Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
C&T, COI, Professional Liability, 2023-2024
Client#: 1051523 CULPETER ACORDrM CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 5/22/2023 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 Linda Marini USI Insurance Services, LLC PHONE FAX (A/C,No,Ext): (A/C,No): 2502 N Rocky Point Drive E-MAIL TeamAECertificate@usi.Com Suite 400 ADDRESS: Tampa, FL 33607 INSURER(S)AFFORDING COVERAGE _ NAIC# INSURER A:Hudson Insurance Company 25054 INSURED INSURER B: Culpepper&Terpening Inc. INSURER c: 2980 South 25th Street INSURER D: Fort Pierce,FL 34981 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. TR TYPE OF INSURANCE INgp SUBDR POLICY POLICY EFF POLICY EXP LIMITS COMMERCIAL GENERAL LIABILITY 1O (MM/DDnYYY) {MM/DD/YYYY) �1 g 9 >r?'4 pEAgCH MAGECTpURRENCE RENTED $ CLAIMS-MADE OCCUR PREMISES(Ea occurrence) $ y {� �q+.., lw,..O MED EXP(Any one person) $ M6.''f".+; vPERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: S PRO w :q,�Y 2 3 2023 GENERAL AGGREGATE $ POLICY JECT LOC N PRODUCTS-COMP/OP AGG $ OTHER: \; \ $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT(Ea accident) $ ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILYINJURY(Peraccident) $ AUTOHREDS ONLY AUTOS NONOWNED tO` PROPERTY DAMAGE AUTOS ONLY _ AUTOS ONLY (Per accident) $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE .ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ A Professional X PRB0619115918 02/15/2023 02/15/2024 $2,000,000 per claim Liability $2,000,000 annl aggr. DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached it more space is required) Professional Liability coverage is written on a claims-made basis. Project No: 21-254 CERTIFICATE HOLDER CANCELLATION City of Okeechobee SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 55 SE 3rd Avenue ACCORDANCE WITH THE POLICY PROVISIONS. Okeechobee, FL 34974 AUTHORIZED REPRESENTATIVE I ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) 1 of 1 The ACORD name and logo are registered marks of ACORD #S40137031/M39155942 LYM E W