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<br />.A.CD.BDTM
<br />
<br />CERTIFICATE OF LIABILITY INSURANCE
<br />
<br />I OA TE ("!.IIODIYV)
<br />02/28/11
<br />
<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORM," TION
<br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
<br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
<br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
<br />
<br />PRODUCER
<br />
<br />CNS INSURANCE GROUP, INC.
<br />6264 MIRAMAR PARKWAY
<br />MIRAMAR, FL 33023
<br />Q.l;d-g66-?.4nn
<br />NAMIN CONSTRUCTION
<br />
<br />INSURERS AFFORDING COVERAGE
<br />
<br />INSURED
<br />
<br />CO . INC.
<br />
<br />INSURER A MERCURY INSURANCL~.ILJ::L.oJ.n_Q~
<br />
<br />1951 NW 141 ST BAY # 9
<br />OPA LOCKA FL 33054
<br />I
<br />COVERAGES
<br />
<br />INSURER B:
<br />INSURER C:
<br />INSURER 0:
<br />INSURER E:
<br />
<br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOn^J1THSTANDING
<br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
<br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
<br />POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS,
<br />'~f~ b~~WrM'M,ritW{.~E I P8k!r~~~~i'B1:m~N .------'-----'
<br /> TYpe OF INSURANCE POLICY NUMBER , LIMITS ,
<br /> ~ERAl LIABILITY EACH OCCURRENCE $
<br /> COMMERCIAL GENERAlllABllfTY FIRE DAMAGE.(Any one!~ ~
<br /> I CLAIMS MADE D OCCUR MED EXP (Anyone person) $
<br /> -- ----
<br /> .....' . . "r.<~;" :.'.........-. :-";;:'-:;"" :<,'" '-"-"1 ..' ;",:,.., ".' j;"ERSONAl 8. ADV INJURY "
<br />';'.. $
<br /> I--'- ----,
<br /> GENERAL AGGREGATE $
<br /> I--'-
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS.. COMP/OP AGG $
<br /> I POLICY n ~r8T n ~OC -
<br /> AUTOMOBILE LIABILITY COMBINED SINGLE lIT,liT I J. , 000 , 00..0
<br /> -
<br /> ANY AUTO (Ea accident)
<br /> - ----_.._,- ..
<br /> ALL O'IVNED AUTOS BODIL Y INJURY $ i
<br /> -
<br /> X_ SCHEDULED AUTOS -, ,. -. ---- (Per person)
<br /> ...
<br />A 1t HIRED AUTOS FLC7013103-3 02/28/11 02/28/12 BODILY INJURY
<br /> ~
<br /> ...x NON-OWNED AUTOS (Per accident)
<br /> -- "-
<br /> - PROPERTY DAMAGE ~
<br /> (Per accldenll
<br /> -
<br /> GARAGE LIABILITY AUTO ONLY -,EA ACC/DEMT ~
<br /> =j- ANY AUTO --~-
<br /> OTHER THAN EA N~C Z
<br /> ---
<br /> . -, AUTO ONLY: AGG X
<br /> EXCESS LIABILITY EACH OCCURRENCE $
<br /> tJ OCCUR 0 CLAIMS MADE --
<br /> AGGREGATE $
<br /> --'--
<br /> ~
<br /> R DEDUCTIBLE $
<br /> RETENTION S $
<br /> WORKERS COMPENSATION AND 1~~9 SrAn!: I lOT!:!"
<br /> TORY LIMITS ER
<br /> EMPLOYERS' LIABILITY E,L. EACH ACCIDENT i
<br /> E,L. DISEASE. fA EMPLOYEE $
<br /> , --
<br /> E,L. DISEASE. POLICY LIMIT $
<br /> OTHER
<br />DESCRIPTION OF OPERATIONSllOCATlONSNEHIClESIEXClUSIONS ADDEO BY ENDORSEMENT/SPECIAL PROVISIONS
<br />CONCRETE CONSTRUCTION
<br />1997 FORD F-350 # 1FDKF37HCVEA03444
<br />CERTIFICATE HOLDER I 'X' I ADDITIONAl, INSURED; INSURER lETTER: ...x CANCELLA TION
<br />I SHOULD ANY OF THE ABOVE DESCRIBED POllCIES BE CANCELLED BEFORE HiE EXPIRATION
<br /> , .. DATE THEREOF, THE ISSUING INSURER W'lL ENDEAVOR 10 MAIL 3D_ DAYS WRITTEN
<br /> NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEn, BUT FA/LURE TO DO SO SHALL
<br /> , IMPOSE NO OBLIGATION OR L1AB'L1TY OF ANY K'ND UPOf~ rHEII~SURER, ITS AGENTS OR
<br /> REPRESEN~JliVES, " ':tJ:
<br /> AUTH#'~2€~V~"2"" # /,< l -
<br /> I: J~, ,.
<br /> _ ':.' C,-' ~ ','" ~:;, ..A" """""~1. /~
<br /> I ;.~"'r........:-' i~~f'~: ,
<br />ACORD 25-5 (7/97) / ,,t- , (!J ACORtH:::Q~PORATION 1988
<br /> "", ',i' 10
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