Loading...
GL/Umbrella/WC/Prof Liab 22-23 �...,,10 MORRI-1 OP ID:TN ,d►�O CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 12/07/2022 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 • ••- • conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to t • w-, $4 in lieu of such endorsement(s). PRODUCER A, CONTACT Tim Nolen Shea Barclay Group-NIS �7 NAME: 501E Kennedy Blvd,Suite 1000 PHONE 813-251-2580 813-251-2585 Tampa,FL 336020 43 "C (A/C,No,El: I FAX INC,No): p RFTIVE ll E-MAIL timLJsheabarclay.com Tim Nolen d' ADDRESS: M J INSURER(S)AFFORDING COVERAGE NAIC# n0 DEC 7 I N INSURER A:Everest National Insurance Co. 10120 INSURED •- `'� Continental CasualtyCNA 20443 Morris Depew Associates,Inc. INSURER B: -2914 Cleveland Avenue INSURER C: Fort Myers,FL 33901 �6• `_ n MI INSURER D: ♦'� 0�n y INSURER E: V 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. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LTR INSD WVD POLICY NUMBER lMMIDD/YYYYI !MM/DD/YYYY) LIMITS B X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR X B 6074588513 12/06/2022 12/06/2023 PREM SES(a otccurrence) $ 300,000 MED EXP(Any one person) $ 0+000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY X PRO- LOC 2,000,000 PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ ANY AUTO BODILY INJURY(Per person) , $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY (Per accident) $ $ B X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 EXCESS LIAB CLAIMS-MADE X B 6074588527 12/06/2022 12/06/2023 AGGREGATE $ 5,000,000 DED RETENTION$ B WORKERS COMPENSATION y PER _ $ AND EMPLOYERS'LIABILITY X STATUTE EERH ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N WC 6 79392872 08/05/2022 08/05/2023 1,000,000 OFFICER/MEMBER EXCLUDED? N N/A E.L.EACH ACCIDENT $ 1,000,000 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ E yes,describe under DESCRIPTION OF OPERATIONS below A A/E Professional AAEP000338-221 E.L.DISEASE-POLICY LIMIT $ 1,000,000 03/25/2022 03/25/2023 Per Claim 2,000,000 Liability Aggregate 2,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) ARCHITECTS&ENGINEERS PROFESSIONAL LIABILITY ON A CLAIMS-MADE BASIS WITH DEFENSE COSTS INSIDE THE LIMITS OF LIABILITY RE:21185-City of Okeechobee Planning Services CERTIFICATE HOLDER CANCELLATION CITYOKE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Okeechobee THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 55 SE 3rd Ave ACCORDANCE WITH THE POLICY PROVISIONS. Room 100 Okeechobee,FL 34974 AUTHORIZED REPRESENTATIVES ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD NOTEPAD: HOLDER CODE CITYOKE MORRI-1 PAGE 2 INSURED'S NAME Morris Depew Associates,Inc. OP ID:TN Date 12/07/2022 The City of Okeechobee is listed as an additional insured as respect the general and umbrlla insurance policies