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<br />1 <br /> <br />ACORD CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DDIYYYY) <br />TM. 06/0412010 <br />PRODUCER Phone: (631) 549-8561 Fax: (631) 549-8557 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />BRADY RISK MANAGEMENT INC. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />P. O. BOX 2540 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />HALESITE NY 11743 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> INSURERS AFFORDING COVERAGE NAIC# <br />INSURED INSURER A: Colony Insurance Company 03283 <br />SHORTY'S INC. INSURER B: Commerce & Industry Insurance Co. 19410 <br />C/O BRADY RISK RESTAURANT GROUP INC INSURER C: <br />9150 SW 87TH STREET SUITE 205 <br />MIAMI FL 33176 INSURER D: <br /> INSURER E: <br /> <br />COVERAGES <br /> <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TOWHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />rNSR ADD'L TYPE OF INSURANCE POLICY NUMBER Pg;tE~:;:~g~IE POLICY EXPIRATION LIMITS <br />LTR INSR DATE IMMIODIVV\ <br /> GENERAL LIABILITY AR5360204C 02115/10 02115/11 EACH OCCURRENCE $ 1,000,000 <br /> X COMMERCIAL GENERAL LIABILITY ~~~~~i~~E=~:;~nce\ $ 100,000 <br /> I CLAIMS MADE[!] OCCUR MED. EXP (Anyone person) $ Not Included <br />A PERSONAL & ADV INJURY $ 1,000,000 <br /> - <br /> GENERAL AGGREGATE $ 2,000,000 <br /> - <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG. $ 1,000,000 <br /> I n PRO- Iil LOC <br /> POLICY JECT <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> - (Ea accident) $ <br /> ANY AUTO <br /> - <br /> ALL OWNED AUTOS BODILY INJURY <br /> - (Per person) $ <br /> SCHEDULED AUTOS <br /> - <br /> HIRED AUTOS BODILY INJURY <br /> - (Per accldent) $ <br /> NON-DWNED AUTOS <br /> - <br /> - PROPERTY,gAMAGE $ <br /> (Per accldent <br /> GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ <br /> ~ ANY AUTO OTHER THAN EA ACC $ <br /> .t.,: AUTO ONLY: AGG $ <br /> ~I EXCESS I UMBRELLA LIABILITY BE086463643 02115/10 02115/11 EACH OCCURRENCE $ 10,000,000 <br /> ~ OCCUR D CLAIMS MADE AGGREGATE $ 10,000,000 <br />B $ <br /> ~ DEDUCTIBLE $ <br /> X RETENTION $ 10,000 $ <br /> WORKERS COMPENSATION AND I ~gR~Tt,~~,:s I I OTHER <br /> EMPLOYERS' LIABILITY $ <br /> E.L. EACH ACCIDENT <br /> ANY PROPRIETORIPARTNERlEXECUTIVE <br /> OFFICERlMEMBER EXCLUDED? E.L. DISEASE-EA EMPLOYEE $ <br /> If y.a, describe under E.L. DISEASE-POLICY LIMIT $ <br /> SPECiAL PROVISIONS t..low <br /> OTHER: <br />DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS <br />SEE SUPPLEMENTAL CERTIFICATE INFORMATION <br /> <br />CERTIFICATE HOLDER <br /> <br />CANCELLATION <br /> <br />CITY OF SUNNY ISLES BEACH SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />SAMSON OCEANFRONT PARK EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS <br />WRmEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE <br />17425 COLLINS AVENUE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, <br />SUNNY ISLES BEACH, FL 33160 IT'S AGENTS OR REPRESENTATIVES. <br /> AUTHORIZED REPRESENTATIVE ~ . ~- <br /> --~~ <br />Attention: c......-' <br /> Sean M. a y <br /> <br />ACORD 25 (2001/08) <br /> <br />Certificate # <br /> <br />21472 <br /> <br />@ ACORD CORPORATION 1988 <br />