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I IT <br />ACORL> CERTIFICATE OF LIABILITY INSURANCE <br />�/ <br />DaT[IMMnX 1111 <br />VV25.2022 <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: B the Certificate holder Is an ADDITIONAL INSURED, the pollcy(las) must have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED. subject to the forma and condillons of the policy certain policies may require an endorsement. A statement on <br />this certificate does not confer rights to The corUficate holder In [leu of such endwsement(a). <br />PRODUCER <br />CONTACT COME Amanda NDgUe1 <br />Eastem Insurance Group.1.Inc <br />vHoxE (305)595-3323 CtRNi (305)595.7135 <br />7400 SW 501h Terrace <br />AD h—,[. amanda®ealmmnwrarlCeml <br />Suite 100 <br />INSURER a AFFOROINOCOW"09 RAIC4 <br />mSUireR a Allied World Insurance Co 22730 <br />Alam IL 1311 5 <br />INSURED <br />INSURER a Allied World Specialty Insunwee Co 18624 <br />Bore Tech Uiibei d Mam erne. Inc. <br />INSURER C A;col Specialty Insurance Co. 45055 <br />19025 SW 194 Avenue <br />wwRER D. &Idgeheld Casualty Insurance 10335 <br />INSURE R f <br />Miarm FL 33167 <br />wwREAF <br />COVERAGES CERTIFICATE NUMBER: MOON 22-23 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 REOUIREMENT. TERM OR CONDITION OF ANY CONTRACTOR 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 />EXCLUSIONSAND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS <br />flat <br />LTR <br />TVPEa INSURANCE <br />A <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />POLICYNWB" <br />�ii EFF <br />TwoomrrtMMODNYMLABTB <br />16070 Collas Avenue <br />AUiHOR17E0 REPRESENTATIVE <br />Sunny TIES beach FL 33160 <br />COMILERCMLGENERALLIA ITY <br />EKMOCGIRIRENCF $ 1.00O.DOO <br />CUIMSANOE ® OCCUR <br />M E $ 100.000 <br />r <br />LFDF%PAApy $ 10.000 <br />PEA$ONAL E AW INAJRr S <br />A <br />Y <br />Y <br />6004-0933 <br />0971012021 <br />0911fi20221.000.000 <br />GENT AGGREGATE LINT APPLES PER <br />GENERIC AGGREGATE $ 2.000.000 <br />POLICY 19 ACCTT O IOC <br />PRODUCTS-COMBOP AOG 3 2•�•D� <br />$ <br />OTHER <br />LMINUTY <br />CCIVOINED SIh0AE L"T $ 1.000.000 <br />Booty I"JURY LPN W.) S <br />ANYAUTO <br />NOMMU <br />OOWNE Orav AUTOS FO <br />5000.1214 <br />097162021 <br />09116622 <br />801XLY WURr rPa AcaOolrl $ <br />PROMRIV DAAAAGE $ <br />HIRED P NONQPMED <br />AUTOSGIa.'r AUTOSONLY <br />Uninsured mollooysl 3 20.ODO <br />I <br />UMBRELLA LIRA <br />OCCUR <br />EKnOCCURRENCE •-• S 5.ODD'000 <br />AcGREWE s 5.000.000 <br />C <br />MEW LMB <br />GLAA1TyIM0E <br />ESXS211DOW438-01 <br />M162021 <br />0/1/180022 <br />OED <br />I I RETENTION 3 <br />$ <br />D <br />wqm scoriENUTM <br />AND Er Or LIABILITY <br />ANY PROPRN!1pWRWTwE XECUTNF rOy <br />IFLIPgMpyNNHI <br />NIA <br />19648483 <br />0/7170022 <br />0471712023 <br />>41H' <br />T 1R <br />El GCH KGDExt 1.0-00.0-00OFFICERrI.EMBERE%IXUOEDT <br />EL dSEA$E •EAEAVROYEE f 1 00g OW <br />EL. QSEASE •POLX:V LIMIT It 1.000.000 <br />bVeF.11sidnaF,XNIFr <br />DESCRIPTIONOF (WERAnOFL eew <br />OESCRIPTION OF OPERATIONS ILOCATIONS l VEHICLES IKORD 101. AINIAlOnx R.si SnMNRN. Nor W aeadNM If Nei NN OIs NNNINIM <br />Nectwral BOr g Contractor <br />No 22114-01 <br />Blanket add4bm101 insured applies to Celbbcale holder with rospecf!. W General I-Abdoty, wren re mored by written contract. <br />BImI ki waiter of SUbrogabon applies to ENTIcale holder with respects to GNii L Iabibly <br />CANCELLATION <br />CERTIFICATE HOLDER <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 />City of Surety I -les Beach <br />16070 Collas Avenue <br />AUiHOR17E0 REPRESENTATIVE <br />Sunny TIES beach FL 33160 <br />--y <br />®1938.2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016(03) The ACORD name and logo are registered marks of ACORD <br />