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CnMTF1JG.n1 ST'Wlr:r.S <br />ACORO" CERTIFICATE OF LIABILITY INSURANCE <br />DATE(M <br />6/28/1202202YYI� <br />3 <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 />C TCT <br />Collinsworth, Alter, Fowler 8r French, LLC <br />15050 NW 79th CourtIC <br />Shite 200 <br />HNN Ext): 305 822-7800 ac, No ; 305 362-2443 <br />E-MAIL <br />Miami Lakes, FL 33016 <br />INSURERS AFFORDING COVERAGE NAIC # <br />INSURER A: Continental Insurance Company 35289 <br />EACH OCCURRENCE 11000,000 <br />INSURED <br />INSURERS: Valley Forge Insurance Companyy 20508 <br />Comtech Engineering, Inc. <br />7900 SW 57 Avenue <br />Suite 11 <br />INSURER C:As en American Insurance Company 43460 <br />INSURER D: Evanston Insurance Company 35378 <br />INSURERE: <br />South Miami, FL 33143 <br />INSURER F : <br />AUTOMOBILE LIABILITY <br />X ANY AUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />yy Eo <br />X AUTOS ONLY X AUTOS ONLY <br />COVFRAr:PS CERTIFICATE NI IMRFR- t2CV14IA61 Idl IMR11=12. <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 />TYPE OF INSURANCE <br />ADDL <br />SUER <br />POLICY NUMBER <br />POLICY EFF <br />POLICY EXP <br />LIMBS <br />A <br />X COMMERCIALGENERALLIABILIY <br />CLAIMS -MADE [X]OCCUR <br />X <br />X <br />7015233926 <br />716/2022 <br />7/612023 <br />EACH OCCURRENCE 11000,000 <br />DAMAGE TO RENTED S 100,000 <br />MED EXP (Any one arson S 15,000 <br />PERSONAL& ADV INJURY S 11000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />POLICY Fx-1 imi X� LOC <br />OTHER: <br />GENERAL AGGREGATE S 2,000,000 <br />PRODUCTS - COMP/OP AGG S 2,000,000 <br />A <br />AUTOMOBILE LIABILITY <br />X ANY AUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />yy Eo <br />X AUTOS ONLY X AUTOS ONLY <br />7015233909 <br />71612022 <br />7/612023 <br />COMBINED SINGLE LIMIT 1,000,000 <br />BODILY INJURY Per arson <br />BODILY INJURY Per accident) <br />Pe08EccR�1 AMAGE <br />A <br />X <br />UMBRELLA LIAR <br />EXCESS LIAS <br />X <br />OCCUR <br />CLAIMS -MADE <br />7015233912 <br />7/612022 <br />71612023 <br />EACH OCCURRENCE S 31000,000 <br />AGGREGATE S 3,000,000 <br />DED I X I RETENTION$ 10,000 <br />S <br />B <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />ANY PROPRIETOR/PARTNER/EXECUTIVE YIN <br />OppFICE�UMEM@ER EXCLUDED? <br />(Mende ory In nMH)) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />N / A <br />X <br />7015233943 <br />71612022 <br />71612023 <br />X PER OTH- <br />TUTE <br />E.L. EACH ACCIDENT S 1,000,000 <br />E.L. DISEASE -EA EMPLOYE 1,000,000 <br />E.L. DISEASE -POLICY LIMIT 1,000,000 <br />C <br />D <br />Equipment Floater <br />Pollution Liability <br />IMOOH9722 <br />CPLMOL109481 <br />7/612022 <br />2/20/2022 <br />71612023 <br />2/2012024 <br />ILeasediRented 650,000 <br />Each/Aggregate 2,000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached N more apace Is required) <br />City of Sunny Isles Beach is included as additional insured with respects to General Liability on a primary and non contributory basis as required by written <br />contract or permit. Waiver of Subrogation in favor of additional Insured with respects to General Liability and Workers Compensation policies as required by <br />written contract or permit <br />CERTIFICATE HOLDER CANCELLATION <br />ACORD 25 (2016103) <br />©1988-2015 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />Ci of Sunny Isles Beach <br />City Y <br />18070 Collins Avenue <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />3rd Floor <br />AUTHORIIIZEED REPRESENTATIVE <br />Sunny Isles Beach, FL 33160 <br />\9 ` <br />ACORD 25 (2016103) <br />©1988-2015 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />