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r 1 ~ r I ACORO@ CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DDNYVY) ~ THIS Cf,:RTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: Ifthe certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of suchendorsement(s). PRODUCER ILEANA CABRERA RODRIGUEZ ~2~~~CT MAGDALENA DETRINIDAD l'..~gN.fo I'rl\' 305-529-9966 I FAX 1925 PONCE DE LEON BLVD iA/C No): 305-529-2856 E-MAIL CORAL GABLES, FL 33134 ADDRESS: ~ INSURERCSI AFFORDING COVERAGE NAIC# .UUUN<\ INSURER A: State Farm Mutual Automobile Insurance Company 25178 INSURED ABC CONSTRUCTION INC INSURER B : 7215 NW 7TH ST. INSURER C : MIAMI, FL 33126 INSURER D : INSURER E : INSURER F : rl r 1 '1 f 1 1 COVERAGES THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE 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. ) INSR TYPE OF INSURANCE ~.~~.; ~.~~~ l&gMg~, l~gM~~ LIMITS LTR POLICY NUMBER GENERAL LIABILITY 0 0 EACH OCCURRENCE $ - ~~~~~~J9E~~~~~ncel COMMERCIAL GENERAL LIABILITY $ I I CLAIMS-MADE D OCCUR MED EXP (Anyone person) $ PERSONAL & ADV INJURY $ - GENERAL AGGREGATE $ - ~'L AGGREAE LIMIT APnS PER: PRODUCTS - COMP/OP AGG $ J POLICY P'~c9T LOC $ J AUTOMOBILE LIABILITY 0 0 224 1098-B01 02/01/2012 08/01/2012 fE~~~b~~~I~INGLE LIMIT $ 1,000,000 - ANY AUTO 4194787-B01 02/01/2012 08/01/2012 BODILY INJURY (Per person) $ - X SCHEDULED 1 ALL OWNED BODILY INJURY (Per accident) $ AUTOS 4353821-801 02/0112012 08/01/2012 - _ AUTOS rP~~~&:~le~t?AMAGE X X NON.OWNED $ - HIRED AUTOS _ AUTOS 9125787-B01 02/01/2012 08/01/2012 $ -- UMBRELLA L1AB H OCCUR 0 0 EACH OCCURRENCE $ I - EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION $ $ WORKERS COMPENSATION IT~ST~J#s I IOJ~- AND EMPLOYERS' LIABILITY T RY LI T Y/N , ANY PROPRIETOR/PARTNER/EXECUTIVE D 0 E,L. EACH ACCIDENT $ I OFFICE/MEMBER EXCLUDED? N/A J (Mandatory in NHI E,L. DISEASE - EA EMPLOYEE $ If yes, describe under E.L. DtSEASE - POLICY LIMIT $ 0 D , DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, AddiU..nal Remarks Schedule, If more space is required) , , SHOULD ANY OF THE ABOVE POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE STATE FARM WILL PROVIDE 30 DAYS WRITTEN NOTICE CERTIFICATE NUMBER: REVISION NUMBER: I r I CERTIFICATE HOLDER CANCELLATION SUNNY ISLES BEACH 18070 COLLINS AVENUE SUNNY ISLES BEACH, FLORIDA 33160 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ACORD 25 (2010/05) ~u;t9 ZED RE~RESENTATIVE / -rt:/tU!2lidt 1 '" @ 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 1001486 132849.6 11-15-2010 fj.,?\..