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•l <br /> IV <br /> ACOROCERTIFICATE OF LIABILITY INSURANCE °ATE'MM/°°"YY"' <br /> 4.....---- <br /> 12/07/2017 <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(les)must be endorsed. It SUBROGATION IS WAIVED,subject to the <br /> 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 /> CART INSURANCE AGENCY INC. NAME_ ELMER ACEVEDO <br /> PHONE ' FAX <br /> 12890 N.W.7TH AVE. (A/C,No,.Eat1;_305-68.5-.9.979 _... .._. i_IA(C,No);..3.05.6$7-..0.402..____...__. <br /> E-MAIL <br /> MIAMI,FLORIDA 33168 ADDRESS:CZAI,DI@BLLSOUTH,NE T <br /> INSURER(S)AFFORDING COVERAGE 1 NAIL ft <br /> INSURER A:NATIONAL INDEMNITY COMP.OF THE SOUTH 42137 <br /> INSURED <br /> DOLPHIN TOWING&RECOVERY INC. INSURER B:SCOTTSDALE INSURANCE COMPANY 41297 <br /> DOLPHIN TOWING H.D. INC. INSURER c:LLOYDS OF LONDON 112200 <br /> 1940 N.E. 153 STREET INSURER D: <br /> NORTH MIAMI.FLORIDA. 33160 INSURER E <br /> INSURER F: <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 /> INSRi - -- .. ...... .........--_._.. . _.....-. <br /> uaR1 <br /> LTR: TYPE OF INSURANCE INSR I WVD: POLICY NUMBER ! POLICY EFF POLICY EXP '- <br /> �IMMIDD/YYYY►'.(MM/DD/YYYY)i LIMITS <br /> GENERAL LIABILITY i <br /> i EACH OCCURRENCE 151,000.000.00. <br /> X COMMERC!At.GENERAL LIABtar D'AMFGE TO RENTED — <br /> Y • <br /> ! PREMISES(Eeoccurrence!_ 5 300 000.00 <br /> :CLAIMS.MADE X . OCCUR • _. l .._._.._______ <br /> B CPS 2619653 ._--,neperson) S 5,000.00 <br /> MED E�tP(Any o <br /> ' :04/13/2017 04/13/2018 ; PERSONAL 8 ADV INJUM Y i 51,000,000.00 <br /> • <br /> I GENERAL AGGREGATE S 2,000,000.00 <br /> i GEN•L AGGREGATE LIMIT APPLIES PER- i ------- <br /> X !POLIL'v ;PRO' i JECT : ; LOC • <br /> I00 <br /> PR UCTS".-COMP/OP.AGG £Z 000,000.00 ., <br /> — <br /> 'AUTOMOBILE LIABILITY ! I <br /> Y ED SINGLE OMIT <br /> F.F. COMBINED <br /> I ANY AUTO : • 1 BODILY INJURY(Per person) <br /> 0 . 5 1 000 000.00 <br /> ._ --I ALL OWNED ;SCHEDULED + ,..._.__ _ <br /> A :__ AUTOS ._X-;AUTOS • 74TRS078013 • <br /> BODIL'!INJURY(Per accident) ..5.- <br /> X !HIRED AUTOS ' X auToowaat:D 106/24/2017 106/24/2018 s_PROPERTY Y A <br /> I (Per accident)-MP.GE ""- <br /> X ;ON-HOOK ; COVERAGE - ; ---- -- <br /> i i UMBRELLA LIAR + OCCUR !(� ('— i S 250,000.00 <br /> �I �1 : I EACH OCCURRENCE S <br /> I EXCESS LIAB — ----- —._ <br /> ! • CLAIMS-MADE; -----..___..-.—_-- <br /> i . . _ _._ _, AGGREGATE <br /> S — <br /> :DED ; RETENTIONS ' • <br /> ' i • I <br /> WORKERS COMPENSATION 1 'AC STATU- I !DTH-j <br /> t AND EMPLOYERS'LIABILITY Y/N : _ <br /> ANY PROPRIETOR;PARTNER/EXECUTIVE -- ?_.._-'----_ - ---__1_E - _ <br /> TQRY LIMIT$ R <br /> OFFICEJMEMBER EXCLUDED? !E.L.EACH ACCIDENT S <br /> (Mandatory in NH) <br /> L. IiN1A — <br /> • <br /> I!yes dexnbe under E.L.DISEASE-EA.EMPLOYEE S <br /> 'DESCRIPTION Ur OPERATION5l2elou' - ! • E L DISEASE-POLICY LIMIT j S <br /> • <br /> C IGARAGEKEEPERS LIABILITY � (� <br /> ;I BW33916773 01/11/2017 01/11/2018 i $500.000.00 $2500.00 DEDUCTIBLE <br /> t <br /> I <br /> DESCRIPTION OF OPERATIONS!LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,If more space la required) <br /> CERTIFICATE HOLDER IS ALSO NAMED ADDITIONAL INSURED <br /> CERTIFICATE HOLDER <br /> CANCELLATION <br /> SUNNY ISLES BEACH GOVERNMENT CENTER SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> 18070 COLLINS AVE.4th FLOOR ,THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> ACCORDANCE WITH THE POLICY PROVISIONS. <br /> SUNNY ISLES BEACH FLORIDA.33160 <br /> ® AUTHORIZED REPRESENTATIVE <br /> ELMER ACEVEDO <br /> ©1988-2010 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD <br />