HomeMy WebLinkAboutFolio 2024-2026 Permit - CR 7570 CR 7570 - 9/24/2024 J� 0
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Ron DeSantis,Governor
Melanie S.Griffin,Secretary
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STATE OF FLORIDA4$44-qa
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
ELECTRICAL CONTRACTORS' LICENSING BOARD
THE ALARM SYSTEM. ACTOR id HEREIN IS CERTIFIED UNDER THE
PROVISIO S OF CHAPTER '9, FLORID TATU "ES
HAS AN, LYNN JR
ENVERA SYSTEMS
2033,CAMTMEN ROAD
SARASSt FL 34
LICE B :EG140019626
EXPIRATION DATE: AUGUST
ST 31,2026
Always verify licenses online at MyFloridaLicense.com
1:3 ISSUED:07/10/2024
gl
.5 Ages4. Do not alter this document in any form.
0 • al. This is your license. It is unlawful for anyone other than the licensee to use this document.
VERIF-2 OP ID:GS
•4�OR� CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY)
10/18/2023
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 877-242-9600 NAMEACT Central Insurance Agency
Central Insurance Agency,Inc. PHONE
PO Box 1047 (NC,No,Ext).877-242-9600 i FAX No):877-243-8995
Smithtown,NY 11787 E-MAIL ce Irf c tes 1ainsures.com
Alice Giacalone ADDRESS:
INSURER(S)AFFORDING COVERAGE NAIC#
INSURER A:Hartford Fire Insurance Co 19682
F�ieri Eyes LLC d/b/a Envera Systems suB
INSURER B:Hartford Casualty Insurance Co 29424
Envera Systems,LLC INSURER c:Hartford Undewriters Ins Co 30104
4171 W. Hillsboro Blvd Ste 2
Coconut Creek,FL 33073 INSURER D:
INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER: 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 TERMS,
EXCLUSIONS AND_C_ONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR ADDL SUBR I
LTR TYPE OF INSURANCE INSD MD POLICY NUMBER IMM/DDY/YYYYYI IMM/DDTD/YYYY1 LIMITS
A X COMMERCIAL GENERAL LIABILITY 1,000,000
CLAIMS-MADE X OCCUR EACH OCCURRENCE $
12UUNOZ3700 10/26/2023 10/26/2024 PRM TO RENTED 300,000
X Contractual Liab PREMMGE ISES(Ea occurrence) $
MED EXP(Any one person) $ 10,000
x Errors&Omissions 1,000,000
PERSONAL&ADV INJURY $
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000
POLICY I X PRO- LOC
PRODUCTS-COMP/OP AGG $ 2,000,000
OTHER:
B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000 000
X ANY AUTO (Ea accident) $
12UENOZ3692 10/26/2023 10/26/2024 BODILY INJURY(Per person) $
OWNED SCHEDULED
AUTOSE ONLY AUTOS BODILY INJURY(Per accident) $
AURTOS ONLY AUOTO WN ONLDY (DOerr a dent)AMAGE $
B X UMBRELLA LIAB X OCCUR $
EACH OCCURRENCE $ 5,000,000
EXCESS LIAB CLAIMS-MADE 12HHUOZ3701 10/26/2023 10/26/2024 j 5,000,000
AGGREGATE $
DED X RETENTION$ 10,000
C WORKERS COMPENSATION X $
AND EMPLOYERS'LIABILITY STATUTE ERH Y/N 12WEQD3B4G 10/26/2023 10/26/2024 1000,000
ANY PROPRIETOR/PARTNER/EXECUTIVE �
?FFICER/M In NH)EXCLUDED? N N/A E.L.EACH ACCIDENT $
If yes,describe under E.L.DISEASE-EA EMPLOYEE $ 1,000,000
DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000
DES
CRIPTION
ON OF OPERATIONS/LOCATION --/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is requi•ed)
Evidence of Insurance
CERTIFICATE HOLDER CANCELLATION •
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
City of Dania Beach THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
100 West Dania Beach Boulevard
Dania Beach,FL 33004
AUTHORIZED REPRESENTATIVE/ n*Aelf.4444.-•
PRESENNNTTATIVE!ACORD 25(2016/03) __All rights reserved.
The ACORD name and logo are registered marks 9ofACORDCORD CORPORATION