Laserfiche WebLink
<br />." <br /> <br />.----., <br /> <br />ACORD~ CERTIFICATE OF LIABILITY INSURANCE I DATE (MMlDDIYYYY) <br />~ 6/10/2009 <br />PRODUCER (813)890-0415 F~X: (813)885-4311 i THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Prime Group Insurance Services ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />5440 Beaumont Center Blvd. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Sui te #445 <br />Tampa FL 33634 INSURERS AFFORDING COVERAGE NAIC# <br />INSURED INSURER A; Employers Preferred Ins. Co. <br />Tenex Enterprises, Inc. INSURER B: , <br />850 SW 14th Court INSURER c: I <br /> , <br /> INSURER 0: I <br />Pompano ,BeaCh FL 33060 , <br /> INSURER E; , <br /> <br />COVERAGES <br /> <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICA TED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OISUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />I~~~~~ TYPl=nF POUCYNUMBER 16mq~~6~~1 ~!ftf~~~~~1 <br />j ~NERALUABILITY I I i EACH OCCURRENCE <br />I ; ~~~;;.~J~E~~:;;:'n""l $ <br />""Ii, -:"AMMERCIAL GENERAOL LIABILITY ., <br />W CLAIMS MADE OCCUR i i i 1 MED EXP (Any one jle(!(ln> S <br />-; ; <br />, i PERSONAL & ACJV INJURY S <br />;- GENERAL AGGREGATE I s <br />I' ~N'1.. AGGREGAT;E LIMIT A~S PER: PRODUCTS - COM PlOP AGG ! S <br />~~n~I'~ I <br /> <br />I I~OMOBILEUABILlTY ! 'I COMBINED SINGLE LIMIT I s <br />_ ANY AUTO ! ! (Ea aced.nt) <br />I i <br />_ ALL OWNED AUTOS i ! BODILY iNJURY <br />i (Per porson) <br /> <br />UMITS <br /> <br />_ SCH,EDULED AUTOS <br />_ HIRED AUTOS <br />-... NON.cWNED AUTOS <br /> <br />, $ <br />i <br /> <br />1 <br /> <br />I <br />I <br />16/30/2009 <br />I <br />I <br /> <br />I <br />, <br /> <br />1$ <br /> <br />PROPERTY DAMAGE I S <br />(Per aco:dent) ! <br /> <br />I AUTO ONLY. EA ACCIDENT $ <br /> <br />I OTHER THAN EA ACC S <br />i AUTO ONLY: AGG I S <br />, <br />is <br />is <br /> <br />EACH OCCURRENCE <br /> <br />BODILY INJURY <br />(Per aco:dent) <br /> <br />nRAce LlAB1llTY <br />M ANY AUTO <br /> <br />i EXCESSI UMBREllA. LIABILITY <br />~. OCCUR 0 ClAIMS MADE <br /> <br /> <br />DEDUCTIBLE <br /> <br />RETENTION S <br />A WORl<ERSCOMPENSAnON I <br />AND EMPLOYERS'LIABIUTY Y t N ! <br />ANY PROPRIETORIPARTNERf.EXECUTJVE 0 ! <br />OFFICER/MEMBER exCLUDED? I <br />; (Mandatory In NH) ii'CV70614!l2 <br />lit yes. describe under . <br />SPECIAL PROVISIONS below <br />I OTliER <br /> <br /> <br />; <br /> <br />AGGREGATE <br /> <br />i <br />i <br />I <br /> <br /> <br />16/30/2010 <br />, <br />! <br /> <br />$ <br />S <br />I s <br />! X I T~~~IfJ,~s I X I OJ~.1 <br />1 E.L EACH ACCIDENT Is <br />E.L D1SEAS= - fA EMPLOYES S <br />E.L DISEASE - POLICY LIMIT S <br /> <br />1 000.000 <br />1 000 000 <br />1 000 000 <br /> <br />OESCRlPTION OF OPERATIONS I LOCA nONS I VEHICLES t EXCLUSIONS ACOED BY ENDORSEMENT t SPECIAL PROVISIONS <br /> <br />CERTIFICATE HOLDER <br /> <br />CANCELLATION <br /> <br />SHOULD ANY OFTHEABOVE DESCRIBED POUC1ES BE CANCELLED BEFORE TIlE EXPIRATJON <br />DATE THEREOF. TIlE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ DAYS WRImN <br />NOTICE TO TIlE CERTIFICATE HOLDER NAMED TO TIlE LEFT. BUT FAILURE TO 00 SO SHALL <br />IMPose NO OBUGATlON OR LIABIUTY OF ANY KlNO UPON TIle INSURER, ITS AGENTS OR <br />REPREseNTATIVes. <br />AUTliORlZED REPRESENTATIVE ~ .,c.?'c7 ~~~A~ <br />~d Ellsasser <br /> <br />ACORD 25 (2009/01) <br />INS025 (2009(1) <br /> <br />@ 1988-2009 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />