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~ ACORD@ CERTIFICATE OF LIABILITY INSURANCE J DA TE (MM/DD/VYYY) \".,---- 3/31/2011 THIS CERTIFICATE 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: If the 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 such endorsement(s), PRODUCER ~~AA~~CT Jaclyn Stamper COI:porate Insurance Advisors rA~gNJo ~vll' (954) 315-5000 I r~~ No): (954)315-5050 100 NE 3rd Avenue E-MAIL ADDRESS: Suite 1000 PRODUCER 00002239 Ft. Lauderdale FL 33301 INSURER(S) AFFORDING COVERAGE NAIC # INSURED INSURER A New Hampshire Ins CO 23841 INSURER B :Philadelphia Indemni ty Ins Co. 18058 LSJ Corp, DBA: Graph Plex Signs INSURER C :FCCI Insurance Company 10178 2830 N. 28th Terrace INSURER D : INSURER E : Hollywood FL 33020 INSURER F : COVERAGES CERTIFICATE NUMBER:CLl133106222 REVISION NUMBER: 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 ADDL SUBR ~m-J%Myy) ~2~J%Yv~) LTR INSR WVD POLICY NUMBER LIMITS GENERAL LIABILITY X EACH OCCURRENCE $ 1,000,000 - ~~~~~~J?E:~~~ir~nce) X OMMERCIAL GENERAL LIABILITY $ 100,000 ~ CLAIMS-MADE [i] OCCUR 4/1/2011 4/1/2012 A 01-LX-027561402-0 MED EXP (Anyone person) $ 5,000 I- PERSONAL & ADV INJURY $ 1,000,000 1- GENERAL AGGREGATE $ 2,000,000 - ~'L AGGR~E LIMIT APAS PER: PRODUCTS - COMP/OP AGG $ 2,000,000 POLICY X ~~8T LOC $ AUTOMOBILE LIABILITY X COMBINED SINGLE LIMIT $ 1,000,000 -:-::::- (Ea accident) X ANY AUTO - HPK702321 4/1/2011 4/1/2012 BODILY INJURY (Per person) $ B ALL OWNED AUTOS - BODILY INJURY (Per accident) $ SCHEDULED AUTOS PROPERTY DAMAGE .- $ - HIRED AUTOS (Per accident) NON-OWNED AUTOS Uninsured motorist combined $ 1,000,000 I- Medical payments $ 5,000 X UMBRELLA L1AB H OCCUR EACH OCCURRENCE $ 3,000,000 t- EXCESS L1AB CLAIMS-MADE AGGREGATE $ 3,000,000 X DEDUCTIBLE $ A RETENTION $ 10 000 01-UD-012856515-0 4/1/2011 4/1/2012 $ C WORKERS COMPENSATION X X I T~~$mI~s I IOJ~- AND EMPLOYERS' LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE 0 E.l. EACH ACCIDENT $ 500 000 OFFICER/MEMBER EXCLUDED? N/A 6/10/2011 6/10/2012 (Mandatory In NH) 0001WC10A64507 E.L. DISEASE - EA EMPLOYE $ 500 000 ~~~~~~f~~ ~~'6PERATIONS below E.l. DISEASE - POLICY LIMIT $ 500 000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) CERTIFICATE HOLDER CANCELLA TION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Sunny Isles Beach ACCORDANCE WITH THE POLICY PROVISIONS. 18070 Collins Avenue Sunny Isles Beach, FL 33160 AUTHORIZED REPRESENTATIVE Mark SChwartz/DEBBFL f/ifl~l:~ ~~ ~./I!r,C~k'(~/ j ,") -- ACORD 25 (2009/09) INS025 (200909) @ 1988-2009 ACORD CORPORATION, All rights reserved The ACORD name and logo are registered marks of ACORD .