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ACCPRD CERTIFICATE OF LIABILITY INSURANCE DATE �;� ;�Y"' <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION 0N1,Y AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMID, E%T1:ND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW_ THIS -CERTIFICATE OF INSURANCE -DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(SI, AUTHORIZED <br />ESENTATIVE OR PRODUCER, ANO THE CERTIFICA7E ACLDER. <br />RTANT: ff the certiftate holder is an ADDITIONAL IN URED, the policy(ies) must be endorsed- If SURROGATtON 19 WAIVED, yuhjticl to <br />the terns and conditions of the policy, pertain policies may require an endorsement_ A statement on this certificate does not canler rights to the <br />certificate holder in lieu of such endorsement(s). <br />;ROD rCEH GQllYAGC <br />NAVE: Patti Gar'elE <br />Harden and Associates PH17N'E <br />5131 Riverside AtienOe, Suite 1 GOO : IKA-421-5223 Fart Na : 904 4fi5-4380 <br />— <br />Jacksonvilh FL 32202 A ti'eAs: bsrrett h0rdefiin5 ht.OPrri <br />INSURERASI AFFORDING COVERAGE I NAIL 4 <br />NSURED DISAGPE-01 ' <br />0isasler Program & 0perations, Inc <br />1 O031_Saworass Drive W, Ste_ 121 _. <br />Ponta Vedra FL 320132-2832 <br />C©VERA13FS <br />CERTIFICATE NUMBER. 444473953 <br />INSUAM A: GOVIn bUrI SpeClal!y NG CO <br />INSURER e: Admiral lnsurwiw Company <br />I L5IJRER c : Ott! DOmirlion In5Urance Cc <br />IHsuREitE1: StarStone NakianaI InsuraTlte Comparly <br />LNAURFR F' <br />INSUR ER F _ <br />— - - REVISION NUMBER. <br />24855 <br />THIS 15 TO CERWY THAI 111E POLICIES OF INSURANCE L1511W BELOW HAVE BEEN HUED TO THE IN$WRED NAMED ABOVE FOR THE POLICY PERIO-D <br />INDICATE0_ NOTWITHSTANDING ANY REQUI,RGMCNr, IEFtM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY P€RT. PJN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBEt7 HLEREIN IS $V9JECT To ALL. ME XER,LIS. <br />EXCLI1SIpNSANI)CQNDITIQN$Of SUCH POLICI-S_ LIMIT$ $HOVMMAYHAV3= BF,EN REDUCED BYPAID CLAIMS. <br />TE OF IHSURAN[E LNgR SNLep YP1 Poucy NUMBER -- E rM W♦aDYfYYYY} k IM�8Uu0Q1YVY�YPYI <br />UMFTS <br />A. ivEN!<RALUAMIEITY <br />_ DOMMERCLALGENERALLIABIiITI' <br />CL Wrt,ytN.9E nOGGIJR <br />}VBA563180 <br />Sn9M17 f <br />f <br />1v1s7!na <br />FACLLOCCURRENCk <br />_PREMISES[Eeo(w?etyFa]SIIX%,[xto <br />r•:Ep EXPR'y <br />IFab7N'rwni <br />15-PM.9LT_9_ . <br />SSlrOp - <br />_ <br />PCRSOHa1L S Ai]V INJUtIY <br />S t 0m wo <br />N'L ACCHFGATF LIMIT aPPLIES PER: <br />5jEIA <br />PRbDUGT5 - COMPMP AGG ! <br />�C <br />J <br />I h P8LIC3' ---j PRO. i..,- lQC <br />S <br />C 1 I)TOMOIILILt LIASEUYY <br />BlTB5752 <br />E11M017 <br />UI&Q I) <br />CONGINEDSINGLZ1.1%aT <br />.� @BCCideh5l <br />51,L7000CU , <br />BODILY INJURY (Pc• pemxil <br />A,MY AUTO <br />3 <br />AUTALL O D SCAUH46ULFDIRQDLLYINJURY(PernvJrcrl) <br />'Y` H1R�DAUTLt$ NUN-OVWED <br />AL TO5 <br />N <br />3 <br />PROPERTYWAAGE <br />-IPgr arx perrl <br />Is <br />5 <br />D I <br />}(I <br />UMBRELIAWAIN <br />,, <br />GCCUR <br />3890:V1,70ALS <br />811SM0 <br />SAW010 <br />€,fd;HOCCURRFNtF. <br />SII;Oti:OLHY -• <br />I <br />I <br />"CESS UAE <br />,w <br />CWr.1S4AnUF <br />AGGFIc'GATE <br />DED I I RE1EN110.0 <br />I <br />3 <br />WOMER5 COMPENSAnON <br />AND EMPLOYERS' LIABILrrY Y! N <br />Aw P•iOFrli6r0PlP,1FrP4ERIU=_0UTIVE <br />Or-Fjr-SAP EMaFR=X(3LWIE17 <br />I.Mandocory in RKJ <br />NIA <br />i <br />I <br />I t M STSTATU- !Or,- <br />1 0�'nY L.IiA1T$ L LIK. <br />_ „�. •, <br />S <br />E.L FACH AGI]II32 NT <br />E.- INSEASE- E., E111PLOYEd <br />5 <br />E.L. DISEASE POiICYiIM1T <br />I r <br />Irny�!et Pa uhda( <br />DE'CRLPT10N CF OPERATIONS beWn <br />II <br />d AVoS'IrralLWO) 1F.00dJ03e721CX2 211&"17 Fuld 90tR <br />L]CCJAw 1C0O.MA <br />DF5CRI?TII]N OF OPERATIONS LOCATIONS rVENICLES [ArIAr,A ACORP 1Q1. AcKilanal Rarn4 rkfi Wedule, ITmo v space 19 raquir 41 <br />City of Sunny Islas Deaeh <br />DfFce of the City Clerk <br />1$07Q Cdlins Averwe <br />$vnny Isles Reach FL 33160 <br />3HOULO ANY OF THE ABOVE DEECRID ED POLICIES BE CANOE LLEQ RE'FQRE <br />THI: EXPIRATION DATE THEREOF, NOTICE WILL 9E DELIVHRED IN <br />ACCOIRDANCEY+f" THE; POLICY PROVISIONS, <br />AU5}11 NLUD REPRM141TATryE <br />'A't� , 11� !w'W*'�"- <br />0108.2010 ACGRD CORPORATION, All 41jhts nerved, <br />ACQRD 25 (20101061 'the ACORQ narnla and logo Am registered marks of ACORO <br />0 <br />m <br />