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MAY -12 -2005 01:37 PM CLEANING SYSTEMS IHC 954 341 6771 P. 01 ACMD CERTIFICATE OF LIABILITY INSURANCE CLEANo - Pal 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, DATE 4 04 5 PRODUCER THIS CERTIFICATE 18 ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE SLATON INSIURANCH P.O. Box 220537 HOLDER, THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. A Y . Palm Beach SL 33422 h..vhe:561- 683 -8383 Pax :561 -684 -5995 INSURERS AFFORDING COVERAGE NAICN INSURED INSURER A: Hartford fire Iosuranoe Co. PREMISES (Eeocwrence) S 100, 000 INSURER B; arldpaliald amployere Ine.ca. PERSONAL A ACV INJURY $ 11000,000 Cleaning Sy stems, Inc Rom Maid 103�pp NP 59th Street Sunrise FL 33351 INSURER C- Ohio aAeualt :eeuranoe Co. PRODUCTS - COMP/OP AGO INSURER 0: 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 OF SUCH POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, LTR NBR TYPE F INSURANCE POLICY NUMBER DAT PID DA LIMITS A X OGNGRAL LIABILITY X COMMERCIALGENERALLIABILITY 2IUMB5531 CLAIMS MADE 7X OCCUR I GEN'L AGGREGATE LIMIT APPLIES PER' POLICY $ j� LOC 04/01/05 04/01/06 EACH OCCURRENCE 3 1, O O O, O O O PREMISES (Eeocwrence) S 100, 000 MED EXP (My one person) 8 10 , O O 0 PERSONAL A ACV INJURY $ 11000,000 GENERAL AGGREGATE 5 2,000,000 PRODUCTS - COMP/OP AGO f 2 , 0 0 0 , 0 0 0 A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS 21UMS5531 04/01/05 04/01/06 COMBINED SINGLE LIMIT (Eeaccldenl) $ 1,000,000 X BODILY INJURY (Per person) I $ X BODILY INJURY (Per acaldenl) 3 PROPERTY DAMAGE (Per accident) b GARAOi LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT S OTHER THAN EA ACC AUTO ONLY,. AGO S S C IX EXCESBNNHR9LLA LIABILITY X OCCUR EI CLAIMSMADE DEDUCTIBLE RETENTION so 04053289610 04/01/05 04/01/06 EACH OCCURRENCE 3 51000,000 AGGREGATE s 5,000,000 s S 6 WORKERS COMPENSATION AND B EMPLOYERB'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? I} yYes, eeacrlbe under 3PECIAL PROVISIONS Celow 26406 01/01/05 01101106 IW X TORY LIMITS R EL EACH ACCIDENT 16500000 E.L. DISEASE - EA EMPLOYEE' $500000 E.L. DISEASE - POLICY LIMIT $500000 OTHER i I DESCRIPTION Of OFERATIOId I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDO SkMRNT I SPECIAL PROVISIONS The Certificate holder is named as an additional insured with rsepects to general liability. CERTIFICATE HOLDER CANCELLATION CITYOFB SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCiLLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTMY TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO 90 SHALL City of Bunny Isles Beach IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 17070 Collins Ave Suits 250 EPREUNTATDMO • AUTHORIZ:V81IPg4pQ1 Sunny Isles Beach FL 33160 ACOR;D 25 (20011061 4 \/ Z*/7wN' " G ACORD CORPORATION 1988