL 1GRDM96255M701769 1989 EAST DUMP TRAILER 1E1D1R289KRG10876 1986 FRUEHAUF DUMP TRAILER 1H4D03534GF057202 AGENCY NAMED INSURED POLICY NUMBER CARRIER NAIC CODE EFFECTIVE DATE: AGENCY CUSTOMER ID: LOC #: THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER:FORM TITLE: ADDITIONAL REMARKS ACORD 101 (2008/01)© 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Page ofADDITIONAL REMARKS SCHEDULE