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<br />I_- <br /> <br />ACORD <br />I ~--~---=----=-==- 1M <br />PRODlJC[I1 <br />ISETNOR BYER INSURANCE & RISK/PHS <br />1228945 P: (866)467-8730 F: (877)538-8526 <br />II PO BOX 2Cj611 <br />! 91Ar~ LQr~~~ _ ~~~_~~~2 9_______ <br /> <br />CERTIFICATE OF LIABILITY INSURANCE <br /> <br />DATE <br /> <br />10-27-2006 <br /> <br />I THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />I ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />I HOLDER. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR <br />1__~!:J!~-.!':l~Q~~RA.QLAiFOI!.DEDB..'!'-.!.':l~~Q.~~!ES _~~LO~---,-_ ____ <br />I <br />! <br /> <br />INSURERS AFFORDING COVERAGE <br /> <br />.__--.J <br /> <br />IIA <br /> <br />I: <br /> <br />I BODll Y IN.lURY <br />I Per .1,.( fdent l <br /> <br />PHOPERTY DAMAGE <br />I Per aCClllent) <br /> <br />AUTO ONL Y - t A ACCIDENT I > <br /> <br />I <br />OTHER THAN <br />AUTO ONLY: <br /> <br />EA Ace, > <br /> <br />AGG S <br /> <br />, $2 , 00 0, 0 Q~ <br />'$2,000,000 <br /> <br />i CLAIMS MADE <br /> <br />21 SBA RM5294 <br /> <br />, I <br /> <br />;01/01/07101/01/08 <br /> <br />I EACH vCCURRENCE <br /> <br />I EXCESS LIABILITY <br />r- <br />~ OCCUR ! <br /> <br />AGGREGA TE <br /> <br />Ii <br />I <br />I <br /> <br />II I <br />I-- <br />I I OTHER <br />Ii I <br />I ' <br />! I <br />I I <br />i DESCRIPTION OF OPERATlONS/lOCATIONStVEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br />~Those usual to the Insured's Operations. City of Tamarac is <br />I:Additional Insured per the Business Liability Coverage Form <br />I <br />I <br />I <br /> <br />r- <br />L__ j DEDUCTIBLE 1 <br />I X i RETENTION $1 0 , 0 0 0 L-.- <br />, WORKERS COMPENSA nON AND I <br />: EMPLOYERS' LIABILITY <br /> <br />, $ <br /> <br />, WC STA ru- <br />'_~!ORY LIMITS' <br /> <br />. E.L. EACH ACCIDENT <br /> <br />: $ <br />orH-, <br />I En I <br />--~------_: <br /> <br />~~[ASE' U, EMPLOYtE I $ <br />E.L. DISEASE - POliCY LIMIT i $ <br /> <br />named as <br />SS0008. <br /> <br />I~CEKfIRCAfE-HOlDEir -=-F~A~DITIOr;-~';;~i:D-:-I~iuR~LETIii~-=-.Q~~!:I&.!QN-- ---------------------- i <br /> <br />I ISHOULD ANY OF THE ABOVE DESCHIBED POLICIES BE CANCEU ED BEFORE HIE <br />I f-XPIRA1ICJN DATE THEREOF, THE ISSUING INSURER WILL lNDEAVOR TO MAIL <br />I! I:JO DAYS WHITTEN NOTICE (10 DAYS FOR NOtJPAYMEN1j 10 THE CEH11FICATE <br />I. Ci ty 0, f Tarnarac lillO, LDER NAMW TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO <br />I - h om IGA110tJ OR LIABILITY OF ANY KIND UPON THE INSURER IlS AGEtJTS OR <br />17525 NW B8t St. RFPFllSE.lJlATlVES. . <br />I; Tamarac, FL 33321 I-u <br />:____._________________ I A~~~_ <br /> <br />ACORD 25.S (7/97)' ACORD CORPORATION 1988 <br />