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OP ID BM SEAYT-1 04 16 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. I.~~ I · PRODUCER CERTIFICATE OF LIABILITY INSURANCE INSURERS AFFORDING COVERAGE INSURER A: INSURER B: INSURER C: INSURER D: INSURER E: State National Ins Co Inc 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TYPE OF INSURANCE GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE D OCCUR POLICY NUMBER EACH OCCURRENCE 04/23/10 04/23/11 TIP-001803-B PREMISES (Ea occurence MED EXP (Anyone person) PERSONAL & ADV INJURY GENERAL AGGREGATE PRODUCTS - COMP/OP AGG LOC FIRE LEGA ANY AUTO ALL OWNED AUTOS X SCHEDULED AUTOS X HIRED AUTOS X NON-OWNED AUTOS TIt'-001803-B 04/23/11 COMBINED SINGLE LIMIT (Ea accident) 04/23/10 BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident) AUTO ONLY - EA ACCIDENT $ EA ACC $ OTHER THAN AUTO ONLY: EXCESS I UMBRELLA LIABILITY D CLAIMS MADE EACH OCCURRENCE AGGREGATE RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETORlPARTNER/EXECUTlVO OFFICER/MEMBER EXCLUDED? (Mandatory in NH) ~P~~I~'E~'i)'v~s1o~s below OTHER EL DISEASE - EA EMPLOYEE $ EL DISEASE - POLICY LIMIT ON HOOK & CARGO TIP-001803-B 04/23/10 04/23/11 GRKP LEGAL LIAB TIP-001803-B 04/23/10 04/23/11 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDEO BY ENDORSEMENT I SPECIAL PROVISIONS $1000 DED $500/2500 CANCELLATION 10 NAIC# 12831 LIMITS $1,000,000 $ $ 5 000 $1,000,000 $2,000,000 $ 2,000,000 100 000 $1,000,000 $ $ AGG $ VARIES $300,000 SUNNY01 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAlL ~ DAYS WRmEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KINO UPON THE INSURER,ITS AGENTS OR Sunny Isles Beach Police Department Attn: Capt. Grandrnetti 18070 Collins Ave Sunny Isles Bch FL 33160 ACORD 25 (2009/01) . . 988- The ACORD name and logo are registered marks of ACORD CORPORATION. All rights reserved.