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CITY OF SUINT NY ISLES BEACH S SECTION ONE COMPANY INFORMATION _,-, _, a E ... . T4.,1Fw _ .2..:..-.-..;,-,_• _ • .:u_ ® o 'ecCERTIFICATE OF LIABILITY INSURANCE DATE`KYDD^"`n 0 `i 1/17/2012 ® I 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 BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. ® IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED, subject to the 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 endorsement(s). PRODUCER CONTACT NAME' ® Ames & Gough �ATNy Fes,. (703)827-2277 FAX 17011027-2271 AT NOI: 8300 Greensboro Drive VOppbs.3.admin®ameagough.com ® Suite 980 INSURERS)AFFORDING COVERAGE NICs McLean, VA 22102 INSURER•:Cont i nen ta 1 Casualty Company 20443 9 INSURED INSURER B: Keith and Schnars, P.A. INSURER C: ® 6500 North Andrews Avenue INSURER D: I ® INSURERE: Pt. Lauderdale FL 33309-2132 INSURERF: 0 COVERAGES CERTIFICATE NUMBER:2012-2013 E 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 CONDITION OF ANY CONTRACT OR 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. W9R •MOLsuaR I PC11CY EFF POLICY EXP Li0. TYPE OF INSURANCEIWVt yMD POLICY NUMBER (MYIODIYYYyI IMY/pp/YYYYI LIMITS ® GENERAL LIABILITY EACH OCCURRENCE S COMMERCIAL GENERAL LIABILITY DAMAGE TO REMED PREMISES IEa c nntl csj_S 9 CLAIMS-MADE n OCCUR I MED EXP(Any re DYsonl S -- PERSONAL a ADV WORT S all GENERAL AGGREGATE _ S GENZ AGGREGATE( LLIEd APPLIES.PER PRODUCTS.COMP.OP EGG S j A IPOLICYf ATf;IRE; fl LOC IS ® I AUTOMOBILE LIABM1ITY COMBWEO SiNG.E GMT IEs accident) S ANY AUTO BOOBY INJURY IR,New) S ® —ALL I OWNED SCHEDULED BODILY INJURY(Par ozone* S PROPERTY_ AUTOS AUTOS NON-OWNED — HIRED AUTOS AUTOS OS (Per a '�AMA� S ® I S JUMBRELLA LIAR HOccup EACH OCCURRENCE I S ® EXCESS LIAR CLAIMS#MCE AGGREGATE IS O I DEC I I RETENTIONS I S WORKERS COMPENSATION I TORYTIMUSI •.T4 AND EMPLOYERS'LIABILITY @ ANY'ROFRIETORFARTNERd:%ECUTNE YIN E L EACH ACGCEHT S OFFCEINIEMBRI)EXCLUDED? ri NIA (Mandatary In NN) El.DISEASE-EA EMPLOYE S ® I0DESoesmbe Wer -- CRIPTION OF OPER/MONS ONS belay I EL.rYS0. LOADFaSE-pKY LOAD I[ ELS A PROFESSIONAL LIABILITY E 00 609 12 27 3/1/2012 3/1/2013 PERCLAIM 2,000,000 diAGGREGATE 4,000,000 9 DESCRIPTION OF OPERATIONS/LOCATIONS•VEHICLES(Attach ACORD III.Additional RemMs Schedule,a more space is required) 0 CERTIFICATE HOLDER CANCELLATION 9 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF. NOTICE WILL BE DELIVERED IN Keith and Schnars, P.A. ACCORDANCE WITH THE POLICY PROVISIONS. ® 6500 N. Andrews Avenue AUTHORIZED REPRESENTATIVEPt. Lauderdale, FL 33309-2132 ® .Dan Enise/DGARCI _ - - -" a��.�7 ® ACORD 25(2010/05) 91988-2010 ACORD CORPORATION. All rights reserved. ® INS02512mcasl.m The ACORD name and logo are registered marks of ACORD ®� -)�„I;KEITH and SCHNARS,P.A. 0 RFQI 2-04-02 PAGE FTORIDAS gistLoALFIRM