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FLORENG-03 RGOMEZ <br /> ACC:PREY CERTIFICATE OF LIABILITY INSURANCE DATE) DNYTY) <br /> 8/298014 <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 POUCIES <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 ADDRIONAL INSURED,the poticy(ies)must be endorsed. If SUBROGATION IS WANED,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 CONTACT <br /> KANE <br /> Collinsworth,After,Fowler&French,LLC ` <br /> 8000 Govemors Square Blvd I );(305)822-7800 FAx (305)362-2443 . <br /> Suite 301 E-MAIL pier. <br /> Miami Lakes,FL 33016 ADDRESS: <br /> INSURER(S)AFFORDING COVERAGE Pt=e <br /> /NSURERA:American Empire Surplus Lines <br /> °!SU O INSURER B:Monroe Guaranty Insurance Company <br /> Florida Engineering and Development Corp., /NSURERC:Atterra Excess&Surplus fns <br /> 12076 NW 98th Avenue INSURER D: <br /> Hialeah Gardens,FL 33018 <br /> INSURER E: <br /> /t5URER F: <br /> COVERAGES CERTIFICATE NUMBER: 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 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 /> O TYPE OF INSURANCE u= <br /> �MMlooaYYYY)JM i.. 371 <br /> BM�_ POLICI'NUMBER `1 LIMITS <br /> GENERAL LIABIUTY <br /> ErEACH OCCURRENCE $ 1,000,00 <br /> A X COMMERCIAL GENERAL LLA84nY 14EP0186460 8/30/2014 8/30/2015 PREMISES oecvrrmo. s 50,00- <br /> CLAIMS-MADE OCCUR MEDEXP(Any one Noon) f 5,00_ <br /> PERSONAL i ADV INJURY $ 1,000,000 <br /> I GENERAL AGGREGATE S 2,000,000 <br /> GM AGGREGATE LIMIT APPLIES PER <br /> I <br /> r PRODUCTS-COMP/OP AGG s 2,000,000 <br /> POLICY X PRO• n- LOC . - . • <br /> AUTOMOBILE LIABILRY CO QED SINGLE LIMIT s 1,000,000 <br /> B X ANY AUTO CA00116727 8/30/2014 8/30/2015 amity neruRY(Per person) S <br /> ALL OWNED I SCHEDULED <br /> AUTOS I NON-OWNED <br /> BROLLY TY DAMAGE <br /> (Pic ec eno s <br /> HIRED AUTOS AUTOS gJDAMAGE s <br /> X t> UA° (X OCCUR I s <br /> C EXCESS uAa �'CLAlMSMADE MAX3EC50000579 "occuRRENCE E s 5,000,000 <br /> 8/30/2014 8/30/2015 AGGREGATE s <br /> DED I I RETENTION f •women COMPENSATION gR'9WC Tu oTt+1 s 5,000,000 <br /> AND LIASO nY 1 TORY UMRS I I ER <br /> ANY PROPRIETORIPARTNERIEXECUTNE Y/N I S <br /> oFFIcERmEmBER pandstary In EXCLUDED? a N!A E.L.EACH AC('JDEHT <br /> 0yes d soihe ) E.L.DISEASE.EA EMPLOYEd s <br /> DESCRIPTgN OF OPERATIONS b.bw EL DISEASE-POLICY UNIT I$ <br /> DESCRIPTION OF OPERATR WA,LOCATIONS I YE)OCLES (Attach ACORD 101.Addltlons,Rnnsrts steads.S mopll aims Is tiquked) <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> • <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> ACCORDANCE WITH THE POLICY PROVISIONS. <br /> AUTNORIZEO REPRESENTATIVE <br /> divid ale!: <br /> 40 1988.2010 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD <br />