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~ ACORO@ CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DDNYVY) ~ 10/18/2010 PRODUCER (305)595-3323 FAX: (305) 595-7135 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Eastern Insurance Group, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 9570 SW 107 Avenue ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Suite 104 Miami FL 33176 INSURERS AFFORDING COVERAGE NAIC# '~-j INSURED . INSURER A:Mid-Continent Casualty , INSURER B: Praetorian Insurance Company , Maggolc, Inc. 11020 SW 55 Street I INSURER c:CastlePoint Florida Insurance I 1 33165 I INSURER D: I Miami FL INSURER E: COVERAGES 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 OfSUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ~-- INSR ADD'U -- --,-- II poq~y EFFECTI:!~~ POLl~X EXPI~J1Q~ ~ LIMITS L TR NSRD' TYPE OF INSURANCE POLICY NUMBER DATE'MM/DD/YYYTO DATE 'MM/DD/nn' , GENERAL LIABILITY I ' 1 EACH OCCURRENCE ,t - 1 DAMAGE TO RENTED X COMMERCIAL GENERAL LIABILITY ~_PREMISES (Ea occurrencel--r-L. ~~ CLAIMS MADE iXJ OCCUR II04-GL-000802053 9/22/2010 9/22/2011 MED EXP (Anyone person) '.1_ J -- _ I PERSONAL & ADV INJURY $ __ J _ _ GENERAL AGGREGATE _ $ ~'L AGGREGATE LIMIT APPLIES PER: I I PRODUCTS - COMP/O.!'~Q..G $ X I POLICY ,I ~~,9,: :l LOC I HUTOMOBILE LIABILITY i I COMBINED SINGLE LIMIT I ANY AUTO I ! (Ea accident) I $ I - -. _ ALL OWNED AUTOS ,PICFL0001277 7/17/2010 7/17/2011 BODILY INJURY X SCHEDULED AUTOS I (Per person) - -- X HIRED AUTOS - X NON-OWNED AUTOS - A ..J.,~OO, 000 100,000 Excluded _1., 000,000 _2,,000,000 ~-' 000 l 000 1,000,000 BODILY INJURY (Per accident) - - ~, I $ - - $ - -- - ~ , $ B -~- PROPERTY DAMAGE (Per accident) C R' GARAGE LIABILITY ANY AUTO I ~ESS I UMBRELLA LIABILITY ~ OCCUR 0 CLAIMS MADE R DEDUCTIBLE RETENTION $ WORKERS COMPENSATION i AND EMPLOYERS' LIABILITY Y I N ANY PROPRIETOR/PARTNER/EXECUTIVE 0 l OFFICER/MEMBER EXCLUDED? (Mandatory in NH) F9760021100 If yes, describe under ' , SPECIAL PROVISIONS below I OTHER I I AUTO ONLY - EA ACCIDENT $ A ,D4-XS-168467 I I I I I I I 9/22/2010 I I I 11/2/2009 I I 9/22/2011 OTHER THAN EA ~~~_ _ __ _ AUTO ONLY: AGG $ I EACH OCCURRENCE f.1$ ~ ,.Q~ 000 f~"'''ff _ !~ 2 ,000 ,000 ~TZ.rn~sl I~&'_ __ ~ , E.L. EACH ACCIDENT +L 1,000, 000 : EL. DISEASE. EA EMP~~Ee $ 1,000 I 000 , EL. DISEASE. POLICY LIMIT ! $ 1 000 000 11/2/2010 I I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS sidewalks, curbing contractor Certificate holder is listed as an additional insured with respect to general liability. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN City of Sunny Isles Beach NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL 18070 Collins Avenue IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Sunny Isles Beach, FL 33160 REPRESENTATIVES. AUTHORIZED REPRESENTATIVE David Lopez/AMANDA ----- ~ ~. - ACORD 25 (2009/01) INS025 (200901 ).01 @ 1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD