Reso 2015-2438 - Laserfiche WebLink

Home Browse Search

DATE MUMMY) • C. CERTIFICATE OF LIABILITY INSURANCE . 0&(09112 HIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS . ERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES ELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED EPRESENTAT1VE OR PRODUCER,AND THE CERTIFICATE HOLDER. _ ___ -_ --_ _• IPORTANT: II the certificate holder is an ADDITIONAL INSURED,the policyfies)must be endorsed. It SUBROGATION IS WAIVED,_subject to e terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not center rights to the _ �rlificate holder in lieu of such endorsement(s). _ _ --- — - - —- - — - - - - - C NTEACi fv'ANCY ALBEAR _ --- -- •ella Insurance 1:117 1 vHVN' (305)651.7777 •_ _�.— I % (305)511-44747-- 05 051.6-44 1 t_jA1C N2Eiit)' .AiC.trot: ("' �------- E-dAli N 167 Si.Suite A (_AQ2BE54;-,__ manager117@estrettainsuran;.e.cwm -- _ ____— Il th Miami Beach.FL 33162 vi (305)551-644 I.ISURER(S)_AFFORDING COVERAGE___-___-•_- I NAIL F -_1 e (305)651.7777 - --Fa.< 4 --- - - INSURER A: ESSEX INSURANCE COMPANY --� I FRED - - -- _INSURER 6: -- ___ _ I - - � IN P CHURCHILL INSURER c;_--. _- _ _ -- _— - ---•---- I - INSURER O' ----____ ----- I ------- t IOW 127 Street I.� _- c 305 216.1508 INSURER E: _ - ----------- n1i..L 331 00- ( INSURER F• __ VERAGES CERTIFICATE NUMBER: REVISION NUMBER: HiS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE SEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD I _ IDICATED. NOTWITHSTANDING ANY REQUIREMENT.TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS ERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED 5Y THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. XCL USIONS AND CONDITIONS OF SUCH POLICIES.LIMIT S SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. •___ - I TYPE OF INSURANCE - IATIS R I PODGY NUMBER NQYYP YIRDOrYYIi( JONYYY(I LIMITS_ _ _ I GENERAL LIABILITY I EACHOCCURRENCE 5 —_—._.-- I DAMAGE TO RENTED — I U GL-N.e,IESCtAL GENERAL L1.BLITY 1 PREmisES rEe=uttered S_--- -------- • fl cLALMS-MACE Lj OCCUR _MED EX'(Any one person) I s .— _-- ._—_ ' ( - _PERSONAL G ADV INJURY I S --•-_----.. i ri '� - - ( I I GENERAL n.GGREG..ATE I --_•------ ---- I GEN'L r_3%R ELAT E LRIT APP_IE S P ER: _�--. ( 1 PRODUCTS•COMP*? AGGS O - ?52- 0 r S _ 1 AUTOMOBILE LIA BILITY Walar LT I 50 Q00 0..-00 __-- ( BOXY I:IJUF.Y(Pet person, S z L OWNED SCh.EDULEV 1 1752859 08/09/2012 08119/2613 1 EQDILY INJURY(Per a«icert: v_- ;-} qL; ; I� Autos :GARAGE GENERAL)_IAB(!TY PROPERTY DAMAGE NON.QLVrIEO (Pet acciZen:) _ L� H.R�J a 'tos �� 4LTQS I t DEDUCTIBLE(Si 000,0 500,000.00 0 iJt GARAGE LI fl BI I PIP �- -� --- -----.•'••- - --- - --- UMER LLpLtAe [I OCCUR EACH OCCURRENCE 15----•-----•-•-t •AGGREC ATE I S - ;� EXCESS LIAR __ JCL%J:�S-i.IADE I J OED _ - - ----- ----------- I S — - I REi Et�:oN s - w'c's;aTtl OTH-I f WORKERS CO/APENSATION �� - - 1 I I �i26::1 i-'mod=I_.-.--•--------___ AND EMPLOYERS'LIABILITY Y I r: I E.L.EAI:H ACCIDENT ( S :t PROPRIETOR/PART NERJ=\'t7�TT:= I' .1 tCERIMEMEER EXCLUDED.' r_i rI l a (mandatory in NH) E.L.DISEASE•EA EMPLOYE I -- - c;es- ea:ribe cnaet E.L DISEASE•Policy LIMIT 5 -M�-_-_ Oc_CRPTION Of OPERATIONS peWn ..-°--�.--- - ------ l jI iCRIPTIQt!OF OPERATIONS I LOCATIONS f VEHICLES (A;:ach ACORO 101,Additional Remers Scheaule,If more space Is required) TECHNICIAN _- — ERTIFICATE HOLDER — -- ____ CANCELLATION -- -- -- —r I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE CITY OF SUNNY ISLES BEACH THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 18070 GOWNS AVE I _ --- —__•------_.----------_.--.--.I SUNNY ISLES BEACH.FL 33160 1 AU RI REPRESENTATIVE ADDITIONAL INSURED•` ia _ -. !.----- - - -"— _ _ - F 19::-2010 ACORD CORPORATION. All rights reserved - ' e ' ORD name and logo are registered marks of ACOR r CORD 25(2010!05)OF