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A ORD CERTIFIGATE OF LIABILITY INSURANCE DAT =('dr/7!DOYY) <br />PRODUCER Phone - 954 583 -5444 Fax - 954583 -2820 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORNtATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Pelican Insurance Agency <br />g y <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND, OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW <br />INSURERS AFFORDING COVERAGE NAIC # <br />6950 Cypress Rd Ste 20817 <br />INSURERA -- <br />INSURER S: <br />Plantation, F133317 <br />rue�ioen <br />Snack Time LLC <br />149 NW 70 St. #302 <br />INSURER C: <br />Boca Raton, FL 33487 <br />INSURER 0: <br />INSURER E: <br />COVERAGES <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOIN HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED, NOWATHSTANDING 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 />)NS <br />LTR TYPE OFINSURANCE POLICYNWIEI <br />POLICY EFFECTIVE POLICY EXPIRATION; LIMITS <br />DATE(MMMO(YY) OATE(MWDD!YY) <br />I <br />GEtiERAL LIABILITY <br />_ <br />15ACH OCCURENCE _ S 2, Q00,000_QO <br />X COPIdu4ERC1AL GENSRAL LIABILITY <br />CLAIMS MADE i OCCUR <br />j DAMAGE TO RENTED S 100,004.00 <br />i (PREMISES.(EaO;x�luYF <br />I %rAED EXP (Any we pe-sart) 5 $5,00 <br />— <br />I Pending <br />I PERSONAL S ADV INJURY S 2,000,000.00 <br />— <br />! GENERAL AGGREGATE S 2,040,000.40 <br />GEN•L AGGREGATE LIMIT APPLIES PER. <br />I I PRODUCTS - CO%4P!CP AC-G IS $2.000.000 <br />r <br />F RI <br />POLICY IJECT I— LOG <br />I <br />AUTOMOTIVE <br />LIABILITY <br />i <br />I <br />COMBINED SINGLE LIMIT <br />(Ea accident) <br />ANY AUTO <br />BODILY INJURY <br />(Per person) <br />$ <br />ALL 010^1So AUTOS <br />j( <br />SCHEDULED AUTOS <br />BODILY INJURY <br />!per accident) <br />HIRED AUTOS <br />I <br />S <br />—` <br />jN0N- M1J'IFn AUTnS <br />PROPERTY DAPIAGE <br />$ <br />— <br />I <br />(Peraccidert) <br />GARAGE LIABILITY <br />AUTD ONLY - EA ACCIDENT ._Is <br />S <br />ANY AUTO <br />I <br />OTHER THAN EA ACC <br />, <br />AUTO ONLY- <br />AGG <br />EXCESS LIABILITY <br />EACH COCURENCE <br />S <br />I <br />(OCCUR DCLAIMS54ADE <br />AGGREGATE <br />I <br />S <br />IDECUCTIBLE <br />i <br />— <br />S <br />1-7RETiENTION__ <br />ION S <br />COMPENSATION AND <br />I TORY LCktITS OER <br />IWORKERS <br />Emmor ERS' LIABILITY <br />VEIL. EACH ACCIDENT <br />S <br />ANY PROPRiETORfPARTNE -' 'EXECUTIVE <br />OFFICER/MEMBER EXCLUDED? <br />DISEASE _ EA EMPLOYEE <br />S <br />if yes, describe under <br />— <br />EL DISEASE - POLICY LIMIT <br />- <br />S <br />SPECIAL PROVISIONS below <br />'OTHER <br />I <br />I <br />DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESIEXCLUS ,DNSADDED BY ENDORSEMENTSPECLAL PROVISIONS <br />COVERAGE PENDING THE AWARD OF THE CONTRACT <br />Certificate holder named as an additional insured with regards to general liability. <br />CERTIFICATE HOLDER IX f DDnTONAL INSURED; INSURER LETTER A CANCELLATION See Below - <br />City Of Sunny Isles Beach <br />SEEXPOUIRRAATIIOONOATTHBgEOF.THE � DESCRIBED PANYMILLEND£AVoRTONIAILTHE <br />18070 Collins Ave. 3rd Floor <br />10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NMdEDTO THE LEFT, <br />FUT FAILURE TO FRAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY <br />Sunny Wes Beach, Fl. 33160 <br />OF ANY KIND UPON THECONPANY, ITS AGENT'S OR REPRESENTATIVES. <br />305 - -947 -5107 <br />AUTHORQED REPRESENTATIVE <br />Samuel Jacks ---� <br />ACORD 25 (2001108) 1 of 2 OACORD CORPORATION 1988 <br />