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HomeMy WebLinkAboutFolio 2024-2026 Permit - CR 6998 CR 6998 - 9/24/2024 A CERTIFICATE OF LIABILITY INSURANCE DATE YYY)[ ::: 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 13Y 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 NAME: Next First Insurance Agency,Inc. t,.. .' ,;�; ' '� PHONE (855)222-5919 • FAX- -- _----- PO BOX 60787 (A/C.No.Extl: (A/C,No1;_ Palo Alto,CA 94306 "MAIL su ort@nextinsurance.com SEP10 2024 • ADDRESS: pp -_ -INSURER(S)AFFORDING COVERAGE NAIC# INSURER A: State National Insurance Company,Inc. 12831 INSURED ,.. INSURER B: • BBAMT Construction,Inc INSURER C: - 1o10m anW 29theAve S 3200 VHS Pompano Beach,FL 33069 INSURER D INSURER E: INSURER F: _ COVERAGES CERTIFICATE NUMBER:601182227 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 -i ERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. iNSR IADDL 1SUBR POLICY EFF POLICY EXP - LTR TYPE OF INSURANCE INSD I WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1,000,000.00 CLAIMS-MADE X OCCUR DAMAGE TO RENTED PREMISES(Ea occurrence) $100,000.00 MED EXP(Any one person) $15,000.00 A X NXTVEF3H3E-03-GL 09/10/2024 09/10/2025 PERSONAL BADVINJURY $1,000,000.00 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000.00 PRO POLICY X JECT LOC PRODUCTS-COMP/OP AGG $2,000,000.00 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS _ HIRED 1 NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY (Per accident) UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ _ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT N/A $ OFFICER/MEMBEREXCLUDEDI - - -- --_- (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below I E.L.DISEASE-POLICY LIMIT $ Each Occurrence: $25,000.00 A Contractors Errors and Omissions X NXTVEF3H3E-03-GL 09/10/2024 09/10/2025 Aggregate: $50,000.00 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) The Certificate Holder is The City of Dania Beach.This Certificate Holder is an Additional Insured on the General Liability policy per the Additional Insured Automatic Status Endorsement.All Certificate Holder privileges apply only if required by written agreement between the Certificate Holder and the insured,and are subject to policy terms and conditions. CERTIFICATE HOLDER CANCELLATION The City of Dania Beach LIVE CERTIFICATE 100 W Dania Beach Blvd ' SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE �,ia Dania,FL 33004 Q• . THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVER',ED IN .7.15 't.: ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE El nnx1P-se• Click or scan to view ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD