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0 <br /> CITY OF. SUNNY ISLES BEACH <br /> SECTION ONE COMPANY INFORMATION <br /> • A .---m ® <br /> • CERTIFICATE OF LIABILITY INSURANCE DATE luuaormn1/1,i2D12 <br /> ® I 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 policy(les)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 CONTACT <br /> NAYS' <br /> ® Ames & Gough uNo'�ii� em- 1703)827-2277 I I R NaP 172318.27-2279 <br /> 8300 Greensboro Drive AD s,.adain®aaesgough.cos <br /> ® Suite 980 INSURER(5)AFFORDING COVERAGE I NAC• <br /> McLean, VA 22102 INsuRERA Continental Casualty Company 0443 <br /> • INSURED INSURER B: <br /> Keith and Schnars, P.A. INSURER C: <br /> ® <br /> 6500 North Andrews Avenue DISURERO: <br /> INSURERE: <br /> Ft. Lauderdale FL 33309-2132 INSURERF: <br /> ® COVERAGES CERTIFICATE NUMBER:2012-2013 8 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 /> 0 INDICATED. NOF✓NTHSTANDING 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 /> ® NSA RI POLICY EFF POLICY EXP <br /> LTR TYPE OF INSURANCE AODLSUB <br /> jyR�SyyD POLICY NUMBER (MMIODMYYI IIAM/DDIYYYYI LIMITS <br /> ® GENERAL LIABILITY — <br /> EACH OCCURRENCE S <br /> COMMERCIAL GENERAL LNSIJTY DAMAGE TORO/ DMmm <br /> PRE5E54Es ancel S <br /> eanuS-W OE n OCCUR I MED EXP(Am an demo, S <br /> PERSONAL a AIN INJURY_ S <br /> • GENERAL AGGREGATE S <br /> ® GEN.t AGGREGATE LIMIT APPLIES PER PRODUCTS.C0tE!OP AGG S <br /> nPOICY n Ln LOC S <br /> ® I�UTOYLIABILITYeKYLORIE LIABILITY COMONED SE LT <br /> I FA:,.w10 S <br /> • <br /> ANY AUTO BODILY INJURY(Pr DMY) S <br /> e ALL OWNED SCHEDULED BODILY INJURY(Par ccOa*( 5 <br /> _,AUTOS AUTOSNON-OI _ <br /> HORE.7 AUTOS AUTOS ED �R PEERY DAMAGE S <br /> AUTT0.P I I <br /> • S <br /> J UMBRELLA UPI rcr R EACH OCCORFFNCE I S <br /> I I <br /> • EXCESS UAB CLAWS-MADE AGGREGATE I S <br /> ® DEO I I RETENTIONS <br /> WARNERS COMPENSATION WCSTATU- 0TH- a <br /> AND EMPLOYERS'UABC.ITY VI N TORYI MRS I I ER <br /> ANT PROPRIETOR'PARTNER/ExECUTr E <br /> le OPFCER/UEVBER EXCLUDED? LiN(A EL EACH ACCF>FM <br /> Mandatory In NH) EL.DISEASE-EA OPEC/YETI I <br /> • N,s+.bl cIbe under <br /> DESCRIPTION OF OPERATORS Odor E.L.DISEASE-POLICY UNI I S <br /> A PROFESSIONAL LIABILITY MB 00 609 12 27 [i/1/2012 3/1/2013 p€RCL,UN 2,000,000 <br /> ® <br /> AGGREGATE 4,000,000 <br /> ® DESCRIPTION OF OPERATIONS/LDCATN)NE/VEHICLES'Attach ACORD 101.An:Wml Remora Scl•Jule.a man(Ina le IWWNI <br /> 0 <br /> 0 <br /> 0 <br /> O CERTIFICATE HOLDER CANCELLATION <br /> 0 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF. NOTICE WILL BE DELIVERED IN <br /> • <br /> Keith and Schnars, P.A. ACCORDANCE WITH THE POLICY PROVISIONS. <br /> ® 6500 N. Andrews Avenue AUTHORIZED REPRESENTATIVEFt. Lauderdale, FL 33309-2132 <br /> rDan Kaise/DGARCI <br /> ACORD 25(2010(05) 131988-2010 ACORD CORPORATION. All rights reserved. <br /> ® INS025(201005101 The ACORD name and logo are registered marks of ACORD <br /> ®v -. - - • I i KEITH and SCNNARS,P.A. <br /> 0 « RFQt2-04-02 PAGE 5FLCRIDAS& tool <br />