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HomeMy WebLinkAboutFRINFROCK ENTERPRISES - INSURANCE CERTIFICATEW Page 2 of 3 Client#: 1559798 131 FINFRENT (MMACORD- CERTIFICATE OF LIABILITY INSURANCE DATE12/21 /20161/20/16 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 N NMTAE: CT _ BB&T Insurance Services, Inc. PHpN E FAX PO Box 4927 �IUC,_No,g: 407 691 -9600 (A/C, No): 888-635 4183 Orlando, FL 32802-4927 ADDRESS: __ 407 691-9600 INSURER(S) AFFORDING COVERAGE _NAIC f INSURER A: Amerisure Insurance Company 19488 INSURED INSURER B : Aspen SpeClalty Insurance Co. 10717 Finfrock Enterprises Inc — - Finfrock Construction, Inc.* INSURER C : c INSURER D : 2400 Apopka Blvd INSURER E Apopka, FL 32703 - -- - - INSURER F COVERAGES CERTIFICATE NUMBER_ 16/17-FINFROCK RAIRW RFVISInN NIIMRFR- 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. LTIR - ADDLSUB— POLICY EFF POLICY EXP -- LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER (MM/DD/YYY MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE �X OCCUR BI/PD Dad: $10,000 X GL2091218040 12/31/2016 12/3112017 EACH OCCURRENCE $1,000,000 S�MAGE TO RENTED _- EMI3SES EL�a occurrence) MED EXP (Anyone person) $100,000 $5 000 X PERSONAL & ADV INJURY $1,000,000 GEWL AGGREGATE LIMIT APPLIES PER: POLICY I ..I JECOT- LOC OTHER: GENERAL AGGREGATE $2,000,000 PRODUCTS-COMPPOPAGG $2,000,000 $ A AUTOMOBILE IX LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS X NON -OWNED AUTOS X CA2080561060 12/31/2016 12/31/201(CEO, MI aB'deD SINGLE LIMIT 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ B X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE CX0041LI16 12/31/2016 12/31/2016 12/31/2017 12/31/201 EACH OCCURRENCE $10000000 AGGREGATE $10 000 000 DED I X RETENTION $O X PER OTH- $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR'PARTNER/EXECUTIVE Y / N OFFICER/MEMBER EXCLUDED? � (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below N l A X _ WC208056305 E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 E.L. DISEASE - POLICY LIMIT $1,000,000 i DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) *Named Insureds Continued: Finfrock Industries Inc; Finfrock Design -Manufacture -Construct Inc; Finfrock Transportation Inc; Finfrock DC Inc; Finfrock Development LLC; Finfrock Design Inc; DDMF2 LLC Additional Insured (including completed operations) status is granted with respect to General Liability if required by written contract per endorsement "Contractors Blanket Additional Insured Endorsement" form (See Attached Descriptions) City of Fort Collins PO Box 580 Fort Collins, CO 80522 ACORD 25 (2014/01) 1 of 2 #S17287959/M17287848 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 �, © 1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD CLHO