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- ACC)RD9 CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) �-� 12/15/2016 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 NA TACT Stephanie Wilkinson Brown&Brown of FL, Inc.-Fort Myers PHONE 239-274-1430 6611 Orion Dr. (Arc No Ern. (A/C.NO Suite 201 E-MAIL @ ADDRESS;swilkinson@bbftrnyers.com ers.com Fort Myers FL 33912 INSURER(S)AFFORDING COVERAGE I NAICS INSURER A:National Trust Ins Co` 120141 INSURED • INSURER B:FCCI Insurance Company* 110178 Jorda Enterprises, Inc. INSURER C: DBA Jorda Mechanical Contractor Buck Investments INSURER D: 1510 NW 79th Ave. INSURER E: Doral FL 33126 INSURER F: COVERAGES CERTIFICATE NUMBER: 1878062335 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. !NSR LTR I TYPE OF INSURANCE Ir1SD I WVD I POLICY NUMBER I(MM/DDYIYYYY)I(PA NDDYIYYW) LIMITS A X I COMMERCIAL GENERAL LIABILITY Y Y GL00096727 12/31/2015 12/31/2016 EACH OCCURRENCE 151,000,000 DAMAGE TO RENTED CLAIMS-MADE X OCCUR - PREMISES(Ea occurrence) 5100,000 MED EXP(My one person) 55,000 PERSONAL&ADV INJURY 51,000.000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 52,000,000 X POLICY X JEC X LOC PRODUCTS-COMP/OP AGG 52,000,000 OTHER: S A AUTOMOBILE LIABILITY VY CA00150337 12/31/2015 12/31/2016 COMBINED SINGLE LIMIT S (Ea accdent) 1,000,000 X ANY AUTO BODILY INJURY(Per person) S —AUTS OWNED SCHEDULED BODILY INJURY(Per accident) S HIRED AUTOS — NON-OWNED PROPERTY DAMAGE AUTOS (Per accident) A X UMBRELLA LIAB X 0,-CUR Y Y UMB00099907 12/31/2015 12/31/2016 EACH OCCURRENCE 155,000,000 EXCESS UAB CLAIMS-MADE AGGREGATE 5 • DED X RETENTIONS 10.000 S B WORKERS COMPENSATION y 001WC15A71535 12/31/2015 12/31/2016 X MUTE EMPLOYERS'LIABILITY Y I N STATUTE !ER ANY PROPRIETOR/PARTNER/EXECUTIVEN NIA E.L.EACH ACCIDENT 5500,000 OFFICER/MEMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE 5500.000 !(yes,describe under DESCRIPTION OF OPERATIONS below ... E.L.DISEASE-POLICY LIMIT $500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) 30 days notice of cancellation except 10 days notice for non-payment Regarding the General Liability, City of Sunny Isles Beach is named as an Additional Insured CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Sunny Isles Beach THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 18070 Collins Avenue ACCORDANCE WITH THE POLICY PROVISIONS. Sunny Isles Beach FL 33160 AUTHORIZED REPRESENTATIVE 046,(74-1fe4 ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD071 71 l V a