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AC'C>R1:> CERTIFICATE OF LIABILITY INSURANCE <br />DATE(MMIDD/YYYY) <br />12/15/2016 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. if SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />Brown &Brown of FL, Inc. -Fort Myers <br />6611 Orion Dr. <br />Suite 201 <br />CONTACT <br />Stephanie Wilkinson <br />NAME:P"o"E <br />. 239-274-1430 FAX 239-278-5306 <br />E-MAIL .swilkinson bbftm ers.com <br />@ Y <br />Fort Myers FL 33912 <br />INSURERS AFFORDING COVERAGE NAIC It <br />INSURER A: National Trust Ins Co* 20141 <br />EACH OCCURRENCE $1,000,000 <br />INSURED <br />INSURERB:FCCI Insurance Company* 10178 <br />Jorda Enterprises, Inc. <br />DBA Jorda Mechanical Contractor <br />INSURERC: <br />Buck Investments <br />INSURER D: <br />INSURER E: <br />1510 NW 79th Ave. <br />Doral FL 33126 <br />1 INSURER F: <br />COVERAGES CFRTIFICATF MIIMRFR• 1BIBUB2335 DMAcrnsr auraaoco. <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />LTR <br />TYPE OF INSURANCE <br />ADDL <br />IN D <br />SU5R <br />WVD <br />POLICY NUMBER <br />POLICY EFF <br />MMIDD/YYYY <br />POLICY EXP <br />MMIDD/YYYY <br />LIMITS <br />A <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE X❑ OCCUR <br />Y <br />Y <br />GL00096727 <br />12/31/2015 <br />12/31/2016 <br />EACH OCCURRENCE $1,000,000 <br />DAMAGE <br />PREMISES (Ea occurrence) $100,000__ <br />MED EXP (Any one person) $5,000 <br />PERSONAL &ADV INJURY $1,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />X POLICY JET a LOC <br />GENERAL AGGREGATE $2,000,000 <br />PRODUCTS - COMPIOP AGG $2,000,000 <br />OTHER: <br />A <br />AUTOMOBILE <br />LIABILITY <br />Y <br />Y <br />CA00150337 <br />12/31/2015 <br />12/31/2016 <br />COMBINE15 SINGLE LIMIT <br />$1 <br />B ,000,000 <br />X <br />ANY AUTO <br />BODILY INJURY (Per person) $ <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />NON-OWNHIRED AUTOS AUTOSED <br />- - <br />BODILY INJURY (Per accident) $ <br />Per accident A $ <br />A <br />X <br />UMBRELLA LIAB <br />X <br />OCCUR <br />Y <br />Y <br />UMB00099907 <br />12/31/2015 <br />12/31/2016 <br />EACH OCCURRENCE $5,000,000 <br />EXCESS UAB <br />CLAIMS -MADE <br />AGGREGATE $ <br />DED X I RETENTION $10,000 <br />$ <br />B <br />WORKERS COMPENSATIONY <br />AND EMPLOYERS' LIABILITY y / N <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICER/MEMBER EXCLUDED? a <br />N / A <br />001WC15A71535 <br />12/31/2015 <br />12/31/2016 <br />X H- <br />STATUTE ER <br />E.L. EACH ACCIDENT $500,000 <br />E.L. DISEASE - EA EMPLOYE $500,000 <br />(Mandatory In NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT $500,000 <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) <br />30 days notice of cancellation except 10 days notice for non-payment <br />Regarding the General Liability, City of Sunny Isles Beach is named as an Additional Insured <br />�sy.a�l�Lnau�.v»•�ac W.*rarnw.rrr.» <br />City of Sunny Isles Beach <br />18070 Collins Avenue <br />Sunny Isles Beach FL 33160 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZEE&D REPRESENTATIVE <br />M 1BUB-2014 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD <br />