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<br />..., <br /> <br />. <br /> <br />~@ <br /> <br />r""1 <br />. <br /> <br />ACORD CERTIFICA TE OF LIABILITY INSURANCE I DATE (MM/DD/YYVY) <br />~ 12/01/2010 <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(ies) 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/sl. <br />PRODUCER ALL CITY INSURANCE INC - ACt S2~11\cT JAVIER A. GUTIERREZ <br /> 7200 CORPORATE CENTER DR f.~!?N.t ~~" (305) 463-9431 Tffi~ ~"\,(305) 629-7808 <br /> SUITE 316 JoMDA~~sc, JGUTIERREZ@ALLCITYINS,COM <br /> MIAMI FL 33126 INSURER/51 AFFORDING COVERAGE NAIC# <br /> INSURER A: MID-CONTINENT CASUALTY CO ~3418 <br />INSURED INSURER B: <br /> CASTLE USA CORPORATION INSURER c' <br /> 5620 NW 113TH PLACE INSURER 0: <br /> DORAL FL 33178- INSURER E: <br /> <br />M <br /> <br />. <br /> <br />..., <br /> <br />. <br /> <br />r, <br /> <br />. <br /> <br />1""'1 <br /> <br />. <br /> <br />n <br />. <br /> <br />COVERAGES <br /> <br />CERTIFICATE NUMBER: 01 <br /> <br />REVISION NUMBER: 0 <br /> <br />,., <br /> <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 V\lHICH 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 />I~M ADDL SUBR POLICY EFF POLICY EXP <br /> TYPE OF INSURANCE LIMITS <br />A ~NERAL LIABILITY X 04GL793860 06/23/2010 06/23/2011 EACH OCCURRENCE $ 1,000,000 <br /> X OMERCIAL GENERAL LIABILITY DAMAGE TO ~r;,~~~.?on"o\ $ 100,000 <br /> - CLAIMS-MADE 0 OCCUR <br /> - MED EXP IAnv ale Dersonl $ EXCLUDED <br /> PERSONAL & ADV INJURY $ 1,000,000 <br /> GENERAL AGGREGATE $ 2,000,000 <br /> Yl'~ AGGREAE LIMIT APnS ,PER: PRODUCTS - COMPIOP AGG $ 2,000,000 <br /> X POLICY ~~9; LOC $ <br />A AUTOMOBILE LIABILITY X 04GL793860 06/23/2010 6/23/2011 ~c~~~~~~.~INGLE LIMIT ~ 1,000,000 <br /> - <br /> ANY AUTO BODILY INJURY (Per person) $ <br /> - r- SCHEDULED <br /> ALL OWNED BODILY INJURY (Per accident) $ <br /> - AUTOS 7 AUTOS <br /> X NON-OWNED PROPERTY DAMAGE $ <br /> - HIRED AUTOS f-- AUTOS <br /> $ <br /> - UMBRELLA L1AB H OCCUR EACH OCCURRENCE $ <br /> EXCESS L1AB CLAIMS-MADE AGGREGATE $ <br /> ncn I I $ <br /> WORKERS COMPENSA 110N IlX~~Tf:T,~-,.1 IOJ,tt- <br /> AND EMPLOYERS' LIABILITY 0 <br /> ANY PROPRIETORlPARTNERlEXECUfIVE EL EACH ACCIDENT $ <br /> OFFICERlMEMBER EXCLUDED? N/A <br /> (Mandatory In NH) E.L. DISEASE - EA EMPLOYEE $ <br /> If ves, describe under E.L. DISEASE - POLICY LIMIT $ <br />DESCRIPll0N OF OPERA 110NS I LOCA 110NS I VEHICLES -(Attach ACORD 101E Additional Remark. Schedule, if more space i. required) <br />CERTIFICATE HOLDER IS LISTED AS ADDI IONAL INSUR D. <br />30 DAYS WRITTEN NOTICE SHALL BE GIVEN EXCEPT FOR NON PAYMENT OF PREMIUM WHERE 10 DAYS NOTICE SHALL BE GIVEN. <br /> <br />,., <br />. <br /> <br />. <br /> <br />.., <br /> <br />. <br /> <br />M <br /> <br />. <br /> <br />M <br /> <br />. <br /> <br />..., <br /> <br />. <br /> <br />OJ <br /> <br />. <br /> <br />,..... <br /> <br />- <br /> <br />r""I <br /> <br />. <br /> <br />CERTIFICATE HOLDER <br /> <br />CANCELLATION <br /> <br />AI 000127 <br /> <br />..., <br /> <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />CITY OF SUNNY ISLES BEACH THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> ACCORDANCE WITH THE POLICY PROVISIONS. <br />18078 COLLINS AVENUE <br />SUNNY ISLES BEACH FL 33160- AUTHORIZED REPRESENTAllVE 9 ".~ . ~ W <br /> liJ...A -' ;.(....(.,~--,,- <br />I J <br /> <br />. <br /> <br />r'I <br /> <br />. <br /> <br />..... <br /> <br />ACORD 26 (2010106) <br /> <br />@ 1988.2010 ACORD CORPORATION, All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br /> <br />- <br />