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FASTR -1 OP ID: JF <br />'`' � ° CERTIFICATE OF LIABILITY INSURANCE I DATE 06/07112 <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 />.IPORTANT: 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 561- 622 -2550 CONTACT <br />Celedinas Insurance Group -PBG PHONE Fax <br />4283 Northlake Blvd. 561 - 721 -0540 (PAC No Ext : A/c, No): <br />Palm Beach Gardens, FL 33410 E -MAIL <br />Kyle Henderson Inc. ADDRESS: <br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <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 />INSURER(S) AFFORDING COVERAGE <br />NAIC # <br />INSURER A: Bridgefield Employers Ins. Co <br />10701 <br />INSURED Fastrack Management <br />8r Consulting, Inc. <br />2540 Metrocentre Blvd 94 <br />West Palm Beach, FL 33407 <br />INSURER 13: Star Indemnity 8r Liability Co. <br />POLICY EXP <br />MMIDD <br />INSURERC:Allied P & C Insurance <br />42579 <br />INSURER D: North River Insurance Company <br />21105 <br />_ <br />INSURER E: Chubb Group of Ins.Companies <br />SIPGGL0002601 <br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <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 <br />LTR <br />TYPE OF INSURANCE <br />DDL <br />UBR <br />POLICY NUMBER <br />POLICY EFF <br />MMIDD <br />POLICY EXP <br />MMIDD <br />LIMITS <br />B <br />GENERAL LIABILITY <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE F_yl OCCUR <br />X <br />SIPGGL0002601 <br />11/20/11 <br />11/20/12 <br />EACH OCCURRENCE <br />$ 1,000,00 <br />DAMAGETO EN <br />PREMISES ERa ocTED currence <br />$ 50,00 <br />MED EXP (Any one person) <br />$ <br />PERSONAL & ADV INJURY <br />$ 1,000,00 <br />GENERAL AGGREGATE <br />$ 2,000,00 <br />GEN'L AGGREGATE LIMIT APPLIES PER <br />POLICY LK PRO- <br />JECT F� LOC <br />PRODUCTS - COMP /OP AGG <br />$ 2,000,00 <br />$ <br />-- - _ <br />AUTOMOBILE LIABILITY <br />X ANY AUTO <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />-- _ NONWNED <br />- - - -- -0 <br />X HIREDAUTOS X AUTOS <br />r <br />X <br />- _ <br />ACP5905062856 <br />- - _ <br />08/14/11 <br />_ - <br />08/14/12 <br />- _ - <br />COMBINED SINGLE LIMIT <br />Ea accident <br />$ 1,000,00 <br />BODILY INJURY (Per person) <br />$ <br />BODILY INJURY (Per accident) <br />$ <br />PROPERTY DAMAGE <br />Per accident <br />— -- — <br />$ <br />D <br />X <br />ELON <br />X <br />OCCUR <br />CLAIMS -MADE <br />5520148848 <br />11/20/11 <br />11/20112 <br />EACH OCCURRENCE <br />$ 5,000,00 <br />AGGREGATE <br />$ 5,000,00 <br />$ <br />$ <br />A <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICER/MEMBER EXCLUDED? NJ <br />(Mandatory in NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />N / A <br />83036763 <br />08/15/11 <br />08/15112 <br />X I VJC STATU- OTH- <br />TORY LIMITS ER <br />E.L_ EACH ACCIDENT <br />$ 1,000,00 <br />E.L. DISEASE - EA EMPLOYEE <br />$ 1,000,00 <br />E.L. DISEASE - POLICY LIMIT <br />- <br />$ 1,000,00 <br />E <br />Equipment Policy <br />45465719 <br />04/04/12 <br />04104/13 <br />Rent Eq 150,00 <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101 Additional Remarks schedule, if mo�space isrequired) <br />RE: �n�uction priagementerrvices for Gateway Pair <br />Sunny Isles Beach is an additional insured for General Liability and <br />Automobile Liability. <br />Sunny Isles Beach Government <br />Center <br />18070 Collins Avenue <br />Sunny Isles Beach, FL 33160 <br />CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />cV_ <br />©1988 -2010 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD <br />