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<br /> Client#: 21461 SOUTPRI1
<br /> ACORDTM DATE(MM/DD/YYYY)CERTIFICATE 'OF LIABILITY INSURANCE 1/15/2020
<br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS
<br /> CERTIFICATE DOES NOT AFFIRMATIVELY'OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
<br /> BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED
<br /> REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
<br /> IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.If SUBROGATION IS WAIVED,subject to
<br /> the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the
<br /> certificate holder in lieu of such endorsement(s).
<br /> PRODUCER CONTACT Angel McGhee
<br /> Lanier Upshaw,Inc. PHONE 863 686-2113 FAX 863 682-6292
<br /> SA/C,No,Ext): (AIC,No):
<br /> 1115 US Hwy 98 South EMAIL An eI.McGhee Lanieru shaw.com
<br /> ADDRESS: g P
<br /> P.O.Box 468
<br /> Lakeland,FL 33802 INSURER(S)AFFORDING COVERAGE NAIL#
<br /> INSURER A:Westfield Insurance Company 24112
<br /> INSURED INSURER B:North River Insurance Company - 21105
<br /> Southeastern Printing Company, Inc. • INSURER C addgefieldCasualty Insurance Cp 10335
<br /> 3601 SE Dixie Highway
<br /> Stuart, FL 34997 INSURER D
<br /> INSURER E:
<br /> INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
<br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
<br /> INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
<br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
<br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br /> LTR TYPE TYPE OF INSURANCE INSRL SUBR WVD POLICY NUMBER POLICY EFF POLICY EXP LIMITS
<br /> (MM/DD/YYYY) (MM/DD/YYYY)
<br /> A X COMMERCIAL GENERAL LIABILITY TRA0335552 07/01/2019 07/01/2020 EACH
<br /> �ES OCCURRENCE $1,000,000
<br /> PREMIS
<br /> CLAIMS-MADE X OCCUR (Ea occu ence) $500,000
<br /> MED EXP(Any one person) $5 000
<br /> PERSONAL&ADV INJURY $1,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000
<br /> PRO-
<br /> POLICY ' JECT LOC PRODUCTS-COMP/OP AGG $2,000,000
<br /> OTHER: $
<br /> A AUTOMOBILE LIABILITY TRA0335552 07/01/2019 07/01/2020 COMaaccidenBINE 1t)INGLELIMIT $1,000,000
<br /> {E
<br /> X ANY AUTO BODILY INJURY(Per person) S
<br /> ALL OWNED SCHEDULED BODILY INJURY(Per accident) $
<br /> AUTOS _ AUTOS
<br /> X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE $
<br /> AUTOS (Per accident)
<br /> X PIP PIP $10,000
<br /> B UMBRELLA LIAB _ OCCUR 5811114006 07/01/2019 07/01/2020 EACH OCCURRENCE , $15,000,000
<br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $15,000,000
<br /> DED RETENTIONS $
<br /> C WORKERSC0EIPENSATION 19642862 04/01/2019 04/01/2020 X STATUTE EORH
<br /> AND EMPLOYERS'LIABILITY
<br /> ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT $500,000
<br /> OFFICER/MEMBER EXCLUDED? y N/A
<br /> (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $500,000
<br /> If yes,describe under
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $500,000
<br /> A Printers E&O TRA0335552 07/01/2019 07/01/2020 $1,000,000 Each Claim
<br /> $2,000,000 Aggregate
<br /> $1,000 Deductible
<br /> DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required)
<br /> **Supplemental Name**
<br /> FDC Print, LLC
<br /> ***************************
<br /> Re: City of Sunny Isles RFP 19-12-01
<br /> I t
<br /> CERTIFICATE HOLDER CANCELLATION
<br /> 1 1
<br /> SunnyIsles Beach Government Center SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> City Clerk ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> .
<br /> 18070 Collins Ave 4th Floor
<br /> Miami, FL 33160 AUTHORIZEDyREPRESENTATIVE
<br /> `
<br /> 1 •
<br /> ©1988-2014 ACORD CORPORATION.All rights reserved.
<br /> ACORD 25(2014/01) 1 of 1 The ACORD name and logo are registered marks of ACORD
<br /> #S471015/M454959 ALM
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