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HomeMy WebLinkAboutFINFROCK ENTERPRISES - INSURANCE CERTIFICATE (4)page 2 of 3 Client#: 1559798 131 FINFRENT ACORD, CERTIFICATE OF LIABILITY INSURANCE F.AT.(MM;DD'YYYY) 12/21 /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 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Insurance Services, Inc. PH EFAX PO Box 4927 (A/C, No, -4183 E,): 407 691-9600 (A/C, No): 88"35_ ADDRESS: Orlando, FL 32802-4927 INSURER(S) AFFORDING COVERAGE NAIC # 407 691-9600 INSURER A: A —ich I-- C-11-Y 22322 INSURED INSURERS: XL 9poolWom tV lnewanee CpanY 37885 Finfrock Enterprises Inc INSURER C: Amertaw VmrwvwCompwy 19488 Finfrock Construction Inc* - ----- -- 2400 Apopka Blvd INSURER D :INSURER E: Apopka, FL 32703 - - -- INSURER F: COVERAGES CERTIFICATE Nl1MRFR- 17/1Q UgQtar ROIRWSP RFVIgInIJ 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. INS}2 -- ADDL UBR - - - --.. � VOLK:Y EFF ' POLICY EXP — - LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER MMIDD/YYY MM/DD/YYY LIMITS — -------r t... A X COMMERCIAL GENERAL LIABILITY X CGG7409656 .- _. 12/31 /2017! 01 /01 /201 EACH OCCURRENCE $1,0009000 CLAIMS MADE ^i OCCUR PREMISES Eacecurrence $300,000 X MED EXP (Any one person) _ $10,000 BI/PD Ded:$10,000 PERSONAL&ADVINJURY - $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY ❑X JECTPRO LOC GENERAL AGGREGATE _ $2,000,000 PRODUCTS -COMP/OP AGG _ $2,000,000 $ OTHER: A AUTOMOBILE LIABILITY X CAH7409657 2/31 /2017 Ot /01 /201 OMBac NNErt I LE MIT$1,000,000 --- X ANY AUTO BODILY INJURY (Per person) $ X AUTOS ONLY SCHEDULED AUTOS HIRED NON -OWNED AUTOS ONLY X AUTOS ONLY BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ EACH OCCURRENCE $10000 000 12/31/2017 01/01/201 B X UMBRELLA LIAR X OCCUR US000819451­117A EXCESS LIAB CLAIMS -MADE AGGREGATE $1 O 00O 000 DED I X RETENTION $10,0000 $ _ _.. WC2107182 WC208056305 _ _ 1 /01 /20116011 12/31 /201 C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N OFFICER,'MEMBER EXCLUDED? 7 N/A X _ 1 /01 /201 /01 /201 PER OTH- X sTATurE R -- — E.L. EACH ACCIDENT __ $1 000 000 E.L. DISEASE - EA EMPLOYEE -- -_-- $1,000,000 (Mandatory In NH) If yyos, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT - $1,000,000 - DESCRIPTION OF OPERATIONS i LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached It more space is required) *Named Insured Continued: Finfrock Industries Inc; Finfrock Design -Manufacture -Construct Inc; Finfrock Transportation Inc; Finfrock DC Inc; Finfrock Development LLC; Finfrock Design Inc and Toronto LLC General Liability: Additional Insured including completed operations is granted with if required by written contract or agreement per Additional Insured (Blanket) Form Endorsement CG2010 04/13 and CG2037 04/13. (See Attached Descriptions) L;thl I Ir'IGA I t MULLILH GANGtLLA I ION City of Fort Collins SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN PO Box 580 ACCORDANCE WITH THE POLICY PROVISIONS. Fort Collins, CO 80522 AUTHORIZED REPRESENTATIVE ©1988.2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) 1 of 2 The ACORD name and logo are registered marks of ACORD 3826 #S19211978/M19209171 CLHO SAGffTA 25.3 (2016/03) 2 of 2 #S19211978/M19209171 3827 page 3 of 3