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• <br /> • <br /> • <br /> A� CERTIFICATE OF LIABILITY INSURANCE DATE(IMIDDIYYYY) <br /> ® 12/12/2016 <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 HOLDER -. <br /> OR PRODUCER,AND THE CERTIFICATE HOLDE <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 Goes not confer rights to the <br /> ® certificate holder in lieu of such endorseinant(s). _ _ _ <br /> PRODUCER CONTACT Yordanka Marrero <br /> ® NAME <br /> Keen Battle Mead fi CompanySc-F : (305)558=1101 {rax Mom:c905le22-4722 <br /> E-mai <br /> 7850 Northwest 146th Street ADDR :ynarrero@kbeico.00m <br /> ® Suite 200 INSURER(S)AFFORDING COVERAGE_ - I. - NAICI <br /> ® Miaai.'Lakes <br /> FL 33016 INSURERA:The North River Insurance Company I <br /> INSURED .INSURER a: <br /> • SFM Services, inc. INSURER C: I <br /> 9700 NW 79th Avenue INSURERO: <br /> ® INSURERE: - <br /> _ _ <br /> ami <br /> MiFL 33016 INSURERF: <br /> • COVERAGES _ CORTIFICATENUMBER16-17 Auto Master 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 CF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO'AHCH THIS <br /> CERTIFICATE WY 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 /> O EL1771 __. TYPE OF INSURANCE PIMP WV.I POLICY NUMBER 10.1MtDDYrA)I R J ENAr.P I UNITS <br /> _ 'COMMERCIILL GENERAL WLBIUTY EACH OCCURRENCE IS <br /> ® CIAIMSRdADE I ,I OCCUR PREMISES(EaottlrmnCEL S <br /> ® I` MEO SW(My one parson)!i <br /> PERSONAL&ADV INJURY S <br /> ® GENL AGGREGATE UMTAPPLIES PER: GENERAL AGGREGATE S <br /> POLICY( I JLOC <br /> PRODUCTS-COMPIOPAGG S <br /> ® OTHER: S _ <br /> AUTOMOBILE LIABILITY (Esaa'iderifi COMBINED SINGLE LIMIT 'S 1,000,000 <br /> ® A ANY AUTO BODILY INJURY(Per person) S <br /> 12/12/2016 12/12/2017 ALL OWNED SCHEDULED1337400108BODILY INJURY(Per aaiaert) 3 <br /> ® <br /> H HIRED AUTOSAUTOSuI 1.1 OLEAUTOS SED PROPERrY OudAGE <br /> AUTOS (Per accident) S <br /> Urensreen><XuisieI-side i 300,000 <br /> ® UMBRELLA _ <br /> UAB __OCCUR EACH OCCURRENCE 5 <br /> EXCESSLABCLAIMS-MADE It AGGREGATE 5 <br /> ® DED 1 1 RETENTIONS I S <br /> 'WORKERS COMPENSATION I I STATUTE I ff 1OrH. <br /> ® AND EMPLOYERS UAIBUTY <br /> YIN <br /> ANY PROM IETDRIPARTNEREZECUT1VE II NlA EL.EACH ACODENT S <br /> OFFICERiS MBE R EXCLLDED? <br /> (Mandatory to NH) E.L DISEASE-l:A EMPLOI�EL$ <br /> • iiye E Cesaba un0er <br /> DESCPo PTION OF OPERATIONS bete I EL DISEASE-POLICY LIMIT I.S <br /> • <br /> ® DESCIaPTION 00 OPERATIONS,LOCATIONS I VEHICLES(Amin 101.AddSowl Reports Sdaduk,malt be aiWehed P more space is required) <br /> ® Certificate Holder is listed as additional insured as respects to the Auto Liability when required by <br /> written contract <br /> 0 <br /> ® CERTIFICATE HOLDER CANCELLATION _ <br /> ® SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> ® SAMPLE CERTIFICATE ACCORDANCE TWITH THE POLICY PROVISIONS. <br /> ® AUTHORIZED REPRESENTATIVE - <br /> Alex Perez/BECKY .._ <br /> ® <br /> 91988-2014 ACORD CORPORATION.All rights reserved. <br /> ® ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD <br /> I NS02S N7Dia01i <br /> • <br /> • <br /> • E a <br /> ® ITB 17-05-01 <br /> I <br /> ® IISFM <br />