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Client #: 26250 <br />PARKONEHI <br />ACORD. CERTIFICATE OF LIABILITY INSURANCE <br />DATE(MMDWYYYY) <br />TYPE OF INSURANCE <br />12/31/2014 <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 pollcy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and Conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />TONI RENDON <br />USI Insurance Services, LLC/CL <br />PH NEB E,,, 305 669 -6000 F AX <br />E "� "°' 305 - 669030 <br />P.O. Box 141916 <br />L antonieta.rendon @usi.biz <br />AODRE55. <br />Coral Gables, FL 33114 -1916 <br />E�AApCCµHqq��OEECCTURRENCE <br />PREMISES ow mx <br />305 669.60 <br />INSURER(S) AFFORDING COVERAGE NAIC <br />INSURER A: Indian Harbor Insurance Company 136940 <br />PERSONAL aADVIrwRY <br />INSURED <br />INSURER B: Scottsdale Insurance Company 141297 <br />Park One Holdings LLC, Park One LLC <br />eft Employers <br />INSURER c: Brid 9 eld Em to ers Insurance 110701 <br />Park One of Florida LLC <br />PRODUCTS- COMPA7P qGG <br />601 Poydras St Ste 2625 <br />INSURER D: I <br />$ <br />New Orleans, LA 70130 -6043 <br />INSURER E: I <br />INSURER F: I <br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <br />THIS 15 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 />ADDLSUBR <br />INSR <br />IMDI <br />POLICY NUMBER <br />POLICY EFF <br />MWo <br />LI YEXP <br />MMD <br />UMJTS <br />A <br />GENERALUABILITY <br />X M1,IMERCIAL GENERAL LIABILITY <br />(CLAIMS -MADE IOCCUR <br />X ParldngNaletincl <br />ESG300022601 <br />2131/ 201412 <br />/31/2015E <br />$1000000 <br />E�AApCCµHqq��OEECCTURRENCE <br />PREMISES ow mx <br />$50000 <br />MEDE%P( IXIe0e900) <br />sExcluded <br />PERSONAL aADVIrwRY <br />$1000000 <br />I <br />GENERAL AGGREGATE <br />s2,000,000 <br />GENLAGGREGATE LIMIT APPLIES PER: <br />POLICY JE�CT X LOC <br />PRODUCTS- COMPA7P qGG <br />$2000000 <br />$ <br />A <br />kALFTOMOBILE L IABIIRY <br />ANY ALRO <br />PLL OWTJED SCHEDULED <br />AUTOS AUTOS HIRED AUTOS X NON OWNED <br />I I I I <br />ESG30DO22601 <br />2/31/201412131/2015(Ea <br />DI LE LIMIT Ea xtld+ <br />$1,000,000 <br />BODILY IN JURY (Per parse¢) <br />$ <br />bJDILY INJURY (Pn amOml) <br />F %�OAMAGE <br />$ <br />Is <br />B <br />I II UMBRELLALIAB I_IOCCUR <br />IM <br />XI EXCESS LB X 1 CLNMSMADE <br />I <br />XLS0095396 <br />2131/201412131/2015EACHOCCURRENCr <br />IS10000000 <br />AGGREGATE <br />151 0,000,000 <br />DED I I RETENTION$ <br />i <br />Is <br />C <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />ANY PROPRIETORIPAJTTNERVID(ECiRIVE YIN <br />OFFICERA EMBER EXCLUDED? CI <br />(My.�IdMM ip N") <br />IDESCRI� OF OPERATIONS bebx <br />N/A <br />083023769 <br />7/19/2014 <br />07/19/2015 <br />X INCsTATL} ortf <br />EL EACH ACCIDENT <br />151 000 ,000 <br />F I DISEASE EA EMPLOYEE <br />51 OOO D00 <br />EL DISEASE POLICY UMT <br />1 $1,000,000 <br />A <br />Garage Keepers' <br />Laibility <br />ESG300022601 <br />2/31/2014 <br />12/31/2015 <br />51,000,000 per location <br />S250,000 per auto <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attwh ACORD 101, ABCft`Z' Remarb sd""'Ic M mpe APBCA b r iraE) <br />RE: Pier Parking Lot • location 16501 Collins Ave, Sunny Isles Beach, FL 33160 20 self parking spaces <br />The General Liability, Garage Liability, Automobile policy(s) includes an automatic Additional Insured <br />endorsement that provides Additional Insured status to the City of Sunny Isles Beach only <br />when there is a written contract that requires such status. The General Liability policy(s) contains a <br />special endorsement with "Primary and Noncontributory" wording. <br />(See Attached Descriptions) <br />City of Sunny Isles Beach <br />18070 Collins Ave. 4th Fir <br />Miami, FL 33160 <br />ACORD 25 (2010105) 1 of 2 <br />#S140632441M14062600 <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 />AUTHORUMD REPRESENTATIVE <br />®1988.2010 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />NRDZP <br />