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. . . . . . . . . . . . . . . . . . . . . . () () . . . . <t . . . . . . () () . . . . . . From:Nancy \Nil FaxID:954-791-9344 THIS IS TO CERTIFY THAT THE POLl':IES OF INSURAN':E LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REOUIREMENT. 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 HERElt~ IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS IN'K 00 ~~ (M~/g5~) LTR TYPE OF INSURANCE INSR POLICY NUMBER (MM/DDIYYYY) LIMITS GENERAL LIABILITY . EACH OCCURRENCE $1,000,000 - L'AMA'_'~ 'v _n~'" cu A ~ COMMERCIAL GENERAL LIABILITY TIP-001818-B 05/05/10 05/05/11 PREMISES (Ea occurrence) $100,000 - tJ CLAIMS-MADE 0 OCCUR MED EXP (My one person) $ 5,000 PERSONAL & A[)V II~JURY $1,000,000 - - GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGG $2,000,000 ~ POLICY n j~8T n LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $1,000,000 - (Ea accident) - ANY AlrrO BODIL Y INJURY (Per person) $ ALL OWNED ALrrOS BODIL Y INJURY (Per accident) $ - A ~ SCHEDULED AUTOS TIP-001818-B 05/05/10 05/05/11 PROPERTY DAMAGE X HIRED AUTOS (Per aCCident) $ - ~ NON-OWNED AUTOS $ $ UMBRELLA LIAB H OCCUR EACH OCCURRENCE $ - EXCESS LIAB CLAIMS-MADE AGGREGATE $ I-- DEDUCTIBLE $ RETENTION $ $ B WORKERS COMPENSATION WC009934029 09/01/09 09/01/10 X ITO'R'yt:~I'~ I IV' AND EMPLOYERS' LIABILITY Y/N ER ANY PROPRIETOR/PARTNER/EXECUTIVE 0 /A E L EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? (M.nd.,ory in NH) E L DISEASE - EA EMPLOYEE $1,000,000 If Y€lS, descnbe Llnd~r DESCRIPTION OF ,)PERATIONS below E L DISEASE - POLICY LIMIT $1,000,000 A On Hook & cargo TIP-001818-B 05/05/10 05/05/11 $1000 Oed $100,000 A Garaqekepers TIP-001818-B 05/05/10 05/05/11 $500 Oed Varies DESCRIPTION OF OPER';TIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) Gr~kprs Le~al Liab $500,000 @ LOC 1 & 2 2418 N Miami Ave., Miami, Fl & 2~ 1.SW 70 H Ave. MiamI Fl Loc 4 $lQO,QOO 2011& 2050 NE 154 st., N MIamI BCh, Fl. & i5415 Nt 21 Ave, N MIamI Bch Fl. Regarding RFP10-07-01 Page 1 of 1 Date:71221201002:01 PM Page:1 of 1 ~ ~R . CERTIFICA TE OF LIABILITY INSURANCE I DATE (MM/DDIYYYY) OP 10 WN 07/22/10 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: lithe certilicate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions 01 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 ~~~jE~1.. I Chase Insurance Agency Inc r..tJgN~o. Exll: I (A/c. No): POBox 17497 ~DMDR~ss: Plantation FL 33318-7497 CUSTOMER ID II: DOWNT-1 Phone:954-792-4300 Fax:954-791-9344 INSURER(S) AFFORDING COVERAGE NAICII INSURED INSURER A : State National Ins Co Inc 12831 Downtown Towing Company & INSURER B : NATIONAL UNION FIRE INS CO 19445 Famil~ L~astn~ Investment Corp 2418 MIamI ve INSURER C : Miami FL 33127 INSURER D : INSURER E : INSURER F : , COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: CERTIFICATE HOLDER CANCELLATION SUNNYIl SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City Of Sunny Isles Beach 17070 Collins Ave #250 Sunny Isles Bch FL 33160 I AUTHORIZED REPRESENTATIVE ORPORATION. All rights reserved. ACORD 25 (2009/09) 988- The ACORD name and logo are registered marks of ACORD