|
<br />Fr}m:Global Insurance Services Inc.
<br />I-"
<br />I"~ ~
<br />
<br />5614519625
<br />
<br />03/20/2012 10:46
<br />
<br />#266 P.001/001
<br />
<br /> ACORD' CERTIFICATE OF LIABILITY INSURANCE I DATE (MMJDOO'VY'f)
<br />.' \......---- 03/20/12
<br />.. ~
<br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS ,
<br />. CERTIFICATE DOES NOT AFFIRfMTlVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVEAAGE AFFORDED BY THE POLICIES ~
<br />, BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURERIS), AUTHORIZED
<br />" f
<br /> REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
<br /> IMPORTANT: If the cortlflcato holder Is an ADDITIONAL INSURED, the policy(ies) mU5t be endorsed. It SUBROGATION IS WAIVED, subject to
<br /> the terms and conditions of the policy, certain policies may roqulre an endorsement A statement on this cortificate does not con'er- rights to thlt
<br /> certificate holder In lieu of such endoniomentlsl.
<br />.. PRODUCER 581-487-6001 I 5f~I~CT
<br />, Globallns.uranco Services, Ine 561-451.9825 ~8.NJo Exll' Ir~No\:
<br />1 21301 PowerUne Road #211
<br />~ Boca Raton, FL 33433 E.MAIL Ii
<br /> ADDRESS:
<br />. Boca Commercial Lines INSUR~/Sl A,-rOR01NO COVERAGE ~
<br /> NAIO.
<br /> INSURER A : Unlte~ Sceclaltv Insurance Co, ,
<br /> ,j
<br /> INSURfD American Building Engln.... ..!!!!~"'eRB:
<br /> Ab. BoruJerdl . ~
<br /> 5405 N. State Road 7 ~RERC: ,.
<br /> Fort Lauderdale, FL 33319 IN$URERO: f
<br /> IN5URERE:
<br /> INSURERF:
<br />
<br />AMERBUi
<br />
<br />~
<br />OP 10; VL~
<br />
<br />COVERAGES
<br />
<br />CERTIFICATE NUMBER'
<br />
<br />REVISION NUMBER:
<br />
<br />If
<br />
<br />. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POliCY PERIOD t
<br />.~lNDICATEO. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF AAY 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 CONrxTIONS OF SUCH $llMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />, It/G TYPE 0' INSURANCI POlleY NUMSER (~:::M~~'Y~'Y ,~~h~r,r-M~ UMITS r
<br /> QENERAL LIABILITY EACH OCCURRENCE S 1,000,000
<br /> -,,-
<br /> A -.!.p~MERCLAl. GENERAL LIAEJILlTY 05101936 10/20/11 10/20/12 PR' SES hOC~~r>c1l S 100,000
<br /> -:."':"" ClAJMS.a.v.DE [R] OCCUR MEO EXP lM" Ollll Clllfao"l S 5,00
<br /> ~ 1000 PO OED PERSONAL &. ADV INJURY ! 1,000,00
<br /> - GENERAL AGGREGATE S 2,OOO,OO(
<br /> ~LAGG~nE LIMIT ~~~t PER PRODUCTS. COMPIOP AGG S 2,OOO,OO( (
<br /> POLICY I ~f8T LOC s .~
<br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT , ,.
<br /> - , ,
<br /> ANY AUTO BODILY INJURY (Plr PIlf&On) S !
<br /> - ALL OWNEO r- SCHEDULED t
<br /> I- AUTOS AUTOS BOOIL Y INJURY (Per eCCidOnl) ,
<br /> r- NON.OWNED PROPERTY DAMAGE
<br /> HIRED AUlOS AUTOS 1!'jlraecldonl S ,
<br /> f- f-
<br /> s .,
<br /> UMBRELLA UAB H ~CCUR EACH OCCURRENCE S !
<br /> -.' f-
<br /> i.: EXCESS LIAS ClAIMS.MADE AGGREGATE S r
<br /> OED J I RETENTION S S ,
<br /> S.
<br /> WORKERI COMPENSATION IT~~J;r~T,l4;,1 IOJ.H- i
<br /> AND IMPLO'(ERI' LIABl.ITY VIN
<br /> ANYPROPRlcTORIPARTNER/EXECUTIVE 0 NI' El. EACH ACCIDENT S
<br /> OFFICERAlEMBER EXCtUoeO?
<br /> IM..IWfMof)'lnlr4Hl E_l, DISEASE. EAfMPLOYEE I
<br /> ~;'C:tff3~ ~PERATIONS below E.L. DISEASE. POLICY LIMIT S
<br /> OfSClUflnON Of OPERA noNS J LOCATIONS I VEHICLES (AU"" ACORO 101, Addlllon.1 Rlmuh Sehedllle, If mort 'paee I. T1qulndl
<br /> If.
<br /> .. t
<br /> !..
<br /> {
<br /> .
<br /> ,
<br /> ,
<br /> ,
<br /> .
<br /> ,
<br /> CERTIFICATE HOLDER CANCELLATION ,
<br /> . SUNNISL 'Zi
<br /> ,.
<br /> " SHOULD ANY OF THE ABOVE DESCRI13E.D POL-IC/E.S BE CANCELLED BEFORE "
<br /> T~' EXPIRATION DATE THEREOF, NOTICE WILL .. DELIVERED IN j.
<br /> <
<br /> - City Of Sunny Isl.s ACCORDANCE WITH THE POLICY PROVISIONS. (
<br /> ,
<br /> 18070 Collins Ave AUTHORIZEO ftEl'RESENlATlVE i
<br /> Sunny Isle. Beach, FL 33160 ~ ~.
<br /> .
<br />
<br />ACORD 25(2010/05)
<br />
<br />@1988-2010ACORDCORPORATION. All rights r.s.rved.
<br />Th. ACORD name snd logo are r.gist.r.d marks of ACORD
<br />
|