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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . () ~ ~R 8 CERTIFICA TE OF LIABILITY INSURANCE I DATE (MM/DDIYYYY) OP 10 WN 07/28/10 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 policy(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 endorsement(s). PRODUCER NAMie ' Chase Insurance Agency Inc (AJ(;',N~O. Ex!): I (Aic. No): POBox 17497 AD'b~REss: Plantation FL 33318-7497 CUSTOMER 10 #: MIDTO-2 Phone:954-792-4300 Fax:954-791-9344 INSURER(S) AFFORDING COVERAGE NAIC# INSURED INSURER A : State National Ins Co Inc 12831 Midtown Towin~ of Miami, Inc. INSURER B : 551 NW 72nd S Miami FL 33150 INSURER C : INSURER 0 : 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 N01WITHSTANDING 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 LTR TYPE OF INSURANCE INSR wvr POLICY NUMBER (MMiDD1YYYYj (MMiOONWYI LIMITS GENERAL LIABILITY EACH OCCURRENCE $1,000,000 r- PREMISES (E';,"~~~~~rence) A X COMMERCIAL GENERAL LIABILITY TIP-002762 01/20/10 01/20/11 $ 100,000 r- o CLAIMS-MADE o OCCUR MED EXP (Anyone person) $ 5,000 r- PERSONAL & I'DV INJURY $ 1,000,000 r- GENERAL AGGREGATE $2,000,000 - GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGG $ 2,000,000 Xln PRO- nLOC $ POLICY JECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 - (Ea aCCldeot) ANY AUTO BODIL Y INJURY (Per person) $ - ALL OWNED AUTOS BODIL Y INJURY (Per aCCident) $ - A X SCHEDULED AUTOS TIP-002762 01/20/10 01/20/11 PROPERTY DAMAGE - $ X HIRED AUTOS (Per aCCIdent) t-- X NON-OWNED AUTOS $ t- $ UMBRELLA lIAB H OCCUR EACH OCCURRENCE $ t-- EXCESS LIAB CLAIMS-MI'DE AGGREGATE $ DEDUCTIBLE $ I- RETENTION $ $ 1 ITOR\tiMI'f'S I IVErl AND EMPLOYERS' LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE D 'JIA EL EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) EL. DISEASE - EA EMPLOYEE $ If yes, descnbe under DESCRIPTION OF OPERATIONS below EL DISEASE - POLICY LIMIT $ A GKLL - 3 Locations TIP-002762 01/20/10 01/20/11 $500 Ded Varies A On Hook & Cargo TIP-002762 01/20/10 01/20/11 $1000 Ded $100,000 DESCRIPTION OF OPERATIONS J LOCATIONS I VEHICLES (Attach ACORD 101. Additional Remarks Schedule. if more space is required) GKLL Limits:$500S000 @ 551 NW 72 st, MiamiS $50,000 @ 2035 NE 153RD st6 N Miami Bch & $3 0 000 @ 2045-2047 NE 154 t N Miam1 Bch, FL $150,00 @ 1759 Palm Ave, Hiaieah & $50,000 @ 95 West 2i st & 150 West 22 st., Hialeah Re~arding: RFP #10-07-01 Professional Towing Services for the City of Sunny Is es Beach Po11ce Department CERTIFICATE HOLDER CANCELLATION Sunny Isles Beach Police Department Attn: City Clerk 18070 Collins Ave Sunny Isles Beach FL 33160 I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE SUNNI01 THE EXPIRATION DATE THEREOF. NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2009/09) 988- The ACORD name and logo are registered marks of ACORD ORPORATION. All rights reserved. lIB