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7 ® DATE(MM/DD/YYYY) <br /> A�o CERTIFICATE OF LIABILITY INSURANCE <br /> 05/16/2017 <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 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 CONTACT <br /> NAME: <br /> PHONE FAX <br /> Automatic Data Processing Insurance Agency,Inc. (NC,No,Ext): (A/C,No): <br /> E-MAIL <br /> 1 Adp Boulevard ADDRESS: <br /> Roseland,NJ 07068 INSURER(S)AFFORDING COVERAGE NAIC# <br /> INSURER A: Hartford Casualty Insurance Company 29424 <br /> INSURED <br /> INSURER B <br /> COOK,HAMMOND&KELL INC <br /> 115 S LA CUMBRE LN STE-201 INSURER C <br /> Santa Barbara,CA 93105 INSURERD: <br /> INSURER E: <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: 676261 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 /> INR I TYPE OF INSURANCE IAINSD ISWVD I POLICY NUMBER I(MMI DYEFF/YYYY)I POUCY EXP(MM/DD/YYYY)I LIMITS <br /> COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S <br /> DAMAGE 10 RENTED <br /> CLAIMS-MADE OCCUR PREMISES(Ea occurrence) S <br /> MED EXP(My one person) S <br /> PERSONAL&ADV INJURY S <br /> • <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S <br /> POLICY PRO- <br /> JECT LOC PRODUCTS-COMP/OP AGG S <br /> OTHER: S <br /> I AUTOMOBILE UABIUTY <br /> ® <br /> ANY AUTO CO BBINEDtSINGLE LIMIT $ <br /> BODILY INJURY(Per person) S <br /> ALL OWNED SCHEDULED BODILY INJURY(Per accident) S <br /> AUTOS AUTOS <br /> NON-OWNED PROPERTY DAMAGE $ <br /> HIRED AUTOS AUTOS (Per accident) <br /> S <br /> UMBRELLA LIAB _ OCCUR EACH OCCURRENCE I$ <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE S <br /> I DED I I RETENTIONS I S <br /> WORKERS COMPENSATION X I STATUTE I I EORH <br /> AND EMPLOYERS'LIABILITY <br /> A ANY PROPRIETOR/PARTNER/EXECUTIVE YIN E.L.EACH ACCIDENT S 1,000,000 <br /> OFFICER/MEMBER EXCLUDED? Y NIA N 76WEGIY6806 07/06/2016 07/06/2017 <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYE 5 1,000,000 <br /> If yes,describe under' 1,000,000 <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> 4111 <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> City of Sunny Isles Beach ACCORDANCE WITH THE POLICY PROVISIONS. <br /> 18070 Collins Ave ____ <br /> Sunny Isles,FL 33160 AUTHORIZED REPRESENTATIVE <br /> I <br /> A©1988-2014 ACORD CORPORATION.All rights reserved. <br /> ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD <br />