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A� ® CERTIFICATE OF LIABILITY INSURANCE DATE/05/20/YYYY) <br />11/05/2020 <br />THIS CERTIFICATE IS ISSUED ASA 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 CONTACT Sandra LaRue <br />NAME: <br />Frank H. Furman, Inc. ql� n Ear: (954) 943-5050 Flc, No: (954) 942-6310 <br />1314 East Atlanfic Blvd. E-MAIL sandra@furmaninsurance.com <br />ADDRESS: <br />P. O. BOX 1927 INSURERS) AFFORDING COVERAGE NAIL N <br />Pompano Beach FL 33061 INSURERA: Admiral Insurance Cc 111) 24856 <br />INSURED slraFe n, Crum & Forster Indemnity CD (us) 31348 <br />AUM Construction Inc <br />8950 NW 119th St <br />I INSURER c : National Union Fire Ins Co of Pittsburgh PA <br />19445 <br />INCrmFR n. Businessfirsl Insurance Cc <br />11697 <br />I Hialeah Gardens FL 33018 I INSURER FI I <br />COVERAGES CERTIFICATE NUMBER: B: 20 WC/AU & 19 GL/UM 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 />INSR <br />LTR <br />TYPE OF INSURANCE <br />INSD <br />MO <br />POLICYNUMBER <br />POLICY EFF <br />MMIDMYYYY) <br />POLICY EXP <br />MMIDDIYYYY <br />LIMITS <br />logo are <br />X <br />COMMERCIAL GENERAL LIABILITY <br />of ACORD <br />EACH OCCURRENCE <br />10000,000 <br />CIAIMG-MADE ® OCCUR <br />DAMA ET RENTED <br />PREMISES ERENTE occurrence)S <br />150,000 <br />MED EXP (Any one person) <br />§ 1,000 <br />PERSONAL &ADV INJURY <br />§ 1,000,000 <br />A <br />Y <br />Y <br />CA00003679201 <br />12/01/2019 <br />12/01/2020 <br />GEN'LAGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE <br />5 2,000,000 <br />- <br />POLICY FX—] PRO- ❑ <br />JECT LOC <br />IO <br />PRODUCTS - COMPPAGG <br />5 2,000,000 <br />S <br />OTHER. <br />AUTOMOBILE <br />LIABILITY <br />COMaBINdEEDI SINGLE LIMIT <br />S 1,000,000 <br />X <br />BODILY INJURY (Per person) <br />$ <br />ANYAUTO <br />B <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />Y <br />Y <br />1337479902 <br />07/03/2020 <br />07/03/2021 <br />BODILY INJURY (Per accident) <br />$ <br />X <br />PROPERTY DAMAGE <br />Per accident <br />§ <br />HIRED NON -OWNED <br />X <br />AUTOSONLY AUTOSONLV <br />PIP -Basic <br />s 10,000 <br />X <br />UMBRELLALIAB <br />X1 <br />OCCUR <br />EACH OCCURRENCE <br />s 5,000,000 <br />AGGREGATE <br />$ 5000,000 <br />C <br />EXCESS UAB <br />CLAIMSMADE <br />Y <br />BE020770240 <br />12/01/2019 <br />12/01/2020 <br />DED <br />I <br />I RETENTION S <br />$ <br />D <br />WORKERS COMPENSATION <br />ANDEMPLOYERS'LIABILITY VIN <br />RIEXECUTIVE <br />ANY PROPRIMBER/ EXCLUDED? <br />OFFICER/MEMBER EXCLVOED? <br />(Mandatory NH) <br />NIA <br />Y <br />052171590 <br />06/18/2020 <br />06/18/2021 <br />X1 <br />PER <br />STATUTE <br />OTH- <br />ER <br />E. L. EACH ACCIDENT <br />5 1,000,000 <br />E.L. DISEASE EA EMPLOYEE <br />$ 1,000,000 <br />mister <br />Dyes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE -POLICY LIMIT <br />3 1,000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be allached if more space Is required) <br />Re: Golden Shores Park, Sunny Isles Beach, Golden Shores Street Lighting No, 200901. City of Sunny Isles Beach is included as additional insured <br />regarding General Liability & Auto as required by written contract. Waiver of Subrogaton applies to General Liability Auto and Workers Compensation as <br />required by written contract. <br />City of Sunny Isles Beach <br />18070 Collins Avenue <br />Sunny Isles Beach <br />(2016/03) <br />ACORD 25 <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 />AVTHORI2ED REPRESENTATIVE <br />©1988-2015 ACORD <br />CORPORATION. <br />All <br />rights <br />reserved. <br />The ACORD <br />name and <br />logo are <br />registered <br />marks <br />of ACORD <br />