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ACORO® CERTIFICATE OF LIABILITY INSURANCE <br />lk.� <br />DATE(MWDD/YYYY) <br />1 08/17/2020 <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 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 />CONTACT <br />NAME: John Lombardo <br />PHGNE 954) 958-0876 FAX No): 954 958.0873 <br />JAL Insurance Services <br />.MAIL <br />Do IL s: jlombardo@ alinsurance.com <br />1719 E. Commercial Blvd. <br />INSURERS AFFORDING COVERAGE NAC e <br />05/21/2021 <br />INSURER A: SCOTTSDALE INSURANCE COMPANY 41297 <br />Fort Lauderdale FL 33334 <br />INSURED <br />INSURER 6: <br />INSURER C: <br />M. Hai & Associates, Inc. <br />INSURER D, <br />AGGREGATE LIMIT APPLIES PER: <br />POLICY PRO- <br />JECT r7 LOC <br />OTHER: <br />INSURER E: <br />45 Valencia Ave <br />INSURER F: <br />Coral Gables FL 33134 <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 />ILTN <br />TYPE OF INSURANCE <br />ADDL <br />IMMUL <br />SUBR <br />POLICY NUMBER <br />POLICY EFF <br />MWDONYYYI <br />POLICY EXP <br />(MWOONYYVI <br />LIMITS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE FXIOCCUR <br />QQALT-A <br />05/21/2020 <br />05/21/2021 <br />EACH OCCURRENCE $ 1,000,000 <br />PREMISES Ea occurrence $ 100.000 <br />GEN'L <br />X <br />MED EXP(My one Person) $ 5,000 <br />PERSONAL& ADV INJURY $ 1,000,000 <br />AGGREGATE LIMIT APPLIES PER: <br />POLICY PRO- <br />JECT r7 LOC <br />OTHER: <br />GENERAL AGGREGATE $ 2,000,000 <br />PRODUCTS-COMP/OP AGG $ O <br />DEDUCTIBLE s 0 <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />HIRED NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />COMBINED SINGLE LIMIT $ <br />Ea accident <br />BODILY INJURY (Per person) $ <br />BODILY INJURY (Per accident) $ <br />PROPERTY DAMAGE $ <br />Peraccident <br />UMBRELLA LIAB <br />E)i LAB <br />OCCUR <br />CLAIMS -MADE <br />EACH OCCURRENCE $ <br />AGGREGATE $ <br />DED RETENTION <br />$ <br />WORKERS COMPENSATION <br />ANO EMPLOYERS' LIABILITY YIN <br />ANY PROPRIETOR/PARTNERIEXECUTIVE ❑ <br />OFFICER/MEMSER EXCLUDED? <br />(Mandatory In NH) <br />IrS6 describe under <br />DESCRIPTION OF OPERATIONS below <br />NIA <br />PER OTH- <br />STATUTE ER <br />E.L. EACH ACCIDENT $ <br />E.L. DISEASE - EA EMPLOYE $ <br />E.L. DISEASE -POLICY LIMIT $ <br />DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached 11 more apace Is required) <br />City of Sunny Isles Beach <br />18070 Collins Ave. 4th Floor <br />Sunny Isles Beach <br />FL 33160 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />c9 1115$-2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />