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A CERTIFICATE OF LIABILITY INSURANCE DATEi18/,Y <br />08/18/2022 <br />2 <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 />REPRIESENTATIVE OR PRODUCER AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the poFcy(es) must be endorsed. If SUBROGATION IS WANED, subject <br />to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights <br />to the certificate holder in Feu of such endorsement s - <br />PRODUCER <br />Pettineolnsurance <br />CONTACT <br />NAME <br />AHIICTUL (954) 493-9424 A!c ND <br />2428 E COMMERCIAL BLVD <br />FT LAUDERDALE, FL 33308-4040 <br />E-MAIL <br />ADDRESS: frank@petUrleo.com <br />INSURERM) AFFORDING COVERAGE <br />NAIL# <br />INSURERA: United States Fire Insurance <br />21113 <br />INSURED SPORTS AND RECREATION PROVIDERS ASSOCIATION (PURCHASING GROUP] AND <br />ITS PARTICIPATING MEMBERS: <br />INSURERB: <br />wsuRERC: <br />Eagle Eye,OiGcia m%LLC. <br />9190 NW 26th Street <br />INSURERD: <br />Sunrise, FL 33322 <br />INSURERE: <br />INSURERF: <br />COVERAGES CERTIFICATE NUMBER: USP360010 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 CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH <br />THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE <br />TEAMS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />LTR <br />TYPEOF INSURANCE <br />NSRL <br />yyVDH <br />POUCYNUMBER <br />POLICY pjyEy�yy) <br />MFOLI MIDO EXP <br />LIMBS <br />GENERALLULBILITY <br />EACH OCCURRENCE <br />S1,DOD,OOD <br />X COMNERCIALGENERALDAMM <br />AREDAMAGE(Anyaim Ire) <br />S30D,000 <br />MED EXP (Any one Person) <br />SO <br />A <br />CLNMSMAOa M —R <br />X <br />SRPGAPML-101-OM <br />08/161 <br />12ao AM <br />Am <br />a6/16/AM <br />12:01 AM <br />PERSONAL &ADV INJURY <br />21,000,000 <br />GENERAL AGGREGATE <br />SZ000.0m <br />X DDCOJOESAnMETICPARTICIPADITS <br />GEDTLAGGREGATELUTAPPLES PER: <br />-Xi <br />PRODUCTS- COMPMPAGG <br />sz000,Duo <br />P11 � FLoc <br />PoucY n <br />AUTOMOBILE LIABILITY <br />COrnOLVED s[NGLE Lmnrr <br />acddenl <br />AAYAUTO <br />BODILY INJURY (Per person) <br />_ <br />ALLVMED SCHEDULED <br />AUTO) AUTOS <br />HIRED AUTO NON-OUMED AUTOS <br />SOD1L:V INJURY (Per <br />accident <br />PROPERTY DAMAGE <br />Pareaiden0 <br />UMBIELLALIAB <br />-CUR <br />EACH OCCURRENCE <br />EXCE.SSLIAB <br />CLMMSSMADE <br />AGGREGATE <br />DID RETENTION � <br />AAcctdentlMedical <br />Coverage <br />I <br />I <br />1iS1671099 <br />[ <br />06/16/2022 <br />I 12 00 AM <br />08/1612023 <br />12:01 AM <br />AD&D <br />MAXIMUM MEDICAL <br />DEDUCTIBLE <br />$e,000 <br />SIO.Wo <br />sD <br />I)OCItIPTIDN OFOMM'ttONSI LOCATIONS I VEHICLES (Attach ACORD 101, Addkicrta) Remarks Schedule, ITmore spaceis required) <br />Covered Activities: Athletic Officials Activities <br />The Certificate Holder is added as an additional insured but only with respect to liability arising out of the named insured during the policy period. <br />Scheduled Activities Exclusion Applies -Please Refer to Named insured Member Certificate of Coverage <br />&,c;miirLw+1 c nva-umac <br />I:ANI:tLLA tIUN <br />City Of Sunny Isles <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED <br />18070 Collins ave <br />BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />Sunny Isles Beach, FL 33160 <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />ACORD 25 00191(13) ©1988-2a16 ACORD CORPORATION. Ali rights reserved. <br />Te,� nn^an -a 1..-- -_„ ---- .----A .. -.U— wP nnr.nl-, <br />