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Client#: 25889 SHOREFOU ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE(OMIODIYYYY) TYPE OF mSURANCE GENERALLIABRNY X!COMMERCIALDENERALLIABILITY CLAIMS-MADE OCCUR 3/12/2015 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 'LOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED - 'PRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: It the certificate holder Is an ADDITIONAL INSURED, the pollcy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to I 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 endorsoment(s). PRODUCER UM00027959MAISA _ USI Insurance SaNfCes, LLC /CL PO Box 141916 Coral Gables, FL 33114.1916 ND FAX ,N: 305 669.6000 u Na ; 305 669 6030 E MAa ADDRESS' — INSURERS AFFORDING COVERAGE NALCO NEEEDMEISXEP (Any ono Dorton ) INSURER A: XL Specially Insurance Company 137885 INSURED Shoreline Foundation Inc 2781 SW 56 Ave BISUREae :Imperium Insurance Company 35408 — — — — INSURER C I Starr Indemnity & Liability Co 133189 INSURER D: Pembroke Park, FL 330234166 INSURER E: INSURER F: - - -' - -'— - COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITIONOF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LT LT A TYPE OF mSURANCE GENERALLIABRNY X!COMMERCIALDENERALLIABILITY CLAIMS-MADE OCCUR ADD INSR SUBR VfYO POUCYNUMBER POLIppYE F ppppUCYE7Ip LMMDD/YV LMDDf/YYY) ULM s1 000000 — — UM00027959MAISA _ 1/15/2015 01/151201C EACHOCCURRENCE AAIAC.E,�jOE�ENTEO 550000 NEEEDMEISXEP (Any ono Dorton ) $5000 PERSONAL &ADV INJURY S1,O00000 GENERAL AGGREGATE s2,000,000 GENL AGGREGATE LIMIT APPLIES PER: -POLICY � JE&_ IJ._L_OC _- AUTOMOBILE LIABILITY X ANY AUTO ALL CRY? ED SCHEDULED —y AUTOS _ AUTOS XI HIRED AUTOS X NON OWNED AUTOS PRODUCTS - COMWOP AGO $2000000 $ __ IERD0100101801 10/01/2014,10/01/2011 i fAMBIHEDSiNOLEUMIT 1000,000 BODILY INJURY (Per parson) S BODILY INJURY (Per occident) _ ROPEa DANI DE - -- Wor donli $ 5— -- S A )(UMBRELLA UAe X OCCUR I EXCESSUAG CLAIMS MADE DED RETEfITIONS UMOOD28190MAISA Dill 5/2015101115/201 C EACHOCCURRENCE_ S1O,000,000 S10,000,000 $ _ AGGREGATE B C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANYPROPRIETOR/PARTNERTJ(ECUTNE YIN OFFICERrtAEMBER EXCLUDED? (] (ManMiory In NH) Ryyaass deu -bo undo OESCRIPTIONOFOP ERA TIOYShabe CONTR EQUIP ALL RISK INCLUDED BOOM COLLISION/ NIA IERDDIOO101701 SICONI000703149 OVERLOAD 0/01/2014110/01 /201 X WCSTATU 0TH. ]MI 10 Y E.LEACHACGDENT S1 OGOOOO �--- �-- -- EX. DISEASE - EA EMPLOYEE $1.000.000 EE.L. R DISEASE- POUCYUM sl,000,000 PER SCHEDULE ON FILE LEASED /RENTED $1,000,00 3/12/26-15703/12/2016 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD lot, Addillonol Romarte Schodule, 11 more spoce IP Nqulred) Shoreline Foundation Inc 2781 SW 56 Ave Pembroke Park, FL 33023 -4166 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Rl 19AR.2nin ACORD CORPORATION. All rinhts resemad ACORD 25 (2010105) 1 of l The ACORD name and logo are registered marks of ACORD 9S14603677/M14603437 GZYZP