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HomeMy WebLinkAboutBROWN & BROWN INC - INSURANCE CERTIFICATE (3)BROWN-3 OP ID: JW ACORO CERTIFICATE OF LIABILITY INSURANCE ATE (MM r1DD/YYYY) A TE(MM/2017 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 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 Brown & Brown of Florida, Inc. Daytona Beach Office P.O. Box 2412 CONTANAME: CT LAURIE KOHLER #17095 PHONE FAX A/C No Ext :386-239-7242 A/C: 386-323-9159 No E-MAD ;less: lkohler@bbdaytona.com Daytona Beach, FL 32115-2412 M. Decker Youngman INSURERS AFFORDING COVERAGE NAIC # INSURER A: Travelers Prop & Cas of Amer 25674 INSURED BROWN & BROWN INC ETAL INSURER B: Continental Casualty Co 20443 P O BOX 2412 DAYTONA BEACH, FL 32115 INSURER C :Travelers Indemnity 25658 INSURER D :XL Specialty Ins Inc. 37885 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 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 LTR TYPE OF INSURANCE ADDL SUB POLICY NUMBER POLICY EFF MM DD/YYYY POLICY EXP MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 CLAIMS -MADE "` OCCUR X C2JGLSA9527B87417 01/01/2017 01/01/2018 AMA REMISER NTED P S Ea occurrence $ 1,000,00 MED EXP (Any one person) $ 5,00 PERSONAL & ADV INJURY $ 1,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,00 X POLICY PRO JECT ❑ LOC PRODUCTS - COMP/OP AGG $ 2,000,00 $ OTHER AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) $ A ANY AUTO TC2JCAP9527B86217 01/01/2017 01/01/2018 BODILY INJURY (Per accident) $ ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED X HIRED AUTOS X AUTOS PROPERTY DAMAGE Per accident $ X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,00 AGGREGATE $ 5,000,00 B EXCESS LIAB CLAIMS -MADE 6011849429 01/01/2017 01/01/2018 DED RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y/ N TC2JUB9517B58017 01/01/2017 01/01/2018 X PER OTH- STATUTE ER E.L. EACH ACCIDENT $ 1,000,00 C OFFICER/MEMBER EXCLUDED? (Mandatory in NH) N/A TRKUB9518B76117 01/01/2017 01/01/2018 E.L. DISEASE - EA EMPLOYEE $ 1,000,00 E.L. DISEASE - POLICY LIMIT $ 1,000,00 If yes, describe under DESCRIPTInN OF OPERATIONS below p INS AGENTS E&O ELU14796717 01/01/2017 01/01/2018 LIMIT 5,000,00 AGGREGATE 25,000,00 DESCRIPTION OF OPERATIONS / 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 CIS D2 48 08 05. CFRTIFICATF HOI r1FR CANCELLATION CITYF21 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. CITY OF FORT COLLINS PO BOX 580 AUTHORIZED REPRESENTATIVE FORT COLLINS, CO 80522-0580 ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD