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AcoRDDATE(MMIDDIYYYY) ® CERTIFICATE OF LIABILITY INSURANCE 12/19/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). CONTACT PRODUCER NAME: Kristina Snelling Keyes Coverage Insurance PHONE 954-724-7000 I INCXX .No): 9 (A/C No,Ext) 5900 Hiatus Road n E-MAILR4s:ksnelling@keyescoverage.com Tamarac FL 33321 INSURER(S)AFFORDING COVERAGE NAIL# INSURER A:Depositors Ins Co/Nationwide 42587 INSURED 11595 INSURER B:Associated Industries Ins. Co. 23140 Solo Air Conditioning&Heating Company Inc INSURER C:Nationwide Ins Co of America 25453 8451 NW 61st Street INSURER D:Allied Property&Casualty Ins Co 42579 Miami FL 33166 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:802927872 REVISION NUMBER: THIS IS TO OD INDICATED.CERTIFY POLICIES NOTWITHSTANDING ANYREQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH ABOVE HAVE BEEN ISSUED TO THE INSURED NAMED POLICY FOR THE RESPECT TO WHICH TIHIIS 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.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR' ADDLSUBR POLICY EFF POLICY EXP LIMITS LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DDIYYYY) A x COMMERCIAL GENERAL LIABILITY Y Y ACP GLDO 5955283088 1/1/2017 1/1/2018 EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED CLAIMS-MADE I X OCCURPREMISES(Ea occurrence) $300,000 I I MED EXP(Any one person) $10,000 PERSONAL 8 ADV INJURY $1,000,000 !—J GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: I POLICY X PRO- CI LOPRODUCTS-COMP/OP AGG $2,000,000 $ I OTHER: COMBINED 51NULE LIMI I $ C AUTOMOBILE LIABILITY Y Y ACP BAZ 5955283088 1/1/2017 1/1/2018 COMBIident) 1,000,000 X I ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ '—' A iAUT05 NON-O PROPERTY DAMAGE $ X HIRED AUTOS AUTOS NED OW (Per accident) $ I D X UMBRELLA LIABOCCUR ACP CAP 5955283088 1/1/2017 1/1/2018 EACH OCCURRENCE $4,000,000 ^'I EXCESS LIAB I 1 CLAIMS-MADE AGGREGATE $4,000,000 $ j DED RETENTION$ B I WORKERS COMPENSATION Y AWC1072292 9/16/2016 9/16/2017 X PTATUTE I OERH- AND EMPLOYERS'LIABILITY Y/N E.L.EACH ACCIDENT $500,000 ANY PROPRIETOR/PARTNER/EXECUTIVE N/A OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $500,000 I(MandatoryIn NH) If yes,describe under E.L.DISEASE-POLICY LIMIT $500,000 DESCRIPTION OF OPERATIONS below i I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) *10 days notice of cancellation due to non payment of premium. CERTIFICATE HOLDER CANCELLATION 30 Days Notice/10 Days for Non-Pay SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE "*City of Sunny Isles Beach Building,Planning&Zoning THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Dept ACCORDANCE WITH THE POLICY PROVISIONS. 18090 Collins Avenue Suite 250 Sunny Isles Beach FL 33160 0411 AUTHORIZED REPRESENTATIVE ' ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD