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ACORD, CERTIFICATE OF LIABILITY INSURANCE OP ID Kl DATE(MM /DD/YYYY) INTE -17 05/13/03 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION TYPE OF INSURANCE ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Brown & Brown, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P. 0. Box 1229 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Tampa FL 33601 -1229 GENERAL LIABILITY Phone: 813- 226 -1300 Fax: 813- 226 -1313 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: AUTO OWNERS INSURANCE 18988 Intez7national Sig4 & Design Corp Sign X-Press Wm H Gr if fin ATIMA INSURER B: AUTO OWNERS INSURANCE 18988 INSURER C: ZENITH INSURANCE CO PREMISES(Ea occurence) 10831 Canal Street Largo FL 33777 -1696 INSURER D: $5,000 INSURER E: s500,000 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 OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NSR I TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM /DD/YY POLICY EXPIRATION DATE (MMIDDIYYI LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 500 , 000 A X COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR 20545600 04/15/03 04/15/04 PREMISES(Ea occurence) $50,000 MED EXP (Any one person) $5,000 PERSONAL BADV INJURY s500,000 GENERAL AGGREGATE $500,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $ 500 , 000 POLICY X PRO- JECT LOC B AUTOMOBILE LIABILITY ANY AUTO 9669517500 04/15/03 04/15/04 COMBINED SINGLE LIMIT (Ea CO accident) $ 1 000 000 r r X ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per person) $ HIRED AUTOS NON -OWNED AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO H OTHER THAN EA ACC $ $ AUTO ONLY: AGG EXCESS /UMBRELLA LIABILITY EACH OCCURRENCE $ 5,000,000 B X OCCUR E-1 CLAIMS MADE 9669517501 04/15/03 04/15/04 AGGREGATE $ 5,000,OOO DEDUCTIBLE $ X RETENTION $10,000 $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER /EXECUTIVE Z830005715 09/15/02 09/15/03 X TORY LIMITS ER E.L. EACH ACCIDENT $500 OOO r OFFICER /MEMBER EXCLUDED? If yes, describe under E.L. DISEASE - EA EMPLOYEE s500,000 E.L. DISEASE - POLICY LIMIT 1 $500,000 SPECIAL PROVISIONS below OTHER A Installation 20545600 04/15/03 04/15/04 Inst Fltr $50,000 Floater I All Risk DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION CITYOFS SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIO DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 010 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL City of Sunny Isles Beach IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 17070 Collins Avenue #250 REPRP NTATIVES. Sunny Isles Beach FL 33160 A THORI DREPRESE rA ACORD 25 (2001/08) © ACORD CORPORATION 198