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ACORn CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DDIYYYY) 6/19/2008 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Bendell Insurance Group Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P.O. Box 164235 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Miami,FL 33116-4235 305-661-2237 INSURERS AFFORDING COVERAGE NAIC# INSURED CHI-ADA CORP INSURER A: CATLIN SPECIALTY INS COMPANY INSURER B: MERCURY INS COMPANY OF FLORIDA 135 NW 163 STREET INSURER c: FLA. RETAIL FED. SELF INSURERS FUND N.MIAMI, FL 33169 INSURER 0: I 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. INSR OO'L TYPE OF INSIIRANCE ~9..Y~iM~b5~YE P8k+~'f~~~J{,~N LIMITS LTR NSRO POLICY NUMBER ~NERAL LIABILITY EACH OCCURRENCE $ 1,000,000 ~ COMMERCIAL GENERAL LIABILITY · ~~~:S~S lEa occurencel $ 50.000 =:J CLAIMS MADE [KI OCCUR MED EXP (Anyone person) $ 5.000 J-- A I-- 0900700352 03/05/08 03/05/09 PERSONAL & ADV INJURY $ 1.000,000 GENERAL AGGREGATE $ 2,000,000 J-- GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 1. 000,000 II II PRO. n POLICY JECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 300,000 J-- $ ANY AUTO (Ea accident) I-- I-- ALL OWNED AUTOS BODILY INJURY $ ~ SCHEDULED AUTOS (Per person) B ~ HIRED AUTOS FLC7010778-2 09/21/07 09/21/08 BODILY INJURY $ ~ NON-OWNED AUTOS (Peraccidenl) I-- PROPERTY DAMAGE $ " (Per accident) RRAGE LIABILITY AUTO ONLY. EA ACCIDENT $ ANY AUTO NA OTHER THAN . EA ACC $ AUTO ONLY: AGG $ [JESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR [] CLAIMS MADE AGGREGATE $ NA $ =J DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSA TIONAND I r6~~IfJNs I IOJ~- ER EMPLOYERS' LIABILITY 1.000.000 ANY PROPRIETORlPARTNERlEXECUTIVE E,L. EACH ACCIDENT $ C OFFICERlMEMaER EXCLUDED? SIF#520-34353 09/07/07 09/07/08 E.L DISEASE. EA EMPLOYE $ 1,000,000 ~~Ecr:~ri~6~rgl~NS below EL DISEASE - POLICY LIMIT $ 1.000.000 .,0 'OTHER NA DESCRIPTION OF OPERATIONS I LOCATIONS /VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS JANITORIAL SERVICES. CITY OF HOLLYWOOD IS NAMED AS ADDITIONAL INSURED ON THE GENERAL LIABILITY. CERTIFICATE HOLDER CANCELLATION THE CITY OF HOLLYWOOD 2600 HOLLYWOOD BLVD.RM .303 HOLLYWOOD,FL 33022-9045 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIO DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR ArnDn?J;/?nMInAI " J'::;\ ""^""" ,,"""",,_ A _._...... ............