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<br />,1 <br /> <br />) '. <br /> <br />AE.i;;b- CERTIFICATE OF LIABILITY INSURANCE ;;~~7;;~' <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 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 tho cortlflcate holder Is an ADDITIONAL INSUReD, the pOllcy(lea) muat be endorsed, If SUBROGATION IS WAIVED. sublect to <br />the terms and conditions of tho polley, certain pOlicies may require an endorsement. A statement on this certificate dOGS not confer rights to the <br />certificate holder In lieu of such endorsement s , <br />PRODUCER <br /> <br />FL 33301 <br /> <br /> <br />Jaol:yn Stamper <br />(954) 315-5000 <br /> <br />: 1!i54) 31S-S050 <br /> <br />Corporate Insurance <br />100 NE 3rd Avenue <br />Suite 1000 <br />Ft. Lauderdale <br />INSUREO <br /> <br />Advisors <br /> <br />00002239 <br /> <br />LSJ Corp, DBA: Graph Plex Siqns <br />2B"0 N. 28th Terrace <br /> <br />INSURER S AFFORDING COVERAGE <br />INSURER A :New Ham shire Ins CO <br />INSURER a :Philadel hia Indemni t <br />INSURERC:FCCI Insurance Co an <br /> <br />Ins Co. <br /> <br />NAIC/I <br />23841 <br />18058 <br />10178 <br /> <br />HOllywood <br />COVERAGES <br /> <br />INSUReRD: <br />INSURER e: <br />FL 33020 INSU ER F: <br />CERTIFICATE NUMB~R:CL1133106222 <br /> <br />REVISION NUMBER: <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 <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 ~. LIMITS SHOWN MAY HAVE BEEN ~ PAID CLAIMS. <br /> <br />'~TR TYPEOF.INsuRANce ~ POL.ICYNUMBER ~,E lIMITS <br /> <br />GENERAL UABILlTY X EACH OCCURRENCE $ <br /> <br />X COMMERCIAL GENERAL. LIABILITY =~ 8 S <br /> <br />A J Cl.lIIMS-/lJAOE [iJ OCCUR 1-LX.027561402-0 /1/2011 4/1/2012 MEOEXP(AnvOn9D&rlt!!L S <br /> <br />PERSONAL & ADV INJURY $ <br /> <br />GENERAL AGGREGATE S <br /> <br />PRODUCTS - COMPIOP AGO $ <br />. <br /> <br />r- <br /> <br />1,000,000 <br />100,000 <br />5rOOO <br />1,000,000 <br />2,000,000 <br />2 000,000 <br /> <br />GEN'lAGGR~E LIMIT AP~S PER: <br />n POLlC'U X L~~~ ~_1 LOC <br />AUTOMOBILE LIABILITY' <br />rx ANY AUTO <br />B - ALL O\'liNEO AUTOS <br />- SCHeDULED AUTOS <br />- HIRED AUTOS <br />- <br />_ lI:QN.QVi\\lEO AUTOS <br /> <br />x <br /> <br />HPK702321 <br /> <br />4{1/2011 <br /> <br />4{1/2012 <br /> <br />CO.\I!BINEO SINGLE LIMIT <br />(EaaeCldent) <br />BODILY INJURY (Per peraon) $ <br />eODll Y INJURY (Per accIdent) I <br />PROPERTY DAMAGE <br />(Pllreccldent) <br />Uninsured molorlsl combine~ <br /> <br />1,000,000 <br /> <br />X UMBRELLA lIAB HOCCUR <br />r EXCESS LIAS CLAlMS-tAAOE <br /> <br />M&diClllpa~menls <br /> <br />1,000,000 <br />5,000 <br />3,000,000 <br />3,000,000 <br /> <br /> rx DeDUCTIBLE . <br />A RETENTION , 10 000 01.UD-012S56515-0 /1/2011 4/1/2012 . <br />C WORKERS COMPENSATION X X CSTA Uil ~rH- <br />AND EMPLOYERS' LIABILITY Y 1 N <br /> ANY PROPRIETORIPARTNERfEXECUTlVE D e.L. EACH ACCIDENT . 500 000 <br /> OFFICER/MEMBER EXClUDED? N I A OOlWC10A64S07 6/10/2011 6/10/2012 <br /> (MendatOlYlnNH) e.L. DISEASE. EA EMPLOYE . 500 000 <br /> U;~~rt~~ ~1'8PERATIONS bel01Y E.L DISEASE. POlICY LIMIT . 5.00 000 <br /> <br />EACH OCCURRENce <br />AGGR!':GATE <br /> <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES IAtt~eh ACORD 11:11, Addltlon.1 Rlmlr1le Schfdule,lf more epece Is retlulredl <br /> <br />CERTIFICA T~ HOLDER <br /> <br />CANCELLA T/ON <br /> <br /> SHOULD ANVOF lltE ABOVE DESCRIBED POLICIES BE! CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOnCE WILL BE DELIVERED IN <br />City of Sunny Isles Seaoh ACCORDANCE WITH THE POllCV PROVISIONS, <br />18070 Collins Avenue AUTHORIZED REPRESENTATIVE <br />Sunny Islas Beaoh, FL 33160 <br /> Mark Schwartz/OEBBFL f~ / kAM'~ <br /> . ,> <br />ACORD 26 (2009/09) .. @ 1988.2009 ACORD CORPORATION. All rights rese13p.;i <br /> <br />INS025 (2009011) <br /> <br />The ACORD name and logo are registered marks of ACORD <br /> <br />.., <br />j:" <br />.-..,. <br />