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HomeMy WebLinkAboutFINFROCK ENTERPRISES - INSURANCE CERTIFICATE (5)page 2 of 3 Client#: 1559798 131 FINFRENT DATE (MM/DD,YYYY) ACORM CERTIFICATE OF LIABILITY INSURANCE 112/21/2017 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 NAME: _ BB&T Insurance Services, Inc. PHONE(A//c.N ,EId):407691-9600 (A/C, No): 888-635-4183 PO Box 4927 "E-MAl ADDRESS: Orlando, FL 32802-4927 INSURER(S) AFFORDING COVERAGE NAtC # 407 691-9600 INSURER A: Greemrlch Insurance Company 22322 INSURED INSURER B : XL Specialty Insurance Company 3788855 Finfrock Enterprises Inc INSURER C reAmerlsulnsuranceCompany 19488 Finfrock Construction Inc* INSURER D 2400 Apopka Blvd INSURER E Apopka, FL 32703 INSURER F COVERACFS CERTIFICATE NUMBER: 17119 Master BAIBWSP 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 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 LTR TYPE OF INSURANCE ADD INSR SUER WVO POLICY NUMBER ICY EFF MM/DO/YYY POLICY EXP MMIDD/YYY OMITS A X COMMERCIAL GENERAL LIABILITY C,LAIMSMADE ❑X OCCUR BI/PD Ded:$10,000 X CGG7409656 2/31 /2017 01 /01 /2019 EACH OCCURRENCE $1 90001000 _ PREMIISES EaEoccutrance $300,000 -_ X MED EXP (Any one person) $10,000 PERSONAL ADV INJURY $1,000,000 _ GEML AGGREGATE LIMIT APPLIES PER: PR POLICY � ECOT- a LOC OTHER: GENERAL AGGREGATE $2,000,000 PRODUCTS - COMP/OP AGG $2,000,000 $ A AUTOMOBILE LIABILITY X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS IIR ED5 ONLY X NONOWNEDPROPERTY X HIRED AUTOS ONLY X CAH7409657 2/31 /2017 01 /01 /2019 Ea accideD SINGLE LIMIT $1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ DAMAGE Per accident $ B X UMBRELLA LIAB EXCESS LIAR X OCCUR CLAIMS -MADE US00081945LI17A 2/31/2017 01/01/2019 EACH OCCURRENCE $10 000 000 AGGREGATE $1 O 00O 000 DED I X I RETENTION $1 O 000 $ `. WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOWPARTNER/EXECUTIVE Y / N OFFICERiMEMBER EXCLUDED? [N (Mandatory In NH) It yes, describe under DESCRIPTION OFOPERATIONS below N/A X WC2107182 WC208056305 1 /01 /2018 12/31 /2016 01 /01 /201 01/01/2018 X STATUTE I ERH - E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 E.L. DISEASE -POLICY OMIT $1 ,004,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached R 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) I L HULUtH 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 �, ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) 1 of 2 The ACORD name and logo are registered marks of ACORD 3578 #S19211978/M19209171 CLHO page 3 of 3 DESCRIPTIONS (Continued from Page 1) Primary and Non -Contributory is granted if required by written contract per Primary Insurance Clause Endorsement XIL424 06/05. Waiver of Subrogation status is granted if required by written contract per Waiver of Transfer of Rights Endorsement CG2404 05/09. Automobile Liability: Additional Insured status is granted if required by written contract per Automatic Additional Insured's Endorsement XIC411 10/13. Primary and Non -Contributory is granted with if required by written contract per CA0449 11/16. Waiver of Subrogation status is granted if required by written contract per Waiver of Transfer of Rights of Recovery Against Others To Us Endorsement XIC40410/07. Workers' Compensation: Waiver of Subrogation is granted if required by written contract per Waiver of Our Right to Recover from Others Endorsement form #WC000313 04/84. Umbrella Policy: Follow form over General Liability, Auto Liability and Employers Liability. SAGITTA 25.3 (2016/03) 2 of 2 #S19211978/M19209171 3579