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<br />r 1 <br /> <br /> ------, <Ill CERTIFICA TE OF LIABILITY INSURANCE I DATE (MM/DD1YY) <br /> ACC>RD 12/09/11 <br /> 4......---' <br /> PRODUCER Morgan Insurance Group THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />1 13155 SW 42nd Street, Suite #107 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> Miami, FL 33175 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> Phone (305) 222-9001 Fax (305) 222-9006 INSURERS AFFORDING COVERAGE NAlC # <br />1 INSURER A: TRAVELERS INDEMNITY COMPANY 02520 <br /> INSURED Abc Construction inc SCOTTSDALE INS COMPANY 03292 <br /> INSURER B: <br /> 7215 SW 7 ST INSURER c: CRUM & FOSTER 552-015225-9 <br /> Miami" FL 33126- - INSURER 0: EVANSTON INS COMP <br />1 I INSURER E: <br /> COVERAGES INSURER F: <br /> THE POLICIES OF INSURANCE LISTED HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING <br />1 ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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 /> INSR AOO'L TYPE OF INSURANCE POLICY NUMBER PgAL,!~~~~~J8~IE POLICY EXPIRATION LIMITS <br />l LTR INSRD DATE (MM/DDlYYf <br /> GENERAL LIABILITY EACH OCCURRENCE 1,000,000 <br />. ~ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED 50,000 <br /> CPS1321841 04/14/11 04/14/12 PREMISES rEa occurence) <br /> DO CLAIMS MADE ~ OCCUR MED EXP (Anyone person) 5,000 <br /> B ~ 0 PERSONAL & ADV INJURY 1,000,000 <br /> 0 GENERAL AGGREGATE 2,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COM~OPAGG 1,000,000 <br />. o POLICY 0 PROJECT 0 LOC <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> 0 ANY AUTO (Ea accident) <br /> 0 ALL OWNED AUTOS BODILY IN.JURY <br /> B ~ ~ SCHEDULED AUTOS (Per person) <br />:i ~ <br /> HIRED AUTOS BODILY INJURY <br /> ~ NON OWNED AUTOS (Per accident) <br /> IR PROPERTY DAMAGE <br />I (Per accident) <br />I GARAGE LIABILITY AUTO ONLY - EA ACCIDENT <br /> 0 0 ANY AUTO OTHER THAN _EAACC_ <br />I ------ <br />I 0 AUTO ONLY: AGG <br />I <br />r EXCESS/UMBRELLA LIABILITY XLS0073711 04/14/11 04/14/12 EACH OCCURRENCE 49,000,000 <br />I ~ OCCUR o CLAIMS MADE AGGREGATE 49,000,000 <br />!D 0 <br />I' 0 DEDUCTIBLE <br /> 0 RETENTION $ <br />, WORKERS COMPENSATION AND 6FR13U89862L1131 12/19/11 12/19/12 ~ WC STATU- o OTH- <br /> EMPLOYERS' LIABILITY TORY LIMITS ER <br />IA ANY PROPRIETOR I PARTNER I EXECUTIVE E.L. EACH ACCIDENT 1,000,000 <br />I <br />I, OFFICER I MEMBER EXCLUDED? E,L. DISEASE - EA EMPLOYEE 1,000,000 <br /> If yes, describe under <br /> SPECIAL PROVISIONS below E,L. DISEASE - POLICY LIMIT 1,000,000 <br />. OTHER <br />" <br />I,DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS <br /> ::;ERTIFICATE HOLDER IS ALSO ADDITIONAL INSURED <br />': <br /> <br />~ <br /> <br />,. <br /> <br />I ,. <br />I <br />I <br />~ y <br /> <br />I CERTIFICATE HOLDER <br />I <br /> <br />CANCELLATION <br /> <br />" <br /> <br />SUNNY ISLES BEACH <br />18070 COLLINS AVENUE <br />SUNNY ISLES BEACH, FLORIDA 33160 <br /> <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL <br />30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO <br />THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY <br />OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. <br /> <br />AUTHORIZED REPRESENTATIVE <br /> <br />~~-~ <br /> <br />I J I <br />ACORD 25 (2001/08) QF <br /> <br />@ACORD CORPORATION 1988 <br />