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----.., ACTILAB-01 LANED A ORC CERTIFICATE OF LIABILITY INSURANCE DATER TI 5/24/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATTVELY 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: N the certificate holder Is an ADDITIONAL INSURED,the policy(les)must be endorsed. N 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 endorsement(e). PRODUCER CONTACTAYE: Insurance Office of Arra/rice,Inc. Isepia A14Ha�,y(S61)778-0660 1(AJC,ILI Not (561)778-0670 1200 U Town Center .F University Blvd,Suite 200 ADDRESS: Jupiter,FL 33458 INSURER(,)AFFORDING COVERAGE NAIL A INSTREa A:Zurich American Insurance Company 16535 • INSURED 053wREa s;American Guarantee&Liability Insurance Company 26247 Action Labor Management LLC INSURERC 824 Nottingham Blvd. INSURER O: West Palm Beach,FL 33405 INSURER E; - INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POUCIES OF INSURANCE USTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POUCY 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 POUCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. • Win' TYPE OFINEURAMCE MD9DISWOO POUCY NUMWER uaR II�DYYYY7KY EFT IIMrWODI TETI, LIMA A X I COaNERCLAL GEMERALLIA91UTY I EACH OCCURRENCE I 1,000,E -� n CvINIBMAOE OCCUR PRA5864405-03 10/17/2015 01/10/2017 ' 5 TEDiSITaSEA0FonelFoL__ , 100,000 MED EXP(Ary Ors P•11110/ , 10,000 JPERSONAL 8 A0v Lv cart/ f 1,000,000 GENL AGGREGATE LMR APPLIES PER: GENERAL AGGREGATE I 2,000,E POLICY n AcOi ri Loc PRODUCTS-COMPIOP ACG $ 2,000,000 10111ER I AUTOYOHLE LIABILITY COMBINED SINGLE LOAIT I 1,000,000 (ER ommnl AAALL AUTO PRA4877711-03 10/17/2015 01/10/2017 BODE,INJURY ry«pawn) I ALL OWNED S�EO s �O BODILY W.M1WY(P.smart) I N0N O\WEJ PROPERTY DAMAGE X HIRED AUTOS X AUTOS (?.? 1) I II IXI UMBRELLA use X OCCUR I EACHOCCURFENCE I, 6,000,000 B (III— EXCEss UAB Cwus+awE UM85496980-03 10117/2016 01/10/2017 AGGREGATE 15 6,000,000 DEO I X I RETENTION I 10,000 I I I WORKERS COMPENSATION I PER STATUTE I IaR N N ANE I O Ea PLOY'EATUA&UT" TI ANY PROPRIETORPARDLIOJE(ECUT E n NIA bEL.EACH ACCIDENT 1 °FECESM MBER EtQUCEED] (Bondman. NIB E L.DIREARF.EA EMPLOY I o yys� RU.cmse wa OESCRIIOM OF OPERATIONS Iwbv ELDISEASE-POLICY[Lull 1 I A Professional Llab PRA5854405-03 10!17/2015 01/10/2017 Per Occurrence 1,000,000 DESCRIPTION OF OPERATIONS I LOCATO)B I WEN:CIEs(ACORD 101,AcklItknal Reon.&n.Eule.may es Mend I mon apace Is rsQAW) Coverage for work performed by employees of Action Labor of Flmtda. See Next page for Workers Compensation Coverage CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE 'THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AITHOR: ED REPRESENTATIVE City of Sunny labs Beach 9: V1,1 i' -1-17:70 18070 Collins Aven7 ue v�7" LSunny Isles Beach 33160 ®1988-2014o1 ACORDACORD CORPORATION. All rights reserved. ACORD 25(2014!01) The ACORD name and logo are registered marks SW