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Ac Rd CERTIFICATE OF LIABILITY INSURANCE DATE(MMJDDIYYYY) <br /> 05/27/15 <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(les)must be endorsed. It 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 /> 'RODUCER I CONTACT NANCY ALBEAR <br /> NAb1E: <br /> Estrella Insurance#117 (gtic°rNo.EMI: (305)651 4777 FAlC Noy: (305)651-6444 <br /> 167 NE 167 St.Suite A ADDRESS: manager117l estrellainsurance.com <br /> Vorth Miami Beach,FL 33162 INSURER(S)AFFORDING COVERAGE NAIC# <br /> 'hone (305)651-7777 Fax (305)651-6444 INSURER A: ESSEX INSURANCE COMPANY <br /> NSUREO INSURER B: <br /> IOHN P CHURCHILL INSURER C: <br /> • <br /> 110 NW 127 Street INSURER D: <br /> Aiami,FL 33168- (305)216-1508 INSURER E: <br /> INSURER P: • <br /> ;OVERAGES 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 /> rR I TYPE OF INSURANCE NSRLSWVD POLICY NUMBER (MMIDDmYY)I(MMIDDNYYY) <br /> LIMITS <br /> GENERAL LIABILITY • EACH OCCURRENCE $ <br /> AMAGE❑ COMMERCIAL GENERAL LIABILITY PREM SESO(Ea occurrence) $ <br /> ❑ ❑ CLAIMS-MADE ❑ OCCUR MED EXP(Any one person) $ <br /> ❑ PERSONAL&ADV,NJURY $ <br /> ❑ GENERAL AGGREGATE $ <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ <br /> ❑ POLICY ❑ 2E ❑ LOC $ <br /> AUTOMOBILE LIABILITY COMBINED SINGLE UMIT <br /> (Ea accident) $ 500,000.00 <br /> ❑ ANY AUTO BODILY INJURY(Per person) $ <br /> ❑ <br /> ALL OWNED ❑ AUCTOSULED • GRA702343-01 (Per accident) <br /> TIN-LOS GARAGE GENERAL LIABILTY 08/16/2014 08/16/2015 BODILY INJURY $ <br /> ❑ HIRED AUTOS ❑ AUTOS PROPERTY DAMAGE $ <br /> (Per accident) <br /> In GARAGE LI ❑ BI/PIP DEDUCTIBLE($1000.0 $ 500,000.00 <br /> ❑ UMBRELLA UAB ❑OCCUR EACH OCCURRENCE S <br /> ❑ EXCESS LIAB ❑CLAIMS-MADE AGGREGATE $ <br /> ❑ DED ❑ RETENTION s s <br /> WORKERS COMPENSATION ❑TORY LIMITS L.-.1 ER <br /> AND EMPLOYERS'LIABILITY Y!N <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT S <br /> OFFICER/MEMBER EXCLUDED? N I A <br /> (Mandatory In NH) E.L.DISEASE-EA EMPLOYE $ <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ <br /> ESCRIPTION OF OPERATIONS(LOCATIONS!VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space Is required) <br /> TECHNICIAN <br /> ERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> CITY OF SUNNY ISLES BEACH THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN <br /> 18070 COLLINS AVE ACCORDANCE WITH THE POLICY PROVISIONS. <br /> SUNNY ISLES BEACH,FL 33160 4 ORIZ REPRESENTATIVE <br /> ADDITIONAL INSURED <br /> afjeC-C- <br /> ©1988- 11 ACORD CORPORATION. All rights reserved. <br /> ;ORD 25(2010/05)QF The AC• D ,ame and logo are registered marks of ACORDI <br />