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1211612004 12:46 5616945995 SLATSN INS PAGE 01/01 <br />CERTIFICATE OF LIABILITY INSURANCE EA - <br />a�ORa. GLEA'N <br />DAT12 16 E2 /16IYY4 <br />04 <br />. <br />_ <br />THIS CERTIFICATE IS ISSUED AS A MATTER 11 <br />INFORMATION <br />PRODUCER <br />ONLY AND CONFERS NO RIGHTS UPON THE: <br />RTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AME I <br />;, EXTEND OR <br />ON INSURANCE <br />ALTER THE COVERAGE AFFORDED BY THE 1, <br />I .ICIES BELOW. <br />— <br />Sox 220537 <br />west Palm Beach FL 33422 <br />Phone: 561-683-8383 Fax: 561.684 -5995 <br />cleaning systems, Inc <br />Y0330R7pPld55t Street <br />Sunrise n 3 351 <br />AFFORDING COVERAGE <br />N,31C# <br />�INSURCRS <br />NSURR A: Brldtra[ie>.d 11no1oyera theca. <br />NSURR B; Hartford Fire Inay.' —..* Ca. <br />rINSURER C shin �,- *UmltY Incur—eo Co; <br />NSURER D: <br />INSURER E: <br />COVERAGES <br />THE POLICIES OF INSURANCE LIST—c!) BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ASOVE FOR THE POLICY PERIOD INCICATED. NOTWITHSTANDIF <br />ANY REQUIREMENT, TERM OR CONDTTION OF ANY CONTRACT OR OTHF,R DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE M.AY BE ISSUED OR <br />MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES OFSCR15EO HEREIN IS SUBJECT TO ALL THE TERMS, FXCLUSIONS AND CONVITIONS OF SUCI- <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE SEEN REDUCED RY PAID CLAIMS. _ , _- <br />POLICY NUMBER . DATE MM1DD, 0,4TE MMIDDIW� L91IITS <br />LTR NSA TYPE of INSURANCE -- — <br />GENERAL LIABILFTY EACH Or CCURRENCI . S 1,000,000 <br />._ <br />RENT'E <br />$ ]C }� CCMMERCIALC�ENFRALLIABILrtY 21WNT45531 04/0I/04 04/01/05 PRFMISES(Eaoorvr+ I ; 1I' 'k 00 <br />— CLAIMS MADE 7 OCCUR MED EXP (any ons p nl 3 1 fl , p U b <br />$ R GL Deductible $0 PERSONAL SADVIt, :Y S1,000,000 <br />1.1 Contractual Liao GENERALfi.GGREG.+ 42,000,000 <br />AGGREGATE —LIMIT APPLIES PER PRODUCTS -COMP : 4CG S 2 0 0 0 , 0Q b_ <br />POLICY X JECT LOC m <br />AUTOMOBILE LIABILITY <br />g X j ANYAUTO 21ViJfITS5531 <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />X HrREDAVTOS <br />�[ NON -OWNED AUTOS <br />GARAGE LIABILITY <br />7 ANY AUTO <br />HEXCESSIUMgRELLA LIABILITY <br />C }� OCCUR CLAIIASMADE i =0553289610 <br />DEDUCTIBLE <br />RETENTION S <br />WORKERS COMPENSATION AND <br />A EMPLOYERS' LIABILITY <br />ANY PROPRIETORIPARTNERIEXECUTIVE <br />OFFICERIMEMBER E%CLUDE107 <br />u/ss, oeacrlbe vri&r <br />SPECIAL PROVISIONS holow <br />OTHER <br />B Crime <br />COMBINED SINGLE . T S 1 . 000 , 000 <br />04/01/04 04/01/05 (ESecdderrt) _ <br />BODILY INJURY 5 <br />(Per person) <br />BODILY INJURY <br />(Par a�cidellt) <br />PROPERTY QAMAC - <br />(Per acciden t) <br />AIT- 0 ONLY - EA Al TENT $ <br />OTHER THAN ACC 5 <br />AUTO ONLY Abe S <br />EACH 0CCURREN( $ 5, 000 '000 <br />72/01/04 12/01/05 AGGREGATE 5,000 „000 <br />a <br />TORY LIMITS <br />EACCIDEIR <br />83028406 01/01/04 01/01/05 L. ACH yER — 000 _ <br />E.L DISEASE - cA LOY” r 500000 <br />E L. DISEASE . PO' LIMIT 4 500000 <br />21UUNTS5531 04/01/04 04/01/05' Emplo,i 11 100,000 <br />` L1fJ.9hO' st <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br />The Certificate holder is Named as an additional insured with respects to <br />general liability. <br />HOLDER <br />CITYOFS <br />City of Sunny Isles neach <br />17070 Collins Ave Suite 250 <br />Sunny isles Beach FL 33160 <br />CANCELLATION <br />$HQULD AMY OF T1419 A90VE DESCR16RD POLICIES BE C + :ELLED BEFORE THE EXPIRATIOI <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOF MAIL 30 , DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE L I ', BUT FAILURE TO DO 30 SHALL <br />IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPI HE INSURER, ITS AGENTS OR <br />AUTHORIZED <br />ACORD 25(2001!08) 61 -,ORD CORPORATION 1986 <br />