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HomeMy WebLinkAboutFINFROCK ENTERPRISES - INSURANCE CERTIFICATE (2)page 2 of 3 Client#: 1559798 131 FINFRHOL ACORD., CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDNYYY) 12/21 /2018 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER CON NAME: _ McGriff Insurance Services PHONEeat):407 691-9600 88&635-4183 A/C, No, (A/C, No): PO BOX 4927 IL Orlando, FL 32802-4927 ADDRESS: _ 407 691-9600 INSURER(S) AFFORDING COVERAGE _ NAIC # INSURER A: --I- 22322 INSURED XL S I I C 37885 Finfrock Holdings, Inc Finfrock Construction, LLC* 2400 Apopka Blvd INSURER B: Peclaty neuranoo ampony INSURER C : Amorlsure Insurance company D: Apopka, FL 32703 INSURER E : INSURER F COVERAGES CERTIFICATF NIIMRFR: 1Q/90 Mactpr RAIRWSP RFVISIr1N NIIMRFR• 19M 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 CONTRACTOR 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, LTRR TYPE OF INSURANCE _ kDDL INSR UBR WVD _ POLICY NUMBER POLICY EFF MM/DDNYYY 01101/2019101/01/2020 i POLICY EXP MM/DI/YYY - LIMBS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR BVPD Ded:$10,000 X CGG740965601 I EACH OCCURRENCE $1 000 000 QAMAGE T RENTED RO SEA occurrence $3�000 X GEN'L MEDEXP(Anyonepomon) . ___ _ ___ $10000 PERSONAL & ADV INJURY $1 10001wo AGGREGATE LIMIT APPLIES PER: yPRO- j� POLICY L�I JECT A 1 LOC OTHER: GENERAL AGGREGATE $2,000 000 PRODUCTS-COMPIOP AGG $2 OOO 000 $ A AUTOMOBILE X X LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY X AUTOS ONLY X CAH740965701 1/01/2019 1/01/2019 01/01/2 E°MaBodeD SINGLE LIMIT 1,000 000 BODILY INJURY (Per person) $ BODILY INJURY (Peraccide" $ PROPERTY DAMAGE Per aec,den _ $ B X UMBRELLA LIAB EXCESS LIAO X OCCUR CLAIMS -MADE US00082024L119 01/01/2 EACH OCCURRENCE $1 O 000 000 AGGREGATE $10 000,000 DED X RETENTION $10 OOO $ `. WORKERS COMPENSATION AND EMPLOYERS' LIl1 BILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVEr — OFFICERIMEMBER EXCLUDED? 'JN (Mandatory In NH) It yes, describe under DESCRIPTION OF OPERATIONS below N/A X I WC210718201 1/01/2019 01/01/2020 X PERTUTE JOTH. E.L. EACH ACCIDENT -`-----'-"`— $1 000 000 E.L. DISEASE - EA EMPLOYEE $1 000 OOO E.L. DISEASE - POLICY LIMIT $1 0009000 I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached It more spats is required) *Named Insured Continued: Finfrock Architecture and Engineering, Inc; Finfrock Architecture and Engineering, LLC; Finfrock Construction, Inc; Finfrock DC, Inc; Finfrock Design, Inc; Finfrock Design, LLC; Finfrock Design -Manufacture -Construct, Inc; Finfrock Design -Manufacture -Construct, LLC; Finfrock Enterprises, LLC; Finfrock Financial, LLC; Finfrock Industries, Inc; Finfrock Industries, LLC; Finfrock Properties, Inc; Finfrock Properties, LLC; Finfrock Transportation, Inc; Finfrock Transportation, LLC; (See Attached Descriptions) I t HULUEH City of Fort Collins PO BOX 580 Fort Collins, CO 80522 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) 1 of 2 9516 #S22601411/M22600914 "\r 01988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD CLHO page 3 of 3 DESCRIPTIONS (Continued from Page 1) Toronto, LLC; Structure Works, LLC; and Finfrock Development, LLC. General Liability: Additional Insured including completed operations is granted with if required by written contract or agreement per Additional Insured (Blanket) Form Endorsement CG2010 04/13 and CG2037 04113. Primary and Non -Contributory is granted if required by written contract per Primary Insurance Clause Endorsement XIL424 06/05. Waiver of Subrogation status is granted if required by written contract per Waiver of Transfer of Rights Endorsement CG2404 05/09. Automobile Liability: Additional Insured status is granted if required by written contract per Automatic Additional Insured's Endorsement XIC411 10/13. Primary and Non -Contributory is granted with if required by written contract per CA044911/16. Waiver of Subrogation status is granted if required by written contract per Waiver of Transfer of Rights of Recovery Against Others To Us Endorsement CA0444 10/13. Workers' Compensation: Waiver of Subrogation is granted if required by written contract per Waiver of Our Right to Recover from Others Endorsement form WC000313 04/84. Umbrella Policy: Follow form over General Liability, Auto Liability and Employers Liability. SAGITTA 25.3 (2016/03) 2 of 2 #S22601411 /M22600914 9517