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<br />~ <br /> <br />ACORD@ CERTIFICATE OF LIABILITY INSURANCE DATEIMMIDD/YVYY) <br />~ 07/08/2011 <br /> <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE OOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE OOES 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 endorsemen s. <br /> <br />PRODUCER <br /> <br />ALL CITY INSURANCE INC - ACI <br />7200 CORPORATE CENTER DR <br />SUITE 316 <br />MIAMI <br /> <br />FL <br /> <br />33126 <br /> <br /> <br />JAVIER A, GUTIERREZ <br />(305) 463-9431 <br />JGUTIERREZ@ALLCITYINS,COM <br /> <br />FAX <br /> <br />.(305) 629-7808 <br /> <br />INSURER S AFFORDING COVERAGE <br />R . MID-CONTINENT CASUALTY CO <br /> <br />NAIC. <br />23418 <br /> <br />INSURED <br /> <br />CASTLE USA CORPORATION <br />5620 NW 113TH PLACE <br />DORAL <br /> <br />FL 33178- <br /> <br />COVERAGES <br /> <br />CERTIFICATE NUMBER' 02 <br /> <br />REVISION NUMBER' 0 <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 WHICH 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~~ TYPE OF INSURANCE ADDL SUBR n'" POLICY EFF POLICY EXP <br /> LIMITS <br />A GENERAL LIABILITY X 04GL823859 '6/23/2011 )6/23/2012 EACH OCCURRENCE $ 1,000,000 <br /> - <br /> X ~MERCIAL GENERAL LIABILITY DAMAGE TO RENTED 100,000 <br /> - $ <br /> I-- CLAIMS-MADE ~ OCCUR MED EXP <Anv ene oerson S EXCLUDED <br /> - PERSONAL & ADV INJURY $ 1,000,000 <br /> - GENERAL AGGREGATE $ 2,000,000 <br /> ~'L AGGREFlE LIMIT APnS PER: PRODUCTS - COMPIOP AGG $ 2,000,000 <br /> X POLICY ~~~ LOC $ <br />A AUTOMOBILE LIABILITY X 04GL823859 06/23/2011 6/23/2012 COMBINED SINGLE LIMIT :. 1,000,000 <br /> - <br /> - ANY AUTO - BODILY INJURY (Per person) $ <br /> ALL OWNED SCHEDULED BODILY INJURY (Per accident) $ <br /> - AUTOS ~ AUTOS <br /> X X NON-DWNED PROPERTY DAMAGE $ <br /> - HIRED AUTOS ~ AUTOS <br /> $ <br /> UMBRELLA L1AB H OCCUR EACH OCCURRENCE $ <br /> I-- <br /> EXCESS L1AB CLAI MS- MADE AGGREGATE $ <br /> I)~I) I I s <br /> WORKERSCOMPENSAnON I WC STATU, I IOJ~- <br /> AND EMPLOYERS' LIABILITY YIN <br /> NN PROPRIETORIPARTNERlEXECUTIVE 0 N/A E.L. EACH ACCIDENT $ <br /> OFFICERlMEMBER EXCLUDED? <br /> (Mandatory In NH) E.L. DISEASE. EA EMPLOYEE $ <br /> Itves. describe under H DISEASE, POLICY LIMIT · <br />DESCRIPnON OF OPERA nONS/ LOCA nONS/ VEHICLES -(AttaCh ACORD 101E Additional Remark. Schedule. it 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 />CERTIFICATE HOLDER <br /> <br />CANCELLATION <br /> <br />AI 000127 <br /> <br />CITY OF SUNNY ISLES BEACH SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />BUILDING DEPARTMENT THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> ACCORDANCE WITH THE POLICY PROVISIONS. <br />18070 COLLINS AVENUE <br />3RD FLOOR AUTHORIZED REPRESENTAnVE 8" .F" ',,' ~ <br />SUNNY ISLES BEACH FL 33160- -'~ .~) <br />I <br /> <br />ACORD 26 (2010/06) <br /> <br />@1988.2010 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />