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HomeMy WebLinkAboutFolio 2024-2025 Permit - CR 5171 CR 5171 - 9/24/2024 • • A CERTIFICATE OF LIABILITY INSURANCE • CATE(MM/DD/YYYY) 09/17/2024 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,sublittio the terms and condi-.ions of the policy,certain policies may require an endorsement. A statement on k this certificate does not confer rigo the certificate folder in lieu of such endorsement(s). PRODUCER i'-, CONTACT NAME: Julie Tyckoson • Brown&Brown Insurance Services,Inca SEP 1 PHONE 407 660-8282 ?AX 2U2 a4 )(A/C,No,Set): I(A/C,No): (4O )66U-2012 2290 Lucien Way E-MAILDss: Julie.Tyckoson@bbrown.com AN Suite 400 i INSURER(S)AFFORDING COVERAGE NAIC If Maitland FL 32751 INSURER A: Lloyd's Of London Ir sUR:D Clear Blue InsuranceCompany28860 INSURER B: ProSolar Group,LLC 5 ' I 1 INSURER C: Palms Insurance Company,Limited _ 3601 Vineland Rd I National Casualty11991 i INSURER D: Company Y Suite 4 'INSURER E: The Ohio Casualty Insurance Company 24074 i Orlando FL 32811 INSURER F: I COVERAGES CERTIFICATE NUMBER: CL2491748905 REVISION NUMBER: "HI 9 IS T)CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD ) INC GATED. IVOTIMTHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS t COt TIFI ATE 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. TOW— ADDL SUER POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DDIYWY X COMMERCIAL GENERAL LIABILITY ) (MM/DD/YYYY) LIMITS 1,000,000 EACH OCCURRENCE S v DAMAGEIO RtNiED «J CLAIMS-MADE X OCCUR PREMISES(Ea occurrence) $ 100,000- — MED EXP(Any one person) $ 10,000 H CSIEL00822-01 09/18/2024 09/18/2025 PERSONAL&ADV INJURY $ 1,D00,000 GEEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,00G j X POLICY PRO PRODUCTS-COMP/OPAGG S ! PRO- JECT LOC 2,000,000 { OTHER: Pollution Liability $ 1,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident) ANY AUTO BODILY INJURY(Per person) S B OWNED x A SCHEDULED AQI YFL004198-00 06/29/2024 06/29/2025 BODILY INJURY(Per accident) S AUTOS ONLYAUTOS X HIRED NON-OWNED PROPERTY DAMAGE S AUTOS ONLY X AUTOS ONLY (Per accidant) p S 1 UMBRELLA LIAB OCCUR EACH OCCURRENCE S 3,000,OOG C X EXCESS LIAB CLAIMS-MADE CSIXEL00639-00 09/18/2024 09/18/2025 AGGREGATE $ 3,000,000 DED I RETENTION$ $ WORKERS COMPENSATION X STATUTE ERH AND EMPLOYERS'LIABILITY Y/N ,., /' PROPRIETOR/PARTNER/EXEC'UTIVE'( E.L.EACH ACCIDENT $ 1,000,000 (ITICER/MEMBER EXCLUDED? Y N/A WCC349271A 02/28/2024 02/28/2025 (land3:ory in NH) E.L.DISEASE-EA EMPLOYEE S 1,000,OGO I ,res,inscribe under _-_ (DSCR PTION OF OPERATIONS below _ E.L.DISEASE-POLICY LIMIT $ 1,000,OOC nlar d Marine Installation Limit $250,000 E .Cortractors'Equipment&Installation) BMO 25 83856067 09/18/2024 09/18/2025 Small Tools/Equip.Limit $15,000 Deductible $1,000 I DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) 1 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 1 THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN 1 City of Dania Beach ACCORDANCE WITH THE POLICY PROVISIONS. I AUTHORIZED REPRESENTATIVE 100 W Dania Beach Blvd Dania Beach FL 33004-3643 ) � i ©1988-2015 ACORD CORPORATION. All right;r serve,,. P001D 25(2016/03) The ACORD name and logo are registered marks of ACORD