HomeMy WebLinkAboutFolio 2024-2025 Permit - CR 2553 CR 2553 - 9/24/2024 ,,„
•
1C-A FUEL TRANSMISSION AND DISTRIBUTION LINES
88-1032
QUANT,ANGEL L. -QUALIFYING
PEOPLES GAS SYSTEM, INC.
702 N FRANKLIN ST
TAMPA FL 33602
EXPIRES 06/30/2025
l
BRCERTIFICATE OF COMPETENCY
, WARD Detach and SIGN the reverse side of this
card IMMEDIATELY upon receipt! You . •
F LOR IDA should carry this card with you at all times.
Contractor must obtain a photo I.D.Certificate of Competency Card BROWARD COUNTY,FLORIDA
CE
every two years. CERTIFICATE OF COMPETENCY
1 C-A FUEL TRANSMISSION AND
DISTRIBUTION LINES
I _ CC# 88-1032
QUANT,ANGEL L. -QUALIFYING
QUANT,ANGEL L. • PEOPLES GAS SYSTEM, INC.
18965 NW 10th ST 702 N FRANKLIN ST
PEMBROKE PINES FL 33029 • TAMPA FL 33602
EXPIRES 06/30/2025
503-207(Rev.1/12)PC201247908
ACcRK CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY)
'' 06:05/2024
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, 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 CONTACT
Marsh Canada Limited NAME:
120 Bremner Blvd..Suite 800 Attn:Canada.Certrequest@marsh.com PHONEC y.Ext): FAX
NO):
Toronto,ON,M5J 0A8 E-MAIL —
ADDRESS:
INSURER(S)AFFORDING COVERAGE NAIC#
CN110747660-GAP-CDN-24-25 INSURER A: AEGIS-Associated Electric 8 Gas Insurance Services 3190004
INSURED
Peoples Gas System INSURER B: Liberty Mutual Insurance Co
702 N.Franklin St. INSURER C: See Acord tQ1 for Carrier Participation
Tampa,FL 33602 INSURER D:
INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER: HOU-004121736-01 REVISION NUMBER: 0
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 ADDLISUBR! POLICY— —POLICY EXP
LTR TYPE OF INSURANCE - POLICY EFF EXP
INSD I WVt POLICY NUMBER (MMlDDlYYYY) (MM/DDJYYYV) LIMITS
A X COMMERCIAL GENERAL LIABILITY XL5692908P 06/01/2024 F 06/01/2025 EACH OCCURRENCE $ 1,000,000
X CLAIMS-MADE I OCCUR DAMAGE TO RENTED
PREMISES(Ea occurrence) $ 50,000
X SIR:1,000,000 MED EXP(Any one person) $ 10,000
—— PERSONAL&ADV INJURY $ 1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000
X POLICY JET LOC
PRODUCTS-COMP/OPAGG $ 1,000,000
OTHER: $
A AUTOMOBILE LIABILITY XL5692908P 06/01/2024 06/01/2025 COMBINED SINGLE LIMIT $ 1,000,000
x ANY AUTO (Ea accident)
BODILY INJURY(Per person) $
OWNED SCHEDULED
AUTOS ONLY AUTOS BODILY INJURY(Per accident) $
HIRED NON-OWNED PROPERTY DAMAGE $
AUTOS ONLY AUTOS ONLY (Per accident)
A UMBRELLA LIAB _ XL5692908P $
OCCUR 06/01/2024 06/01/2025 EACH OCCURRENCE $ 20,000,000
X EXCESS LIAB X CLAIMS-MADE
AGGREGATE $ 20,000,000
DED X RETENTION$250 000 $
WORKERS COMPENSATION Employers Liability PER Om- '
A AND EMPLOYERS'LIABILITY Y/N X I STATUTE ER
ANYPROPRIETOR/PARTNER/EXECUTIVE XL5692908P 06/01/2024 06/01/2025 E.L.EACH ACCIDENT $ 1,000,000
OFFICER/MEMBER EXCLUDED? N 1 N/A
(Mandatory in NH) XS WC E.L.DISEASE-EA EMPLOYEE $ 1,000,000
B If yes,describe under _
DESCRIPTION OF OPERATIONS below EW. B7N-171272-024 06/01/2024 06/01/2025 E.L.DISEASE-POLICY LIMIT $ 1,000,000
C Property MPSONTA 366 24(B) 03/01/2024 03/01/2025 Limit 15,000,000
l Deductible See Acord 101
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101.Additional Remarks Schedule,may be attached if more space Is required)
CERTIFICATE HOLDER CANCELLATION
City of Dania SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
100 West Dania Beach Blvd. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Dania,FL 33004 ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
of Marsh USA LLC I���+ �7
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O 1988-2016 ACORD CORPORATION. All rights reserved.
ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD