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<br />I <br />'1 <br /> <br />~ , DATE (MMIDD/YYYY) <br />~RD8 CERTIFICATE OF LIABILITY INSURANCE OP ID BJOH I 07/14/10 <br />MIGULOl <br />I.PRODUceR THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />ranenbaum Harber of Florida HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />2900 SW 149th Avenue ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Miramar FL 33027-6605 <br />Phone: 954-883-2900 Fax:954-517-7400 INSURERS AFFORDING COVERAGE NAIC# <br />INSURED INSURER A: Seneca Spec1ll1ty Insurance CO <br /> INSURER B: American Guarantee.. Liobi1it.y 26247 <br />Miguel Lopez Jr., Inc. INSURER C: Bridgaf1eld EEployarll In8. co. <br />Mi~ue1 LO~ez <br />77 1 NW 7 th Avenue INSURER D: Co:r=.erce , 1ndua:try Company 19410 <br />Miami FL 33166 <br />I INSURER E: <br /> <br />! <br /> <br />I <br />I <br />. i <br />i <br />.\ <br />I <br />I <br /> <br />COVERAGES <br /> <br />, <br /> <br />"I <br />.1 <br />1 <br />I <br />! <br /> <br /> THE POUCIES 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 HERBN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH <br /> POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID ClAIMS. <br />LTR NSR TYPE OF INSURANCE POLICY NUMBER DATEIMMIDDmivYl DATEjMMIO~ LIMITS <br /> ~NERAL UABlUTY EACH OCCURRENCE $1,000,000 <br />A ~ OERCIAL GENERAL UABlUTY SGL3100761 07/15/10 07/15/11 I ~~;S~S (Ea occurence\ $ 50, 000 -- <br /> - ClAIMS MADE ~ OCCUR MEO EXP (Anyone person) $ excluded <br /> - PERSONAl & AIW INJURY $1,000,000 <br /> ~ tiER PROJ AGO 5 MIL ~ GENERAL AGGREGATE $2,000,000 <br /> ~LAGG~~EUMlT APPUES PER: PRODUCTS. COMPIOP AGG $2,000,000 <br /> POLICY X ~f8r n LOC Emp Ben. 1,000,000 <br /> ~TOMOBILE UABIUTY COMBINED SiNGlE LIMIT $1,000,000 <br />B ~ ANY AUTO BAP654830501 07/15/10 07/15/11 (Ea accident) <br /> ~ ALL OWNED AllTOS BODILY INJURY <br /> $ <br /> SCHEDOLED AllTOS (Per person) <br /> f- <br />B ~ HIRED AllTOS BODILY INJURY <br /> $ <br /> ~ NON-OWNED AllTOS (Per acddent) <br /> I-- PROPERTY DAMAGE $ <br /> (Per accident) <br /> GARAGE L1ABlUTY AUTO ONLY - EA ACCIDENT $ <br /> =j ANY AUTO OTHER THAN EAACC $ <br /> AlITO ONl. Y: AGG $ <br /> EXCESS f UMBREllA LIABILITY EACH OCCURRENCE $5,000,000 <br />D !!J OCCUR D CLAIMS MADE BE035870427 07/15/10 07/15/11 AGGREGATE $5,000,000 <br /> $ <br /> ~ DEDUCTIBLE $ <br /> X RETENTION $ nil $ <br /> WORKERS COMPENSATION X IrOR'v"'UMITS I IVER" <br /> AND EMPLOYERS' UABIUTY YfN <br />C ANY PROPRIETORlPARTNERlEXECUTITI 083042357 07/01/10 07/01/11 E.L EACH ACCIDENT $ 500000 <br /> OFFICER/MEMBER EXCLUDED? . E.L DISEASE - EA EMPLOYEE <br /> fMa;ulalo<y InNH} $ 500000 <br /> If yes. describe ~er E.L. DISEASE - POUCY LIMIT $ 500000 <br /> SPECIAL PROVISIONS below <br /> OTHER <br />DESCRIPTION OF OPERATIONS f LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT f SPECIAL PROVISIONS <br />10* Notice for non-payment <br />..-..----......----------..-----------.--------...----.---------......-----.-.-----.-.--....-.--.-- .._..._....___.....--.__.....___...._.....___.____._.__..._u.__m..._.____.______.__.___..........__.._..._____..__.__......_...____..____.........__. .u...__...._.......___..__.._...... ......_,...__.,_..___....__.__..._.._....._~_ <br /> <br />CERTIFICATE HOLDER <br /> <br />CANCELLATION <br />SHOULD At('( OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />MIGUL01 DATE THEREOF. THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30* DAYS WRITTEN <br />NOTICE TO THE CERnFICA TE HOLDER NAMED TO THE LEFT, IlUT FAILURE TO DO SO SHALL <br />IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER. rTS AGENTS OR <br /> <br />Miguel Lopez Jr <br />7711 NW 74 Ave <br />Medley FL 33166 <br /> <br />ACORD 25 (2009/01) <br /> <br />@ 1988-2009 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br /> <br />