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Client#: 1951528
<br />AAAFLBA
<br />ACORD,. CERTIFICATE OF LIABILITY INSURANCE 1
<br />DATE (MM/D..YYY)
<br />1/06/2023
<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 any rights to the certificate holder in lieu of such endorsement(s).
<br />PRODUCER
<br />USI Insurance Services, LLC
<br />Lic # OG11911
<br />21250 Hawthorne Blvd. Ste. 380
<br />Torrance, CA 90503
<br />CONTACT Angela Jamir
<br />PHONE FAX
<br />(AIC, No, Ext): 424 390-0055 A/C, No):
<br />E-MAIL g
<br />ADDRESS: an eta. amir usi.com
<br />INSURER(S) AFFORDING COVERAGE NAIC #
<br />INSURER A: Associated Industries Ins. Co., Inc. 23140
<br />INSURED
<br />INSURER B: Travelers Property Cas. Co. of America 25674
<br />AAA Flag and Banner Manufacturing Co.lnc
<br />INSURER C: Travelers Indemnity Company of CT 25682
<br />8955 National Blvd
<br />Los Angeles, CA 90034
<br />INSURER D:
<br />- - -_ - - _ -- - --
<br />INSURER E
<br />INSURER F:
<br />COVERAGES CERTIFICATE NUMBER: 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 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 />ADDL
<br />INSR
<br />SUBR
<br />WVD
<br />POLICY NUMBER_______MM/DD/YYYY-,(MM/DD/YYYY)
<br />POLICY EFF , POLICY EXP
<br />I LIMITS
<br />A
<br />X COMMERCIAL GENERAL LIABILITY
<br />AES121768100
<br />5/15/2022105/15/2023' EACH OCCURRENCE $1,000,000
<br />1 7X]
<br />1 DAMAGE TO RENTED
<br />'�, 100,000
<br />CLAIMS -MADE OCCUR
<br />PREMISES Ea occurrence $
<br />MED EXP (Any one person) $ 5,000
<br />_ PERSONAL & ADV INJURY S1,000,000
<br />GEN'L AGGREGATE LIMIT APPLIES PER:
<br />GENERAL AGGREGATE 52,000,000
<br />X POLICY PRO- LOC
<br />—F—
<br />PRODUCTS - COMP/OP AGG $2,000,000
<br />— -
<br />OTHER:
<br />S
<br />_.--- --
<br />C AUTOMOBILE LIABILITY
<br />- - ----------,1
<br />BA1T7105062243G
<br />5/15/2022, 05/15/2023, COMBINED SINGLE LIMIT 1,000 OOO
<br />(Ea accident) S r
<br />X ANY AUTO
<br />_
<br />!1 BODILY INJURY (Per person) S
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUTOS
<br />BODILY INJURY (Per accident) $
<br />X NON -OWNED
<br />X HIRED
<br />PROPERTY DAMAGE $
<br />AUTOS ONLY AUTOS ONLY
<br />Per accident
<br />i5
<br />A X
<br />UMBRELLA LIAB X
<br />OCCUR
<br />EXA1221781
<br />5/15/2022105/15/2023, EACH OCCURRENCE $5,000,000
<br />EXCESS LIAB
<br />CLAIMS -MADE
<br />AGGREGATE $5,000,000 __
<br />DED X RETENTION$10000
<br />$
<br />_
<br />WORKERS— - —
<br />B
<br />---------...-..---------------~
<br />UB1T7153542243G
<br />-------------
<br />5/15/2022 05/15/2023,'' X STATUTE ERH
<br />AND EMPLOYERS' LIABILITY YIN
<br />I _.----
<br />'ANY PROPRIETOR/PARTNER/EXECUTIVE:
<br />1 E.L. EACH ACCIDENT 1$1,000,000
<br />OFFICERIMEMBER EXCLUDED? N
<br />NIA
<br />(Mandatory in NH) —
<br />E.L. DISEASE - EA EMPLOYEEI $1,000,000
<br />j If yes, describe under
<br />DESCRIPTION OF OPERATIONS below',
<br />E.L. DISEASE - POLICY LIMIT $1,000,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
<br />City of Sunny Isles Beach
<br />18070 Collins Ave
<br />Sunny isles Beach, FL 33160
<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 />AUTHORIZED REPRESENTATIVE
<br />© "88-2015 ACORD CORPORATION. All rights reserved
<br />ACORD 25 (2016/03) 1 of 1 The ACORD name and logo are registered marks of ACORD
<br />#S38661387/M35969035 NYGZP
<br />
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