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<br />--:-- <br /> <br />, <br />~ <br /> <br />From: Brown & Brown of Florida, Inc. <br /> <br />To: Mari Jimenez <br /> <br />Page: 213 <br /> <br />Date: 11/15/2007 3:,27:09 PM <br /> <br />· A CORD_ <br /> <br />, CERTIFICATE OF LIABILITY INSURANCE <br /> <br />QP'ID D3 <br />ACOST-2 11/15/07 <br />THIS CERTIFICATE 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 />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, <br /> <br />DATE (MMIOD/YYYY) <br /> <br />PRODUCER <br /> <br />BROWN & BROWN OF FLORIDA INC <br />8000 GOVERNORS SQUARE BLVD 400 <br />HAM! LAKES FL 33016-1588 <br />Phone: 305-364-7800 Fax: 305-822-5687 <br /> <br />INSURERS AFFORDING COVERAGE <br /> <br />NAIC# <br /> <br />INSURED <br /> <br />INSURER A <br /> <br />PHOENIX INSURANCE COMPANY <br /> <br />INSURER B <br /> <br />TRAVELERS PROP CAS CO OF AMER <br /> <br />36161 <br /> <br />ACOSTA TRACTORS INC <br />ATTN FELIX ACOSTA <br />11986 N N 97 AVE <br />HIALEAH GARDENS FL 33018 <br /> <br />INSURER C <br /> <br />INSURER 0 <br /> <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 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 SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />IN'K WO'L POLICY EFFECTIVE POLICY EXPIRATION <br />LTR NSRD TYPE OF INSURANCE POLICY NUMBER DATE (MM/DDIYY) DATE (MMIODIYY) LIMITS <br /> GENERAl UABIUTY EACH OCCURRENCE $ 1000000 <br /> - <br />A ~ COMMERCIAL GENERAlllABlUTY DTC0808X1027PHX07 11/13/07 11/13/08 u~~uc ,u~m'cu $ 300000 <br /> ~ CLAIMS MADE ~ OCCUR PREMISES (Ea occurence) <br /> - MED EXP (Any one person) $ 5000 <br /> - PERSONAL & M)V INJURY $ 1000000 <br /> - GENERAL AGGREGATE $ 2000000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGG $ 2000000 <br /> I POLICY n j~2T n LOC Emp Ben. 1000000 <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> - $ 1,000,000 <br />B ~ ANY AUTO DT810808X1207TIL07 11/13/07 1}../13/08 (Ea aCCJI::lent) <br /> ALL OWNED AUTOS BODILY INJURY <br /> - $ <br /> SCHEDULED AUTOS (Per person) <br /> - <br /> - HIRED AUTOS BODILY INJURY <br /> $ <br /> NON-O\IVNED AUTOS (Per aCCIdent) <br /> - <br /> - PROPERTY DAMAGE $ <br /> (Per aCCident) <br /> GARAGE UABIUTY AUTO ONL y ~ EA ACCIDENT $ <br /> =1 ANY AUTO OTHER THAN EA ACC $ <br /> AUTO ONLY AGG $ <br /> EXCESSfUMBREUA UABIUTY EACH OCCURRENCE $ 2000000 <br />B !:J OCCUR D CLAIMS MADE DTSMCUP808X1207TIL07 11/13/07 11/13/08 AGGREGATE $ 2000000 <br /> $ <br /> ~ DEDUCTIBLE $ <br /> X RETENTION $ 10000 $ <br /> WORKERS COMPENSATION AND I WCSTATU~ I IOTH- <br /> TORY LIMITS ER <br /> EMPLOYERS' UABIUTY <br /> ANY PROPRIETORIPARTNERIEXECUTrVE E L EACH ACCIDENT $ <br /> OFFICERIMEMBER EXCLUDED? E L DISEASE. EA EMPLOYEE $ <br /> If yeS. describe under <br /> SPECIAl PROVISIONS below E L DISEASE - POLICY LIMIT $ <br /> OTHER <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br /> <br />CERTIFICATE HOLDER <br /> <br />CANCELLATION <br /> <br />CIT-160 <br /> <br />SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE EXPIRATION <br /> <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL <br /> <br />10 <br /> <br />DAYS WRITTEN <br /> <br />City of Sunny Isles Beach <br />18070 Collins Avenue <br />Sunny Isles Beach FL 33160 <br /> <br />NDTlCE TO THE CERTlFICATE HOLDER NAMED TO THE LEFT, BUT FAlLURE TO 00 SO SHALL <br /> <br />IMPOSE NO OBLIGATION OR LlABIUTY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br /> <br />REPRESENTATIVES. <br /> <br />ACORD 25 (2001/08) <br /> <br /> <br />@ACORD CORPORATION 1988 <br /> <br />-~ <br />