Laserfiche WebLink
. at. R CERTIFICATE OF LIABILITY INSURANCE <br />`-� <br />DATE08/17/2020 1 <br />oam/zozo <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 les) must have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement A statement on <br />this certificate does not confer rights to the Certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />Siet@Fafllf LAZZO MARTIN INSURANCE AGENCY <br />A, <br />5500 S DIXIE HNVY, STE A <br />A a WEST PALM BEACH, FL. 33405 <br />CONTACT <br />NAME! <br />PNONE 561547-3905 FAX 561-547-3908 <br />C No: <br />ADDRESS: p1ESS: <br />INSURERS AFFORDING COVERAGE NAICM <br />INSURERA: State Faun Mutual Automobile Insurance Company 25178 <br />INSURED <br />M HAJJAR & ASSOCIATES INC <br />45 VALENCIA AVE <br />CORAL GABLES, FL. 33134 <br />INSURER e: <br />INSURERC: <br />INSURER D: <br />INSURER E: <br />INSURER F: <br />EACH OCCURRENCE S <br />44;491410710 <br />.._.._._....,...,_, - <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 />INSR <br />L <br />TYPE DF INSURANCE <br />ODLBUBR <br />POLICY NUMBER <br />MMIDDYEFF <br />MIVDD EXP <br />LIMITS <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE ❑ OCCUR <br />EACH OCCURRENCE S <br />NTED <br />PREMISES Eeocau,renca $ <br />MED UP (Any oneperson) S <br />PERSONAL If ADV INJURY S <br />GENT AGGREGATE LIMIT APPLIES PER: <br />POLICY ❑ JECT LOC <br />OTHER: <br />GENERAL AGGREGATE S <br />PRODUCTS -COMP)OP AGG S <br />E <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />OWNED F-1 SCHAUTOS ONLY ALTOSULEO <br />HIRED NON -OWNED <br />NED <br />AUT0.q ONLY AUTOS ONLY <br />9464558 -D01 -59C <br />04/01/2020 <br />04/0112021 <br />CEOMeBBIINEDISI GLE LIMIT S <br />BODILY INJURY(Parpamorl) E 1,00D 000 <br />BODILY INJURY (Per accident) E 1,000,000 <br />PROPERTY DAMAGE E 1,000,000 <br />Pereaddenl <br />COMP/COLL E 500 <br />UMBRELLA LAS <br />EXCESS LIA6 <br />OCCUR <br />CLAIM&WIDE <br />EACH OCCURRENCE $ <br />AGGREGATE S <br />DED RETENTION <br />E <br />WORKERS COMPENSATIONP <br />ANO EMPLOYERS' LIABILITY YIN <br />ANY PROPRIETORIPARTNERIEXECUTNE <br />OFFICERIMEMBER EXCLUDED? <br />'Mandatory In NH) <br />R as, tlesmLa _.'WDESCRIPTION OF OPERATIONS below <br />NIA <br />R OTH- <br />STAT TE ER <br />E.L. EACH ACCIDENT $ <br />E.L. DISEASE. EA EMPLOYE $ <br />E.L DISEASE -POLICY LIMIT S <br />DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached If mon apace Is required) <br />2011 HYUNDAI GENESIS <br />VIN: KMHHT6KD48UO56771 <br />City of Sunny Isles Beach <br />18070 Collins Ave. 41h floor <br />Sunny Isles Beach, FL 33160 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NNppTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PRO NS. _ <br />AUTHORIZED REPRESENTATIVE <br />©1 <br />All richts <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />1001486 132809.12 03-182016 <br />