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HomeMy WebLinkAboutTORONTO LLC - INSURANCE CERTIFICATEPage 2 of 3 Client#: 1559798 131 FINFRENT ACORD,, CERTIFICATE OF LIABILITY INSURANCE DATE 1 z/zvz21/2DlYYYY) oi s 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()es) 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 - CONTA NAME: BB&T Insurance Services, Inc. PH NE FAX PO Box 4927 EA INo, Ea): 407 691-9600 888-635-4183 ADDRESS: Orlando, FL 32802-4927 INSURER(S)AFFORDING COVERAGE __- NAIC8 407 691-9600 INSURER A: Amerisure Insurance Company 19488 INSURED Toronto, LLC INSURER B : Aspen SpeCialty Insurance Co. 10717 INSURER C : - 2400 Apopka Blvd INSURER D : Apopka, FL 32703 INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: 16/17-TORONTO BAIBW 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. NOTWITHSIANDING ANY REQUIREMENT, TERM OR CONDITIONOF 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. INSR r ADDL SUB POLICY EFF POLICY EXP LTR TYPE OFINSURANt..c- INSR WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYY LIMITS A X COMMERCIAL GENERAL LIABILITY X GL2091218040 12/31/2016 12/31/2017 EACH OCCURRENCE $1 000 000 CLAIMS MADE a OCCUR ��A�RNuErD $100 000 X BI/PD Ded: $10,000 MED EXP (Any one person) $5 000 PERSONAL & ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY � JECTPRO- F LOC PRODUCTS - COMR'OP AGG $2,000,000 OTHER: $ A AUTOMOBILE LIABILITY X CA2080561060 12/31/2016 12/31/201 COMBINED SINGLE LIMIT Ea ccident a 1, , 00O 000 BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS - AUTOS NON -OWNED HIRED AUTOS X AUTOS IX BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ B X UMBRELLA LIAB X OCCUR CX0041 U16 12/31/2016 12/31/201 EACH OCCURRENCE $10001000 AGGREGATE $10 000 000 EXCESS LIAB_ CLAIMS -MADE DIED X RETENTION$0 $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITYIER ANY PROPRIETOR.!PARTNER/EXECUTIVE Y / N OFFICER/MEMBER EXCLUDED? � (Mandatory In NH) N / A X WC208056305 12/31/2016 12/31/201 X PER U OTH- E.L. EACH ACCIDENT $1 000 000 E.L. DISEASE - EA EMPLOYEE $1 000 000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) 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 #CG7048(1015) or "Contractors GL Extension Endorsement" form CG7049(1109). Primary and Non -Contributory is granted with respects to General Liability per "Additional Insured -Primary (See Attached Descriptions) City of Fort Collins SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE y THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN PO Box 580 ACCORDANCE WITH THE POLICY PROVISIONS. Fort Collins, CO 80522 AUTHORIZED REPRESENTATIVE 1h , ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) 1 of 2 The ACORD name and logo are registered marks of ACORD #S17288433/M17287900 CLHO Page 3 of 3 DESCRIPTIONS (Continued from Page 1) a Non -Contributory Coverage when Required by Written Contract, Written Agreement, or Certificate of Insurance" Form CG7213(1112). Additional Insured status is granted with respect to Automobile Liability if required by Form written contract per endorsement "Florida Advantage Commercial Automobile Broad Form Endorsement" form CA7171(0508). Primary and Non Contributory granted with respects to Automobile per Form CA7165(09/11) Waiver of Subrogation status is granted if required by written contract as respects to: General Liability per endorsement Contractors General Liability Extension Endorsement form CG7049(1109); Automobile Liability per endorsement "Florida Advantage Commercial Automobile Broad Form Endorsement" form CA7171 (0508) and Workers' Compensation endorsement "Waiver of Our Right to Recover from Others Endorsement" form #WC000313 (4/84) Aspen Umbrella Policy is follow form over General Liability, Auto Liability, and Employers Liability SAGITTA 25.3 (2014/01) 2 of 2 #S17288433/M17287900