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A`oRDO CERTIFICATE OF LIABILITY INSURANCE
<br />DATE Y)
<br />07111
<br />14/2022 arzOz2
<br />THIS CERTIFICATE IS ISSUED ASA 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 1S 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 />Gil, Garden, Avetrani Insurance Group
<br />CONTACT Alain Bencomo
<br />NAME:
<br />AJCO.N . Ext : {305} 630-4777 FAX_LtA, No); (305) 279-3022
<br />E-MAILabencomo@ggaig.com
<br />AODREss:
<br />10689 N. Kendall Drive
<br />INSURER(S) AFFORDING COVERAGE NAIC p
<br />Suite 208
<br />INSURERA: XL InsuranceofAmeflca 24554
<br />Miami FL 33176
<br />INSURED
<br />INSURER B: Greenwich Insurance Company 22322
<br />The Stout Group LLC
<br />INSURER C : National Union Fire Insurance Co of PA 19445
<br />INSURER D : Wesco Insurance Company 25011
<br />10850 NW 138TH Street Bay #3
<br />INSURER E: Federal Insurance Co. 20281
<br />INSURER F:
<br />Hialeah Gardens FL 33018
<br />rnvrvnr_ce C-ERTIFICATF NIUMRFR' L:L2Z/1419b43 REVISIUN NUMbhK:
<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 />INSRPOLICY
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />18070 Collins Avenue
<br />AUTHORIZED REPRESENTATIVE
<br />Sunny Isles Beach, FL 33160
<br />EFF
<br />POLICYEXP
<br />LIMITS
<br />LTR
<br />TY PE OF INSURANCE
<br />INSD
<br />WVD
<br />POLICYNUMBER
<br />MMrDDffYYY
<br />MM1D0
<br />X COMMERCIAL GENERAL LIABILITY
<br />EACH OCCURRENCE $ 1,Oo0,000
<br />DAMAGE T R N 100,000
<br />CLAIMS -MADE OCCUR
<br />PREMISES Ea occurrence $
<br />MED EXP (Any one person) $ 14,000
<br />A
<br />Y
<br />NGL -1000327-03
<br />07114/2022
<br />07/1412023
<br />PERSONAL&ADV INJURY $ 1,000,000
<br />GEN'LAGGREGATE UMITAPPLIES PER
<br />GENERALAGGREGATE $ 21400,000
<br />PRODUCTS 2,004,000X
<br />-
<br />JECT LOC.
<br />Employee Benefits $ 1,440,044
<br />OTHER'
<br />EO aBCatle� SINGLE LIMIT $ 1,040,000
<br />AUTOMOBILE LIABILITY
<br />BODILY iNJURY(Per person) $
<br />X ANYAUTO
<br />BODILY INJURY{Per accident) $
<br />B
<br />OWNED SCHEDULED
<br />NBA -1000328-03
<br />07114/2022
<br />07/1412023
<br />AUTOS ONLY AUTOS
<br />HIRED NON -OWNED
<br />PROPERTY DAMAGE $
<br />Per accident
<br />AUTOS ONLY AUTOS ONLY
<br />Medical payments S 5,004
<br />X
<br />UMBRELLA LIAB
<br />X
<br />OCCUR
<br />EACH OCCURRENCE $ 4,000,000
<br />AGGREGATE $ 4,000,000
<br />C
<br />EXCESSLIA6
<br />CLAIMS -MADE
<br />RN -7-0324447
<br />07/14/2022
<br />07/14/2023
<br />DEO RETENTION $
<br />S
<br />WORKERS COMPENSATION
<br />X STATUTE ERH
<br />AND EMPLOYERS' LIABILITY Y!N
<br />E.L, EACH ACCIDENT $ 1,000,000
<br />D
<br />ANY PROPRIETOR/PARTNEWEXECUTIVE
<br />NN
<br />NfA
<br />TWC4004280
<br />07/14/2022
<br />07/14/2023
<br />E.L. DISEASE- EA EMPLOYEE $ 1,000,000
<br />of 1cERrMEMBERExcLuoeD?
<br />(Mandatory in NHI
<br />E.L. DISEASE - POLICY LIMIT $ 1,000,000
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />Equipment Limit $2,953,969
<br />E
<br />inland Marine
<br />45468715
<br />07/14/2022
<br />07/14/2023
<br />Deductible $5,000
<br />DESCRIPTION OF OPERATIONS 1 LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
<br />Certificate Holder is listed as an Additional Insured with respect to the General Liability when required by written contract.
<br />n- rrnwrr u me CAMC-91 I dTION
<br />V'IU 1tII-ZU'IO AI VKLJ L+VI[rVrW i J%Jr\. nu -J IL* rwm Vc
<br />ACORD 25 (2016103) 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, Risk Management Division
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />18070 Collins Avenue
<br />AUTHORIZED REPRESENTATIVE
<br />Sunny Isles Beach, FL 33160
<br />V'IU 1tII-ZU'IO AI VKLJ L+VI[rVrW i J%Jr\. nu -J IL* rwm Vc
<br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD
<br />
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