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Client#: 1049107 EDGEARC
ACORDTM
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE OF LIABILITY INSURANCE
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.
THE PERRY COMPANY
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must 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 rights to the certificate holder in lieu of such endorsement(s).
PRODUCER
USI Insurance Services, LLC, 1715 N. Westshore Blvd. Suite 700 Tampa, FL 33607
CONTACT NAME:
PHONE 813 321-7500 (A/C, No, Ext):
FAX (A/C, No):
E-MAIL ADDRESS:
INSURER(S) AFFORDING COVERAGE
NAIC #
INSURER A : Phoenix Insurance Company
25623
INSURED
Edge Architecture, Inc.
13535 Feather Sound Drive #105 Clearwater, FL 33762
INSURER B : Travelers Indemnity Company
25658
INSURER C : Travelers Casualty & Surety Co
19038
INSURER D : Liberty Insurance Underwriters
19917
INSURER E : Travelers Indemnity Co of CT
25682
INSURER F :
COVERAGES
COMMERCIAL GENERAL LIABILITY
CERTIFICATE NUMBER: REVISION NUMBER:
INSR LTR
A
E
C
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.
X
AUTOMOBILE LIABILITY
ANY AUTO ALL OWNED AUTOS
HIRED AUTOS
SCHEDULED AUTOS NON-OWNED AUTOS
X
DED
TYPE OF INSURANCE
X
X
X
RETENTION $10000
OCCUR CLAIMS-MADE
ADDL INSR
X
X
SUBR WVD
X
X
6604749L637
BA2560L255
CUP6659Y936
UB6659Y900
POLICY NUMBER
POLICY EFF (MM/DD/YYYY)
07/01/2016
07/01/2016
07/01/2016
POLICY EXP (MM/DD/YYYY)
07/01/2017
07/01/2017
07/01/2017
PRODUCTS - COMP/OP AGG
COMBINED SINGLE LIMIT (Ea accident)
EACH OCCURRENCE
AGGREGATE
X
PER STATUTE
LIMITS
OTH- ER
$ 1,000,000
EACH OCCURRENCE
DAMAGE TO RENTED PREMISES (Ea occurrence)
$ 1,000,000
$ 10,000
MED EXP (Any one person)
$ 1,000,000
PERSONAL & ADV INJURY
$ 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
PRO-
POLICY JECT LOC
OTHER:
X
GENERAL AGGREGATE
$ 2,000,000
$
$1,000,000
BODILY INJURY (Per person)
BODILY INJURY (Per accident)
PROPERTY DAMAGE (Per accident)
$
$
B
X
$
$
X
UMBRELLA LIAB EXCESS LIAB
X
07/01/2016
07/01/2017
$2,000,000
$2,000,000
$
D
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
Y / N
Professional Liability
N
AEXNYABBS2V0
07/01/2016
07/01/2017
E.L. EACH ACCIDENT
E.L. DISEASE - POLICY LIMIT
$2,000,000 per claim $2,000,000 annl aggr.
$500,000
N/ A
E.L. DISEASE - EA EMPLOYEE
$500,000
$500,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Professional Liability coverage is written on a claims-made basis.
CLAIMS-MADE
OCCUR
CERTIFICATE HOLDER
ACORD 25 (2014/01) #S18088574/M18088552
CANCELLATION
© 1988-2014 ACORD CORPORATION. All rights reserved.
DATE (MM/DD/YYYY) 06/23/2016
For Proposal Purposes
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
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