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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