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ACDBQM CERTIFICATE OF LIABILITY INSURANCE I DATE IMM/DDIYYYY) 09/23/2005 PRODUCER (305) 822 -7800 FAX THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Collinsworth, Alter, Fowler, Dowling & French ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P. O. Box 9315 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Miami Lakes, FL 33014-9315 INSURERS AFFORDING COVERAGE NAIC# INSURED Siltek Group, Inc. INSURER A: First Specialty Insurance Corp 4403 Dogwood Circle INSURER B: Harleysville Mutual Insurance Weston, FL 33331 INSURER c: MT Hawley Insurance Company INSURER 0: Commerce and Industry Ins CO INSURER E: COVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. II~$'~ ~o.,~1 TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS GENERAL LIABILITY IRG995361 09/22/2005 09/22/2006 EACH OCCURRENCE $ 1,000,000 - X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED . $ 100,000 I CLAIMS MADE 0 OCCUR MED EXP (Anyone person) $ A PERSONAL & ADV INJURY $ 1,000,000 - GENERAL AGGREGATE $ 2,000,000 - GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 I nPRO- n POLICY JECT LOC AUTOMOBILE LIABILITY BA2J8062 09/08/2005 09/08/2006 COMBINED SINGLE LIMIT I--- $ ANY AUTO lEa accident) 1,000,000 I-- ALL OWNED AUTOS BODILY INJURY ~ $ SCHEDULED AUTOS (Per person) B i-- X HIRED AUTOS BODILY INJURY I-- $ X NON-OWNED AUTOS (Per accident) I-- PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ R ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY BINDER 09/22/2005 09/22/2006 EACH OCCURRENCE $ 1,000,000 tJ OCCUR o CLAIMS MADE AGGREGATE $ 1,000,000 C $ (] R DEDUCTIBLE $ RETENTION $ (] $ WORKERS COMPENSATION AND WC9302988 09/08/2005 09/08/2006 I TVXgJTf:I#;:, I IOJ~- EMPLOYERS' LIABILITY 1,000,000 D ANY PROPRIETORlPARTNER/EXECUTIVE E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under 1,000,000 SPECIAL PROVISIONS below E. L. DISEASE - POLICY LIMIT $ OTHER ~ESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS ef. Project: 181st. Drive Active Public Park- Project # 114122, Sunny Isles Beach, Fl. 33160 ity of Sunny Isles Beach is listed as Additional Insured with respects to the General Liability only. City of Sunny Isles Beach 18070 Collins Avenue Sunny Isles Beach, FL 33160 CANC LLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS 0 AUTHORIZED REPRESENTATIVE Patrick Mur h /VVN ACORD 25 (2001/08)