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DATE (MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 01/08/0 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). CONTACT PRODUCER Benny Cabrera NAME: FAX PHONE GGA Insurance Group305 630-305 9-30 (A/C, No): (A/C, No, Ext): E-MAIL 10689 N. Kendall Drivebcabrera@ggaig.com ADDRESS: Suite 08 INSURER(S) AFFORDING COVERAGENAIC # MiamiFL3316FCCI Insurance Company1018 INSURER A : INSURED Brierfield Insurance Company10993 INSURER B : VisualScape, Inc.National Trust Insurance Company011 INSURER C : 1801 NW 13 AvenueRichmond National Insurance Company1103 INSURER D : INSURER E : MiamiFL33018 INSURER F : CL31068 COVERAGESCERTIFICATE NUMBER:REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSRANCE LISTED BELOW HAVE BEEN ISSED TO THE INSRED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSED OR MAY PERTAIN, THE INSRANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SBJECT TO ALL THE TERMS, EXCLSIONS AND CONDITIONS OF SCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDCED BY PAID CLAIMS. ADDLSUBR INSRPOLICY EFFPOLICY EXP TYPE OF INSURANCELIMITS POLICY NUMBER LTR(MM/DD/YYYY)(MM/DD/YYYY) INSDWVD COMMERCIAL GENERAL LIABILITY 1,000,000 EACH OCCRRENCE DAMAGE TO RENTED 100,000 CLAIMS-MADEOCCR PREMISES Ea occurrence XC10,000 MED EXP Any one person AYYGL10008001/01/001/01/051,000,000 PERSONAL ADV INJRY ,000,000 GENL AGGREGATE LIMIT APPLIES PER:GENERAL AGGREGATE PRO- ,000,000 POLICYLOCPRODCTS - COMP/OP AGG JECT OTHER: COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY 1,000,000 Ea accident ANY ATOBODILY INJRY Per person OWNEDSCHEDLED BYCA100086001/01/001/01/05 BODILY INJRY Per accident ATOS ONLYATOS HIREDNON-OWNEDPROPERTY DAMAGE Per accident ATOS ONLYATOS ONLY UMBRELLA LIAB,000,000 OCCREACH OCCRRENCE C EXCESS LIAB YYMB1000890001/01/001/01/05,000,000 CLAIMS-MADEAGGREGATE DEDRETENTION PEROTH- WORKERS COMPENSATION STATTEER AND EMPLOYERS' LIABILITY Y / N 1,000,000 ANY PROPRIETOR/PARTNER/EXECTIVE E.L. EACH ACCIDENT AY N / A YWC01000810101/01/001/01/05 OFFICER/MEMBER EXCLDED 1,000,000 (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE If yes, describe under 1,000,000 DESCRIPTION OF OPERATIONS belowE.L. DISEASE - POLICY LIMIT Each Occurrence 3,000,000 Excess Liability nd Layer DRN035560101/01/001/01/05Aggregate 3,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Sunny Isles Beach is Additional Insured with respects to General Liability and Auto Liability on a Primary and Non-Contributory basis. Waiver of Subrogation in favor of Additional Insureds with respects to General Liability and Workers Compensation. mbrella is Follow Form. CERTIFICATE HOLDERCANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Sunny Isles Beach 1800 Collins Avenue AUTHORIZED REPRESENTATIVE 3rd Floor Sunny Isles BeachFL33160 © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03)The ACORD name and logo are registered marks of ACORD