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LU I W Yf 4 V U r LnU Lc: » rrsA OLJOQ J7 >LL C"Lilc l7LuUj, ran <br />ACOi4D.M CERTIFICATE OF LIABILITY INSURANCE <br />10/ 007Y' <br />PRODUCER (813) 890 -0415 FAX: (813) 885 -4311 <br />Prime Group Insurance Services <br />THIS CER7IFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />5440 Beaumont Center Blvd. <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Suite #445 <br />Tampa FL 33634 <br />INSURERS AFFORDING COVERAGE <br />NAIC # <br />INSURED <br />INSURER A: AmCOMP Preferred Ins. Co. <br />INSURERB: <br />Tenex Enterprises, Inc. <br />INSURER C: <br />850 S.W. 14th Court <br />INSURER D: <br />Pampano Beach, FL. 33060 <br />INSURER E: <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY <br />REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, <br />THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. <br />AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />LTR <br />ADD'L <br />INSRD <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />DATE MMIDOJYY <br />POLICY EXPIRATION <br />DATE MMIDDIYY <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ <br />AMAG <br />PREMISES Ea occurrence) D <br />$ <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS MADE FI OCCUR <br />MED EXP (An one person <br />$ <br />PERSONAL & ADV INJURY <br />$ <br />GENERAL AGGREGATE <br />$ <br />FEN'L AGGREGATE LIMIT APPLIES PER <br />PRODUCTS - COMP /OP AGG <br />$ <br />- <br />POLICY PRO CT LOC <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />COMBINED SINGLE LIMIT <br />(Ea accident) <br />$ <br />BODILY INJURY <br />(Per person) <br />$ <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />BODILY INJURY <br />(Per accident) <br />$ <br />HIRED AUTOS <br />NON - OWNED AUTOS <br />PROPERTY DAMAGE <br />(Per accident) <br />$ <br />GARAGE LIABILITY <br />AUTO ONLY - EA ACCIDENT <br />$ <br />OTHER THAN EA ACC <br />$ <br />ANY AUTO <br />$ <br />AUTO ONLY: AGG <br />EXCESSIUMBRELLA LIABILITY <br />EACH OCCURRENCE <br />$ <br />OCCUR FI CLAIMS MADE <br />AGGREGATE <br />$ <br />$ <br />DEDUCTIBLE <br />$ <br />RETENTION $ <br />A <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY <br />ANY PROPRIETOR /PARTNER /EXECUTIVE <br />X TORY LIMITS ER <br />E.L. EACH ACCIDENT <br />$ 100,000 <br />E.L. DISEASE - EA EMPLOYEE$ <br />100,000 <br />OFFICERIMEMBEREXCLUDED? <br />If yes, describe under <br />SPECIAL PROVISIONSbefow <br />WCV7061482 <br />6/30/2007 <br />6/30/2008 <br />E.L. DISEASE- POLICY LIMIT <br />$ 500,000 <br />OTHER <br />DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES /EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS <br />City of Sunny Isles <br />18070 Collins Avenue <br />Sunny Isles Beach, FL <br />a111W-ra•1cl <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL <br />10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT <br />33160-2723 FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE <br />INSURER. ITS AGENTS OR REPRESENTATIVES, <br />AUTHORIZED REPRESENTATIVE �. <br />Ed Ellsasser r��yr ter' <br />AcORD Z5 (ZO01108) ©ACORD CORPORATION 1988 <br />ir,ren ,3 r,,. —no_ <br />Pane 1 Ml <br />