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HomeMy WebLinkAboutFolio 2024-2026 Permit - CR 7830 CR 7830 - 9/24/2024 • ;. SEP 1 Q 2024. L,? 1g3o STATEmei a it= . , i,i.i.. somm........i-- to Ram- OF � � �o.-tg i ro p(iq '- tor._ �4 3 [ !§.. �.:, {i !}#i I}.. x# f�' ` ..i�:� ate., 3 _ ,ti V. t a+a,..>rx`[ P r�, p ,,�x,. we. F t�.e 3r t L , 4 ,,; *''ir(, %: 3 a.- ,,;, "•� ter «., � �y a*,a ao-.aw.A.N` J..:� v 9' A"w`� &^�*` y 5�, a � $,sC $�?,%ry 't w � il T '` 'aYn19�IIc+QYAkrWN✓y` • b fi /%� 4 # 'fix . ,�� f1L X s�.: a � N � /'a5rs�, .� 'ft _ "ar N� FG u e, "iitiisesio„,,,,..,,„0,; g� §a � �r �. ,u �r,a 1 . . ,:. .. , £ - ga i �"t ds .� �� s -OJT'', �S '1 s 'y 4 a�0 a y 'r.. { '6' ds `r r '"10 ': _m�s 9 r 1 s : H �X, ,✓.,�i y '� yi,y ., �4`, -, 4 is :�""�S` p 4 d a w 4 a ✓ � "�"+�, :...'#-. ' rub <' ,ubn., �a '"�' " n.'- ✓,. ,..9t z e'w � ..? � r 4:.XX, �� D.ATE(MM/DD/YYYY) A OC R J CERTIFICATE OF LIABILITY INSURANCE 8/26/2024 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 NAME: Certificate Dep_artm_ent BB Insurance Marketing Inc PHONE FAX 10167 W Sunrise Blvd (A/c.No.Extl: 888-728-0817 {A/c,No):954-452-0450 E-MAIL 3rd Floor ADDREss_ certificates@a bbimi.com Plantation FL 33322 INSURER(S)AFFORDING COVERAGE NAIL# INSURER A Rockingham Insurance Co INSURED DOSHVAC-01 INSURER B Dos HVAC LLC dba Lords Plumbing, Lords AC INSURERC: 5401 NW 102nd Ave, INSURER D Sunrise FL 33351 INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER:846259782 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 CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR 1ADDLSUBR -1 POLICY EFF 7 POLICY EXP LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER LIMITS (MMIDDIYYYY) {MMIDDIYYYY}' A X COMMERCIAL GENERAL LIABILITY RFLA221724-00 10/2/2023 10/2/2024 I EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED CLAIMS-MADE LX J OCCUR PREMISES Aga occurrence) $100,000 MED EXP(Any one person) $5,000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLJES PER: III GENERAL AGGREGATE $2,000,000 X POLICY PRO- JECT J LOC PRODUCTS-COMP/OP AGG $2,000,000 OTHER: , $ AUTOMOBILE LIABILITY [ COMBINED SINGLE LIMIT $ iffa 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 ', 'JPer accident) UMBRELLA LIAB OCCUR iACH OCCURRENCE $ EXCESS LIAB C LAIMS-MADE i AGGREGATE $ DED RETENTION$ � $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE '. ER ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBEREXCLUDED? N/A --" (Mandatory in NH) i E.L.DISEASE-EA EMPLOYEE $ If yes,describe under ------------------ — DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Plumbing&HVAC Contractor. Certificate Holder is additional insured with respect to General Liability when required to be named as such per written contract,and in accordance with all terms of the Additional Insured Endorsement attached to the policy. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Dania Beach Building Department 100 W Dania Beach Blvd Dania Beach FL,33004 AUTHORIZED REPRESENTATIVE 412 °V.N ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD