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/ OP ID: JW <br /> ACORO CERTIFICATE OF LIABILITY INSURANCE DATE(MWDON"^') <br /> 11.—/ 12/10/12 <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 /> ELOW. 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. N 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 dghts to the <br /> certificate holder In Ileu of such endorsement(s). <br /> PRROOUCER 386-252-9601 NAMetn Denise D'Abato <br /> Brown 8 Brown of Florida,Inc. AX <br /> Daytona Beach Office 366-239-5729 l I;386-239-7281 I rwc,No); 386-323-9121 <br /> P.O. <br /> Daytona Beach,FL 32115-2412 ,EADD RESS:ddabato@bbdaytona.com <br /> Ian B.Shinnick cv jM .;SPORT-7 <br /> INSURERS)AFFORDING COVERAGE NAJC O <br /> INSURED SPORTS TURF ONE,INC. INsuREaA:Westfield Ins Co 24112 <br /> HAVERLAND BLACKROCK CORP <br /> 9819 STATE ROAD 7 INSURER e: _ <br /> BOYNTON BEACH, FL 33472 INSURER C: <br /> INSURER D: <br /> 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 /> INSR ADM SUER POLICY EFF POLICY EXP <br /> LTR TYPE OF INSURANCE INSR MVO POLICY NUMBER (MMIPOIYfYY) (ewDOM'YY) I LOOTS <br /> GENERAL LUBIUTY EACH OCCURRENCE S 1,000,000 <br /> A X COMMERCIAL GENERAL warn, X CMM5576071 01/01112 01101/13 DAMAGE TO RENTED 150,000 <br /> PREMISES(Ea ccarnmaN $ <br /> I O dms-mADE © OcaUR MED EXP(Any o on perste) $ 10,000 <br /> X XCU PERSONAL B ADV INJURY $ 1,000,000 <br /> X CONTRACTUAL GENERAL AGGREGATE _ 5 2,000,000 <br /> ailGENL AGGREGATE LIMIT APR.IES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 <br /> —I POLICY) A 1 n LOC S <br /> AUTOMOBILE LIABILITY X COMBINED SINGLE LIMIT $ 1,000,000 <br /> (Ea arcAlenl) <br /> A X ANY AUTO CMM5576071 01101/12 01101113 <br /> BODILY INJURY(Per oew,) $ <br /> ALL OWNED AUTOS <br /> BODILY INJURY(Pet ecddmd) S <br /> SCHFJXAFD AUTOS PROPERTY DAMAGE <br /> X HIRED AUTOS (Per dmd) f <br /> m» <br /> —.- <br /> X NON-OWNED AUTOS S <br /> S <br /> — <br /> X UMBRELLA UAB X OCCl1R EACH OCCURRENCE S 10,000,000 <br /> EXCESS LIAR CLAIMS-MADE AGGREGATE $ 10,000,000 <br /> A — CMM5576071 01/01/12 01/01/13 <br /> _ DEDUCTIBLE _ S <br /> X RETENTION S $ <br /> WORKERS COMPENSATION AND EMPLOYERS'LIABILITY YIN I ORYU S I I ER <br /> ANY PROPRIETOaPARTNER/EXECUTNE❑ N/A E.L.EACH ACCIDENT $ <br /> OFFPEANF.MBER EXCLUDED? <br /> (Mandatory In NH) E1.DISEASE-EA EMPLOYEE $ <br /> tt yyeess.,dBQlee Odder <br /> DESCRIPTION OF OPERATIONS below . EL.DISEASE-POLICY LIMIT <br /> A LEASED/RENTED EQUI CMM5576071 I 01/01/12 I 01/01/13 (LIMIT 300,000 <br /> DED 1,000 <br /> DESCRIPTOR OF OPERATIONS I LOCATIONS I VEHICLES JAtlecn ACORD tot,Addnbnal Rmnata II mere a Is quirsd) <br /> BID REFERENCE:PROPOSAL#12-10-03 WEN MARGOLIS AND PELICAN C MMUN W n <br /> PARKS.CITY OF SUNNY ISLES BEACH IS ADDITIONAL INSURED ON THE GENERAL <br /> LIABILITY AND AUTO LIABLITY,AS REQUIRED BY WRITTEN CONTRACT. <br /> CERTIFICATE HOLDER CANCELLATION <br /> al! CITYS33 <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> CITY OF SUNNY ISLES BEACH ACCORDANCE WITH THE POLICY PROVISIONS. <br /> ITY CLERK <br /> 8070 COLLINS AVE.,#250 AUTHORDED REPRESENTATIVE <br /> UNNY ISLES BEACH,FL 33160 , <br /> d� <br /> (D 1988-2009 ACORD CORPORATION. All tights reserved. <br /> ACORD 25(2009/09) The ACORD name and logo are registered marks of ACORD <br />