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~ OP ID: CC ACORD. CERTIFICATE OF LIABILITY INSURANCE I DATE (MMIDDIYYYY) ~ 10/25/10 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the pollcy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsementlsl. PRODUCER 305-666-6636 CONTACT NAME: Wilson,Washbum & Forster Ins. 305-662-7778 rt,gN9o Ext\: I FAX jivc Nol: Email: info@wwfins.com E-MAIL 10301 So. Dixie Hwy. Ste. 300 ADDRESS: Pinecrest, FL 33156-3151 ~~~~~~~= ID #: A Y ASO-1 "'---I. I .~. INSURERIS) AFFORDING COVERAGE NAIC# INSURED Aya Solutions, Inc. INSURER A: Bridaefield Emplovers Ins. Co. Carlos Aya INSURER B: Crum and Forster Specialtv Ins 3001 W Hallandale Bch Blvd 310 INSURER C : Pembroke Park, FL 33009 INSURER D : INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER' REVISION NUMBER' THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE IADDL :SUBt( 1~3l5%~\ 1~3}6y,~\ LIMITS LTR POLICY NUMBER GENERAL UABILlTY EACH OCCURRENCE $ 1,000,000 - B X COMMERCIAL GENERAL LIABILITY X GL0191089 03/30/10 03/30/11 ~REGIS~s lEa occurrence\ $ 50,000 I CLAIMS-MADE 00 OCCUR MED EXP (Anyone person) $ Excluded ~ 10,000 Deductible PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 n'L AGGREnE LIMIT APFlS PER: PRODUCTS - COM PlOP AGG $ 2,000,000 POLICY ~~RT LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ f--- lEa accident) - ANY AUTO BODILY INJURY (Per person) $ - ALL OWNED AUTOS BODILY INJURY (Per accident) $ - SCHEDULED AUTOS PROPERTY DAMAGE HIRED AUTOS (Per accident) $ - - NON-OWNED AUTOS $ $ UMBRELLA L1AB H OCCUR EACH OCCURRENCE $ - EXCESS L1AB CLAIMS-MADE AGGREGATE $ - DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION I T~~~Tf:T,\;1~ I IOl~- AND EMPLOYERS' LIABILITY A Y/N 0830-41440-0 03/28/10 03/28/11 1,000,000 ANY PROPRIETORIPARTNERIEXECUTlVE D E.L. EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? N/A 1,000,000 (Mandatory In NH) E.L. DISEASE - EA EMPLOYEE $ g~s~~rm8~ (;'~gPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarb Schedule, If more space Is required) Certificate holder is listed as additional insured with res pets to General Liability . CERTIFICATE HOLDER CANCELLATION CITYSI1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Sunny Isles Beach THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 18070 Collins Ave Sunny Isles Beach, FL 33160 AUTliORIZED REPRESENTATIVE Sarah J. Washburn I ACORD 25 (2009/09) @ 1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD