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Progressive <br />P 0.8nx.94739 <br />Clevelard, OH 44101 <br />1.800.895.2886 <br />Certificate of insurance <br />,COMMEXC14Z <br />Policy number: 01136343-1 <br />d ndenvritten by <br />Progressive Express Ins Company <br />May 31, 2021 <br />Page 1 of 2 <br />Cortifitata Ifa4dar <br />Policy Ex 'iration at .. <br />/ p Date: Sep 19, 2021 <br />Additional Insured <br />insurance covera e(s) <br />Bod'IF In'u ,rPra a Dama a <br />Bodi.i...1 ry,/P ..p.m .g ...............................•500,000 <br />CITi OF SUNNY ISLES BEACH <br />.. <br />18070 COLLINS AVE <br />3500,000 CSL Nan -Stacked <br />SUNNY ISLES BEACH, FL 33160 <br />Personal lnjury Protedior <br />Insured ..................... <br />Aga.aYsurplus lines Broker ...,............... <br />................ ............... ..... I ...... <br />LIGHTER UP LIC <br />PROG COMMERCIAL <br />137 NE 108TH ST <br />PO BOX 94739 <br />NORTH MIAMI, FL 33161 <br />CLEVELAND, OH 44101 <br />This document certifies that insurance policies identified below have been issued by the designated insurer to the insured <br />named above for the period(s) indicated, This Certificate is issued for information purposes only. It confers no rights upon <br />the certificate holder and does not change, alter, modify, or extend the coverages afforded by the policies listed below. <br />The coverages afforded by the policies listed below are subject to all the terms, exclusions, limitations, endorsements, and <br />conditions of these policies. <br />Poli Effective fga�'. Se 19, 2Q20 <br />cY p <br />Policy Ex 'iration at .. <br />/ p Date: Sep 19, 2021 <br />QI`{`�`.' <br />insurance covera e(s) <br />Bod'IF In'u ,rPra a Dama a <br />Bodi.i...1 ry,/P ..p.m .g ...............................•500,000 <br />Limits <br />Combined 5ingIeL...._,.......,......................... <br />gle Limit <br />.. <br />Uninsured Motorist <br />3500,000 CSL Nan -Stacked <br />L001 be JSSt&e <br />Personal lnjury Protedior <br />............. <br />410,000 w30 Ded - Named Insd 8r Relative <br />................. <br />Fjam l,'ns L ( 1 +}'S <br />Description of Location/Vehicles/Special Items <br />°t'Z �G � <br />Scheduled autos only <br />......................................................................................................................... <br />X <br />2020 FORDT-250 TRANSITV 1FTBR1C83LKA91439 <br />Medical Payments <br />1,5,000 <br />Comprehensive <br />$500 Ded <br />Collision <br />41,000 Ded <br />............................................................................................................................................................... <br />2020 FORD F550 1FDUF5HT4LEC47942 <br />.. . <br />Comprehensive <br />$500 Ded <br />Collision <br />$1,000 Ded <br />2019 ISUZU NPR HD 541)C4WIC9KS814535 <br />Medical Payments <br />$5,000 <br />Comprehensive <br />$500 Ded <br />Collision ...................................................................................................................... <br />$1,000 Ded <br />2020 F.... F5501FDUF5HT8LDA03653 <br />Comprehensive <br />$500 Ded <br />Cub, <br />