Laserfiche WebLink
ACC>R "® <br />CERTIFICATE OF LIABILITY INSURANCE <br />DATE (MM/DD/YYYY) <br />CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />09/24/2021 <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 James Murphy <br />NAME: <br />PHONE(954) 776-2222 FAX (954) 776-4446 <br />o ExtI: IAIC, Nol: <br />AIC No. <br />Brown & Brown of Florida, Inc. <br />1201 W Cypress Creek Rd <br />E-MAIL <br />ADDRESS: Certs@bbftlaud.com <br />INSURER(S) AFFORDING COVERAGE NAIC # <br />Suite 130 <br />Fort Lauderdale FL 33309 <br />INSURERA: Zurich American Insurance Company 16535 <br />INSURED <br />INSURER B: American Guarantee and Liability Insurance Company 26247 <br />Hypower, Inc. <br />INSURER C : <br />5913 NW 31 stAvenue <br />INSURER D: <br />INSURER E: <br />MED EXP (Any one person) $ 10,000 <br />Fort Lauderdale FL 33309 <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER. CL2141254719 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAYBE 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 />WVD <br />POLICY NUMBER <br />POLICY EFF <br />MMIDD <br />POLICY EXP <br />MMIDDIYYYY <br />LIMITS <br />Sunny Isles Beach FL 33160-0000'���f� <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE $ 2,000,000 <br />CLAIMS -MADE © OCCUR <br />PREMISES Ea occurren$ 300,000 <br />ce <br />MED EXP (Any one person) $ 10,000 <br />Contractural Liability <br />X XCU Included <br />PERSONAL &ADV INJURY $ 1,000,000 <br />A <br />Y <br />GLOO11540106 <br />05/01/2021 <br />05/01/2022 <br />GEN'LAGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE $ 4,000,000 <br />POLICY JECT PRO LOC <br />PRODUCTS - COMP/OP AGG $ 4,000,000 <br />$ <br />OTHER: <br />AUTOMOBILE LIABILITY <br />COMBINEa accidentD SINGLE LIMIT $ 2,000,000 <br />E <br />BODILY INJURY (Per person) $ <br />ANY AUTO <br />A <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />BAP011540306 <br />05/01/2021 <br />05/01/2022 <br />BODILY INJURY (Per accident) $ <br />PROPERTY DAMAGE $ <br />Per accident, <br />HIRED NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />PIP $ 10,000 <br />UMBRELLA LIAB <br />X <br />OCCUR <br />EACH OCCURRENCE $ 10,000,000 <br />AGGREGATE $ 10,000,000 <br />B <br />EXCEss LIAB <br />CLAIMS -MADE <br />AUC932011607 <br />05/01/2021 <br />05/01/2022 <br />DED I X RETENTION $ 0 <br />$ <br />B <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY Y/ N <br />ANY PROPRIETOR/PARTNER/EXECUTIVE a <br />OFFICER/MEMBER EXCLUDED? <br />(Mandatory in NH) <br />N/A <br />WC011540206 <br />05/01/2021 <br />05/01/2022 <br />X SPER <br />TATUTE EORH <br />E.L. EACH ACCIDENT $ 1,000,000 <br />E.L. DISEASE - EA EMPLOYEE $ 1,000,000 <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT $ 1,000,000 <br />DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) . <br />ITB 21-08-01 Utility Undergrounding Golden Shores <br />City of Sunny Isles Beach is additional insured with respect to General Liability if required by written contract. <br />CERTIFICATE HOLDER CANCELLATION <br />@ 1988-2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />City of Sunny Isles Beach <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />18070 Collins Avenue <br />AUTHORIZED REPRESENTATIVE <br />Sunny Isles Beach FL 33160-0000'���f� <br />@ 1988-2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />