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• • • / l DATE(MMIDDIYYYY) A.C.OREl CERTIFICATE OF LIABILITY INSURANCE ‘......-%— 1/1/2019 1/2/2018 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 have ADDITIONAL INSURED provisions or 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 Lockton Companies NAAON MEACT 444 W.47th Street,Suite 900 (A/C.NoEMI: I FAX Na): Kansas City MO 64112-1906 EMAIL (816)960-9000 ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# INSURER A,Travelers Property Casualty Co of America 25674 INSURED LUKE'S LANDSCAPING,INC. INSURER B:The Phoenix Insurance Company 25623 1343425 DBA LUKE'S-SAWGRASS LANDSCAPE INSURERC: 2711 SW 36TH STREET INSURER D: DANIA BEACH FL 33312 INSURER E: INSURER F: COVERAGES FIRCOI5 CERTIFICATE NUMBER: 15129827 REVISION NUMBER: XXXXXXX 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 POLICY EFF (PAID CLAIMS. 'its:I TYPE OF INSURANCE INSDA° SUER! ,�I POLICY NUMBER I(MM/DO/YYYY)I(MM/DD/VYYY)POLICY EXP I LIMITS A X I COMMERCIAL GENERAL LIABIUri' y y 660-1062L300-TIL-18 1/1/2018 1/1/2019 II EACH OCCURRENCE S 1,000,000 I CLAIMS-MADE I X OCCUR t PREMISESO(Ea occurRENTErence) S 1,000.000 MED EXP(Any one person) S 5,000 PERSONAL&ADV INJURY S 1.000,000 GENT AGGREGATE LIMIT APPLIES PER: I GENERAL AGGREGATE S 5.000,000 I POLICY Li JEC-' I j LOC ' PRODUCTS-COMP/OP AGG S 2,000,000 I OTHER: I S B I AUTOMOBILE LIABILITY N y 810-I062L300-COF-18 1/1/2018 1/1/2019 I COMBINED tJ SINGLE LIMIT S 1,000,000 x ANY AUTO BODILY INJURY(Per person) S XXXXXXX OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) S XXXXXXX X AUTOS ONLY HIRED " AUTOS ONLYY PROPERTY DAMAGE S I(Peraccitlent) XXXXXXX S XXXXXXX I UMBRELLA UAB I I OCCUR NOT APPLICABLE EACH OCCURRENCE S XXXXXXX EXCESS LIAB I CLAIMS-MADE AGGREGATE S XXXXXXX I DED I RETENTIONS I s XXXXXXX WORKERS COMPENSATION NOT APPLICABLEI AND EMPLOYERS'LIABILITY Y/N I STATUTE I I ERH ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? n N/A E.L.EACH ACCIDENT S XXXXXXX (Mandatory In NH) i E.L.DISEASE-EA EMPLOYEE'S XXXXXXX It yes,describe under DESCRIPTION OF OPERATIONS below El.DISEASE-POLICY LIMIT I s XXXXXXX DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101.Additional Remarks Schedule,may be attached if more space is required) Re: Contract No.Cl 112-057. City of Sunny Isles Beach shown as additional insured under the general liability,if required by written contract and as granted by the additional insured endorsement on file with the carrier. Waiver of subrogation in favor of the aforementioned party under the general and auto liability,if required by written contract. Subject to policy terms and conditions. CERTIFICATE HOLDER CANCELLATION 15129827 City of Sunny Isles Beach SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 18070 Collins Avenue THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN' Sunny Isles Beach FL 33 160 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTAT I AI 471166,if _ ©19880u1 15 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD . Lukes' Landscaping, Inc.