HomeMy WebLinkAboutBROWN & BROWN INC - INSURANCE CERTIFICATE (2)----� BROWN-3
.4Co�zo°' CERTIFICATE OF LIABILITY INSURANCE
DATEMM/DD/YYYY)
(
01 /05/2018
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 rights to the certificate holder in lieu of such endorsements .
PRODUCER 386-239-7242
Brown & Brown of Florida, Inc.
Daytona Beach Office
P.O. Box 2412
Daytona Beach, FL 32115-2412
M. Decker Youngman
CONTACT LAURIE KOHLER #18095
NAME
PHONE 386-239-7242 FAX 386-323-9159
A/C, No, Ext : (ac, No
E-M RIL Ikohler@bbdaytona.com
INSURERS AFFORDING COVERAGE
NAIC #
INSURER A: Travelers Property & Casualty
125674
INSURED BROWN & BROWN INC ETAL
P O BOX 2412
DAYTONA BEACH, FL 32115
INSURER B : Continental Ins Co
35289
Travelers Indemnity
INSURER C : ty
25658
INSURER D:XL Specialty Insurance Company
37885
INSURER E :
INSURER F
^wcoer_oc rcDTIVIL`ATF 1J IMRFR• RFVISION 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.
TYPE OF INSURANCE
ADDL
SUB
POLICY NUMBER
POLICY EFFYYYt
POLICY EXP00r
LIMITS
X
COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE
$ 1,000,000
rA
CLAIMS -MADE OCCUR
Y
TC2JGLSA9527687418
01/01l2018
01/01/2019
AMAGISESE TO�Ea RENTED
DPR
$ 1,000,000
MED EXP (Any oneperson)
$ 5,000
PERSONAL & ADV INJURY
1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
X PRO
POLICY JECT❑LOC
GENERAL AGGREGATE
2,000,000
PRODUCTS
2,000,000
OTHER
A
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT
$ 1,000,000
BODILY INJURY Perperson)
$
ANY AUTO
TC2JCAP9527B86218
01/01/2018
01/01/2019
BODILY INJURY Per accident
$
OWNED SCHEDULED
AUTOS ONLY AUTOS
X HIRED X NON -OWNED
AUTOS ONLY AUTOS ONLY
Pe�aE.R DAMAGE
$
B
X
UMBRELLA LIAB
X
OCCUR
EACH OCCURRENCE
$ 5,000,000
EXCESS LIAB
CLAIMS -MADE
6011849429
01/01/2018
01/01/2019
AGGREGATE
$ 5,000,000
DIED RETENTION $
A
C
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN N
ANY OFFICERIMEMBER EXCLUDED? ECUTIVE ❑
(Mandatory in NH)
N / A
TC2JUB9517658018
TRKUB9518876118
01/01/2018
01/01/2018
01/0112019
01/01/2019
TH-
X PERT,TE R
E.L. EACH ACCIDENT
11000,000
E.L. DISEASE - EA EMPLOYEE
1,000,000
E.L. DISEASE - POLICY LIMIT
1,000,000
tfves describeunder
DE CRIPTION OF OPERATIONS below
D
INS AGENTS E&O
ELU15345118
01/01/2018
01/01/2019
LIMIT
20,000,000
AGGREGATE
20,000,000
DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
NAMED INSURED: BROWN & BROWN OF COLORADO, INC.
CITY OF FORT COLLINS IS ADDITIONAL INSURED ON THE GENERAL LIABILITY, PER
FORM CG D2 48 08 05.
CITYF21
CITY OF FORT COLLINS
PO BOX 580
FORT COLLINS, CO 80522-0580
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 (2016103) U 1988-2015 ACURD CUKl-UKA I IUN. Ali ngnrs reservea.
The ACORD name and logo are registered marks of ACORD