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<br />ACORD. CERTIFICA TE OF LIABILITY INSURANCE CSR C8 I DATE {MMIDOfYYYYl <br />BEISW-l 02/16/04 <br />PRODUCER THIS CERTIFICATE IS ISSUEO AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />BROWN & BROWN INC HOLDER. THIS CERTIFICA TE DOES NOT AMEND, EXTEND OR <br />BOOO GOVERNORS SQUARE BLVD 400 ALTER THE COVERAGE AFFORDED 8Y THE POLICIES BELOW. <br />MIAMI LAKES FL 33016-1588 <br />Phone: 305-364-7800 Fax:305-822-5687 INSURERS AFFORDING COVERAGE NAIC# <br />INSURED INSURER A: HARTFORD INS OF THE S.E. 38261 <br /> INSURER B; HARTFORD CASUALTY INS CO 09263 <br /> BEISWENGER HOCH & ASSOC. INC. INSURER c: TWIN CITY FIRE INS CO 29459 <br /> NORONA LTD <br /> PO BOX 1368 INSURER 0: <br /> NORTH MIAMI BEACH, FL 33160 <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. NOTW1THSTANQING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT \\'lTH RESPECT TO WHICH 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 SHO\'VN MAY HAVE seEN REDUCEO BY PAID CLAIMS. <br />L. fR INSR TYPE OF INSURANCE POLICY NUMBER r"oA1!l1MMIDDtYY DATE' /MMIDOrN" LIMITS <br /> ~NERAL LIABILITY EACH OCCURRENCE . 1,000,000 <br />A X X COMMERCIAL GENERAL LIABILITY 21UUNUT9243 12/31/03 12/31/04 ~~~~~ (E~~~nC8) . 300,000 <br /> I CLAIMS MADE [!] OCCUR MED EXP (Anyone person) . 10,000 <br /> - PERSONAL & ADV INJURY .1,000,000 <br /> GENERAL AGGREGATE .2.000,000 <br /> ~'L AGG~nE LIMIT APnS PER: PRODUCTS. COMP/OP AGG '2,000,000 <br /> POLICY jr8i LOC <br /> ~TOMOBILE LIABILITY COMBINED SINGLE LIMIT .1,000,000 <br />A ~ ANY AUTO 21UENLJ4417 12/31/03 12/31/04 (Ea aCCidenl) <br /> f- ALL OVv'NED AUTOS BOOlL Y INJURY <br /> . <br /> SCHEDULED AUTOS (Per person) <br /> f- <br /> ~ HIRED AUTOS BODILY INJURY <br /> {Peraccidel1l) . <br /> f-- NON-OWNED AUTOS <br /> f-- I PROPERTY DAMAGE . <br /> (PeraCCldenl) <br /> ~RAGE LIABILITY I AUTO ONLY. EAACClDENT S <br /> ANY AUTO OTHER THAN EA ACC . <br /> AUTO ONLY: AGG . <br /> ~eSSfUMBReLLA LIABILITY EACH OCCURRENCE '2,000,000 <br />B X OCCUR D CLAIMS MADE 21XHUUT7094 12/31/03 12/31/04 AGGREGATE .2,000,000 <br /> . <br /> ;::1 DEDUCTIBLE . <br /> X RETENTION 110000 . <br /> WORKERS COMPENSATlON AND X I TORY LIMITS I IUE~' <br />C EMPLOYERS' LIABILITY 21WBGD0141 12/31/03 12/31/04 500,000 <br />MIY PRCPRIETOR/PART~IERiE;.:r::CUTNE E L EACH ACCIDENT . <br /> OFFICER/MEMBER EXCLUOED? E,L. DISEASE. EA EMPLOYEE $ 500,000 <br /> ~~E~1~t$~~b~VI~1~~s below El. DISEASE. POLICY LIMIT . 500 000 <br /> OTHER <br />OESCRIPTlON OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDEO BY ENDORSEMENT I SPECIAL PROVISIONS <br />*10 Day Non-Payment Cancellation clause applies. <br />Certificate Holder named as an Additional Insured for General Liabili ty <br />coveraqes with regard to project work being conducted in the City. <br /> <br />CERTIFICATE HOLDER CANCELLA TION <br /> <br />CITY OF SUNNY ISLES BEACH <br />17070 COLLINS AVENUE, ST. #250 <br />SUNNY ISLES BEACH FL 33160 <br /> <br />CI T3160 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCEL.LED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL * 30 DAYS WRITTEN <br />NOTlCE TO THE CERTlFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO 00 SO SHALL. <br /> <br />IMPOSE NO OBLIGATION OR LlA <br />REPRESENTATIVES. <br />AUTHORIZED REPRESENTATI E <br /> <br />OF ANY KINO UPON THE INSURER. ITS AGENTS OR <br /> <br />ROBERT HOLLANDE <br /> <br /> <br />@ ACORD CORPORAT~Nr98 <br /> <br />ACORD 25 (2001108) <br />