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/-1 ACTILAB-01 LANED '``ORO CERTIFICATE OF LIABILITY INSURANCE DAT124/20.YYYYI s/za/zols 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: H the certificate holder is an ADDITIONAL INSURED,the policy(les)must be endorsed. N SUBROGATION IS WAIVED,subject to the terms and conditions of the polity,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: Insurance Office of America,Inc. PHONE 561 778-0880 No561 776-0670 Abacoa Town Carder Apo ji rc+J:( ) utu—t l 1 1200 University Blvd,Suite 200 ADDRESS: Jupiter,FL 33458 INSURERS)AFFORDING COVERAGE NAIC I INSURER A:Zurich American Insurance Company 16535 INSURED INBJRER B:American Guarantee 8 Liability Insurance Company 26247 Action Labor Management LLC INSURER C: 824 Nottingham Blvd. INSURER o: West Palm Beach,FL 33405 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 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. Iain TYPE OF INSURANCE ADDL SUBR POLICY EFF POLIL`YIIP E LTRMD WIPO POLICY NUMBER IMM/DONYYY1 I IMM/DIEET YI I LIMITS A X I COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 r+ ORENTED —I— cuwsaawE X OCCUR PRA5854406-03 1011712015 0111012017 PREMISES amnmm) S 100,000 MED EXP(Any one perem) s 10,000 JPERSONALS AW INJURY S 1,000,000 GENE AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S 2,000,000 POLICY X JECT IPI LOC PRODUCTS-COMP/OP AGG S 2,000,000 OTHER' S AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 A ANY AUTO PRA4877711-03 10117/2015 01/10/2017 BODILY INJURY(Per person) S — ALL OWNED X SCHEDULEDAUTOAUTOS BODILY INJURY(P0 emdeNl S X HIRED SAUTOS X AON SWNED PROPEPE?TY DAMGE S I$ II—X UMBRELLA LIAB X OCCUR EACH OCCURRENCE IS 6,000,000 B I EXCESS LAB CLAIMS-MADE UMB5498960-03 10/17/2015 01/10/2017 AGGREGATE I4S 6,000,000 i It DED X RETENTIONS 10,000 I$ AAJNOO EYPPLLOSARS'MPEN1nlCV I STATUTE I I OERH- ANY PROPRIETOR/PARTNER/EXECUTIVE Y� NIA EL_EACH ACCIDENT S OFFICERMEMBER EXCLUDED? 'Mandatory In NHL E L.DISEASE-EA EMPLOYEE S tl yep desaite wafer DESCRIPTION OF OPERATIONS Was E.L DISEASE-POLICY LIMIT S A Professional Llab PRA5854408-03 10/17/2015 01/1012017 Per Occurrence 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS!VEHICLES(ACORD 101,Addition Rearks Schedule.may to attached I more space Is rgWred) Coverage for work performed by employees of Action Labor of Florida. See Next page for Workers Compensation Coverage } CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE City of Sunny Isles Beach C-L I— 18070 Collins Avenue C�/T' Sunny Isles Beach 33160 ®1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD