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ACORD CERTIFICATE OF LIABILITY INSURANCE DATE (MMIODIYY) 3115/20t 1 PRODUCER Phone. 954 583-5444 Fax - 954-583-2820 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION , ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Pelican Insurance Agency HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND, OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW 6950 Cypress Rd Ste 20an INSURERS AFFORDING COVERAGE NAIC# Plantation, FI ~~317 -.. . INSURER A: .----.-------.- -..----. - nuc::t.ocn INSURER B: Snack TIme LLC ..- 149 NW 70 Sl #302 INSURER c: .--- _._-- .-- -.-- ..... ... --- - Boca Raton, FL 33487 INSURER D: .n_ . - .__...--- - INSURER E: COVERAGES THIS IS TO CERTIFY TliA T THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTVIJITliSTANDING ANY REQUIREMENT, TERM OR CONDlTJON OF ANY CONTRACT OR OTHER DOCUMENTWlTH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR FAA Y PERTAIN, TliE 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. , -- tOlICY EFFECTIVE POLICY EXPIRATION I ..-..-.. ...- .-----.. INS~ UIIlITS LTR TYPE OF IN'SURANCE POllCYNUlolBER DATE (MMlDDIYYI DAlElMMJDDIYY) i I-- GENERAL UAiiilrTv -.- . --I I"'"~ s 2,000,OOO:QQ tt.='lMERCV\l GENER~ ~1~ILfTY I I DAoV.AGETO RENTED .~.\ s 100,~~ I :.eREMlSES LEaCV...llI!e \ L__ _I CLAiMS "",ACE Li OCCUR\ I ! MED EXP (An~ OCle ;>eo"on) ,$ $S,ooe I I u_ Pending i I PERSONAl & ADV INJlJRY is _ 2,OOQ,QQQ,QQ =:1: ---- I I . ,.,' ... _.. A... I i GENE.~l AGGREGATE S 2.9.00,000.00 I GEN'l AGGREGAre LIMIT APPLIES PER: I I PROOUCTS-COM~CPAGG S $2,000.OQQ lPOUCY 11~~g: II LOC I ____..'u ._po. 0._._' ,_ i~OMOllVE UABILfiY i I COMBINED SINGLE LIMIT Is I lEa accident) ANY AUTO - ---...--- -..- - ALL OV1INED AUTOS BODILY INJURY (Per perscnl $ SCHEDULED AUTOS -, I .- , HiRED AUTOS BCDR. Y INJURY Is --; i (per accident) ~NON-rn-'lNFn AIITO." -0....- ~ .- PROPERTY DAMAGE i (Per aceidem) $ I I GARAGE UASlUTY I AUTI> ONt Y - EA ACCIDENT Is ;-- ANY AliTO --- ---- OTHER THAN EA ACC S hEI I AUTO Ol\'l y. ! AGG EXCESS UABIUTY I EACH CCCURENCE S ~OCCUR II CLAIMS ~ADE u .... -.- AGGREGATE S -' -- .- --_..._-- R ~EUUCTIBLE S - ! I $ i ... ~ _.- . RETENTION 5 S WORKER'S COt.~PENSATlON AND \[JII ~~~L~Jlfs I IO~- EMPlOYERS'LIABlUTY - I ANY PROPRiETORiPARTNEHiEXECUTlVE E.L EACH ACCIOE.VT $ OFACERn'JEl'.r.BER EXCLUDED? I .=..:... -.-. - , If yes, ctesaire under E.L. DISEASE - EA EMPLOYEE $ I SPEC"'!. PROVISIONS belew ~-_._- - E.l. DISEASE - POUCY UMIT S lom~ I i . i DESCRIPTION OF OPERATIO~.lSILOCATIONSNEHlCl.ESIEXCLUSIONS ADDEO BY ENDORSEMENTISPECIAl. PROVISIONS COVERAGE PENDING THE AWARD OF THE CONTRACT Certificate holder named as an additional insured with regards to general liability . CERTIFICATE HOLDER I X jAoDlllONAL INSURED; INSURER l.ETTER: A CANCELLA nON ISee Below} - City Of Sunny Isles Beach SHOULD ANY OF THE ABOVE DESCRIBED POlICIES BE CANCell.ED BEFORE THE EXPIRATION OAT THEREOF. THE ISSUING COMPANY WILL ENDEAVOR TO MAll 18070 Collins Ave. 3rd Floor 10 DAYS WRITTEN NOTICE TO THE CE.'mACATE HOlDEH NAlI.ED TO THE LEFT. Sunny Isles Beach. FI. 33160 ""'""BilT FAtLURE 10 It1AIL SUCH NOTICE SHAll IMPOSE NO OBUGAT10N OR liABILITY OF ANY KINO UPON TlfE.ClWPANY.ITS AGENTS OR liEPRES~nvES. 305-947-5107 /F .....- AUTHORIZED REPRESENTATIVE ./ 0 Samuel Jacks ../~-~-=-- ~.- ~-;;;::;;-- ACORD 25 (2001/08) 1 of 2 0ACORD CORPORATION 1988 ., - '. fO