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HomeMy WebLinkAboutFolio 2024-2026 Permit - CR 6487 CR 6487 - 9/24/2024 1 si..... 4 co n IT) Z 4; O a) O L +,. 5 0 T O w 'O N = Q N - LaQ w v, 6 oC 0 ° F CC VIIIMMISIIIr a -II m D Ip .� v Z t7 0 Q .J `° o 0 Zw F W L ` E coa 0 Er- t! Q - Q cococ O U t! Z - w M >'tn w > o " t-'Q W W LIJ V UQO- 0" m U ] Z M t4 72 Nc .. Ia. V �' I S_ OJ I r - 71-1 ZLL LULL --A L- N s O ao 1 I � V - s 'I N�: • Q W VJZ Q co Z fn V) y..aJV) s— in'''. o U C Q W ~ C V `` " , N - Z - u 713- 4- - O F Z Z 1— .. , € w CL t/) tim O Z LL ti )` t Q Ln V) ; W de — O �- Z , V = Jco m J _, z _ U X > 0 = LL Q U Q Z "' v' O O Z 1- w O V a �, 0 V > W w a- L CD -J w o I . , FW2 0 DATE(MM/DDIYYYY) ACORD® CERTIFICATE OF LIABILITY INSURANCE 11/1/2024 9/29/2023 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). CONTACT PRODUCER Lockton Companies,LLC NAME: FAX 444 W.47th Street,Suite 900 PHONE (A/C,No): (A/C.O Ext): Kansas City MO 64112-1906 E-MAIL ADDRESS: (816)960-9000 INSURER(S)AFFORDING COVERAGE NAIL# kcasu@lockton.com INSURER A:Old Republic Insurance Company 24147 INSURED ConSery Building Services,LLC INSURER B:Travelers Property Casualty Company of America 25674 1492591 6354 118TH AVE N INSURER C:Zurich American Insurance Company 16535 LARGO FL 33773 INSURER D:Indian Harbor Insurance Company 36940 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 18357199 REVISION NUMBER: XXXXXXX 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 ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MMIDD/YYYY) (MMIDDIYYYY) A X COMMERCIAL GENERAL LIABILITY N N MWZY31586123 11/1/2023 11/1/2024 EACH OCCURRENCE $ 10,000,000 DAMAGE TO RENTED A CLAIMS-MADE X OCCUR MWZX31795523 11/1/2023 11/1/2024 PREMISES(Ea occurrence) $ 10,000,000 A X CONTRACTUAL LIAB MWZX31795823 11/1/2023 11/1/2024 MED EXP(Any one person) $ 10,000 X XCU INCLUDED PERSONAL&ADV INJURY $ 10,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 20,000,000 POLICY X JECT LOC PRODUCTS-COMP/OP AGG $ 20,000,000 OTHER: AUTOMOBILE LIABILITY N N MWTB31586223 11/1/2023 11/1/2024 $ Ea aBINEDISINGLE LIMIT $ 10,000,000 A A MWZX31795623 11/1/2023 11/1/2024 (Perperson) XXXXXXX A x ANY AUTO MWZX31795923 11/1/2023 11/1/2024 BODILY INJURY erson $ OWNED SCHEDULED BODILY INJURY(Per accident) $ XXXXXXX AUTOS ONLY AUTOS PROPERTY DAMAGE $ XXXXXXX HIRED NON-OWNED (Per accident) X AUTOS ONLY X AUTOS ONLY $ XXXXXXX B X UMBRELLA LIAB X OCCUR N N CUP-7T469438-23-NF 11/1/2023 11/1/2024 EACH OCCURRENCE $ 10,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $ 10,000,000 DED X RETENTION$ 10,000 $ XXXXXXX WORKERS COMPENSATION N MWC31586023 11/1/2023 11/1/2024 X STATUTE PER OOTH ER A AND EMPLOYERS'LIABILITY E.L.EACH ACCIDENT $ 10,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE YIN N/A OFFICER/MEMBER EXCLUDED? N E.L.DISEASE-EA EMPLOYEE $ 10,000,000 (Mandatory in NH) If yes,describe under E.L.DISEASE-POLICY LIMIT $ 10,000,000 DESCRIPTION OF OPERATIONS below C INSTALL N N MBR435533602 11/1/2023 11/1/2024 $15,000,000 PER OCCURRENCE FLTR/BUILDERS RISK0,000,000 D CE0744642006 11/1/2023 11/1/2024 $10,000,000 PER AGGREGATE PROFESSIONAL/POLLUTION DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 18357199 ACCORDANCE WITH THE POLICY PROVISIONS. CITY OF DANIA BEACH 100 WEST DANIA BEACH BLVD AUTHORIZED REPRESENTATIV DANIA BEACH FL 33004 1 ©1988 015 ACORD CORPORATION. All rights reserved. , ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD City of Pinellas Park BUSINESS TAX RECEIPT PP,EL1AS P-kra P.O. BOX1100 License issued in accordance with PINELLAS PARK, FL33780-1100 regulation under the authority of Chapter 727-369-5647 13 Pinellas Park Code of Ordinance Business Name: CONSERV BUILDING SERVICES LLC Business Location: 6350 118TH AVE Mailing Address: 6350 118TH AVE LARGO,FL 33773 LARGO, FL 33773 Owner: License Number:: 112342 License Type:: Construction Issued Date: 9/30/2024 Classification: Commercial Expiration Date: 9/30/2025 Fees Paid: $237.60 TO BE POSTED IN A CONSPICUOUS PLACE