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<br />OP 10: EA
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<br />ACORD" CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DDIYYYYI
<br />~ 11/18/11
<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(s).
<br />PRODUCER 305-270-2100 CONTACT
<br /> NAME:
<br />FILER INSURANCE, INC. 305-270-2195 rA~gNJo Exll: I FAX
<br />9440 S.W. 77 Avenue iA/C Nol:
<br />Miami" FL 33156 E-MAIL
<br /> ADDRESS:
<br />AJ. Hosea ~n~~~~~~ 10 #: ROBA Y01
<br /> INSURER(S) AFFORDING COVERAGE NAIC#
<br />INSURED Robayna & Associates, Inc. INSURER A: Hanover Insurance Company 22292
<br /> 5723 NW 158th Street INSURER B : Continental Casualty Company
<br /> Miami, FL 33014 INSURER c: Florida Retail Federation Fund
<br /> INSURER 0 :
<br /> INSURER E :
<br /> INSURER F :
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<br />COVERAGES
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<br />CERTIFICATE NUMBER:
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<br />REVISION NUMBER:
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<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 />INSR TYPE OF INSURANCE ADDL SUB I ,~8J5g~1 (~~g)'y~\ LIMITS
<br />LTR I'''''''. IIMm POLICY NUMBER
<br /> GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00e
<br /> I--
<br />A ~ ==rMERCIAL GENERAL LIABILITY ZHJ854438804 01/01/11 01/01/12 PREMISEs lEa oGCurranca\ $ 1,000,00e
<br /> I-- CLAIMS-MADE 0 OCCUR MED EXP (Any Dna parson) $ 5,00e
<br /> PERSONAL & ADV INJURY $ 1,000,00e
<br /> GENERAL AGGREGATE $ 2,OOO,00e
<br /> n'L AGGREn LIMIT APF~IY PER: PRODUCTS - COMP/OP AGG $ 2,000,OOC
<br /> POLICY ~~,9;: LOC $
<br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1 ,OOO,OO~
<br /> I--- (Ea aooidant)
<br />A ~ ANY AUTO AHJ853908604 01101/11 01/01/12
<br /> BODILY INJURY (Par parson) $
<br /> ~ ALL OWNED AUTOS BODILY INJURY (Per .ceident) $
<br /> I-- SCHEDULED AUTOS PROPERTY DAMAGE
<br /> ~ HIRED AUTOS AHJ853908604 01/01/11 01/01/12 (Per accident) $
<br /> ~ NON-QWNED AUTOS AHJ853908604 01/01111 01/01/12 $
<br /> $
<br /> UMBRELLA LIAB H OCCUR EACH OCCURRENCE $
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<br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $
<br /> - DEDUCTIBLE $
<br /> RETENTION $ $
<br /> WORKERS COMPENSATION X I T~~~Ift]Ns I IOEW-
<br /> AND EMPLOYERS' LIABILITY Y/N 1,000,000
<br />C ANY PROPRIETORIPARTNERIEXECUTIVE 0 0520-38552 01/01/11 01/01/12 E,L, EACH ACCIDENT $
<br /> OFFICERIMEMBER EXCLUDED? N/A 1,000,000
<br /> (Mandalory In NH) E.L, DISEASE - EA EMPLOYEE $
<br /> ~~s~~r~fr~N ~~~PERATIONS balow E,L, DISEASE - POLICY LIMIT $ 1,000,000
<br />B Professional Liab AEH006159427 04/02/11 04/02/12 PerClaim 1,000,000
<br /> Oed 10,OOC
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required)
<br />The amount of coverage will be upgraded to $2 Million upon contract award
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<br />l j CERTIFICATE HOLDER
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<br />PROOF01
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE
<br />PROOF OF INSURANCE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POUCY PROVISIONS.
<br /> AUTHORIZED REPRESENTATIVE
<br />I ~. ckJw ELENA ANDRES - A006635
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<br />CANCELLA liON
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<br />ACORD 25 (2009/09)
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<br />@l1988-2009 ACORD CORPORATION. All rights reserved.
<br />The ACORD name and logo are registered marks of ACORD
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