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Automobile AcoRD CERTIFICATE OF LIABILITY INSURANCE DATE IMLDDIYYYY) 01/17/2018 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 POLICES 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 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 WmTACT Yordanka Marrero • Keen Battle Mead & Company wa_ (305)558-1101 I ta.wt(3°"1 822-4 722 7850 Northwest 146th Street 15.ymarrero@kbmeo.cam Suite 200 INEURERIEI AFFORDING COVERAGE NAE Miami Lakes FL 33016 D(EURER A Grum b Forster Insurance INSURED INSURER B SET/ Services, Inc. INSURER 0: 9700 NA 79th Avenue p/SURERD: 'NUMMI E: Miami FL 33016 INSURER F: COVERAGES CERTIFICATE NUMBER17/18 AUTO REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE ENSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY RECUIREAIENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN.THE INSURANCE AFFORDED 5Y THE POLICIES DESC.JBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH?OUCHES.UNITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLALMS. ADOL SUM ILTRINSSD N',D POLICY NUIEER POLICYEFFPOUCY TS TYPE OF DiEURANCE POUCJYEYY) (ED6T1[hYYYY} C01On:RctA1.GENERAL LIABILITY EAC-4 OCC RREtICE E NTM CLVLES4A,DE n OGti- 3115 FTO]-octel_ E uED (Arty one n-=n) E ^_ PERSONALS ADV INJURY E GENE NGGFEGATE LHR APPLIES PET' GmEPAI.AC3Gn_=GA. E POLICY n-ECFT n!!OC PRCCUCTS-C MPICP AGG 41OTHERE AUTOEIOBfE u B'ITT (OWNED SINGE LMIT s 1,000,000(Es sate d) X Y.11-0 EMILY LWJRY 27=87 Cern) E A MI ALL OWN= SCHEDULE) . A1TOG AUTOS 1337/00/08 12/12/2017 12/12/2018 EC01-704JURYVTI=o7.00 I :-MED AUTG6 NCN-OWNED PROPERTY D1►LYs —'221-05 (Per st===n Lrtnaaa rctcr BI- e E 300,000 UMBRELLA LIAB EYii OCCUP_REVCE E EXCESS U.413 CLA$ M CE AGGFE-G1TE E DED I I R •ACNE E WDRPMLE COMPENSATION M.P./M.AND MIPLOYERE'LIAMITY YIN I 01ER1- AW IE OPARiSERMEEC rT.S N/A =L E,CN.CCIDEYT E L£�R EXt1UDE0T m NI() EL DCEISE-EA ESEWr_,E r yrs,LIGTLITG larder DESCRIPTION O-OP'.TMGM5 ayvi• EL DISEASE-POLICY UNIT I DESCRIPTION OF OPERATIONS/LOCATIONS/VBDCIEE(ACORD 1 C1.Adl Iona)FL—mats EBOamin,Inay be ltfm1ed It more cps=C required) The certificate Bolder is listed as an additional insured in respect to the Auto Liability policy when required on a written contract or agreement. CERTIFICATEHOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE SAMPLE CERTIFICATE THE EXPIRATION DATE THEREOF. NOTICE WILL BE DELIVERED IN • ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPREIENTATTVE O 1988-2014 ACORD CORPORATION-All rights reserved. ® ACORD 25(2014101) The ACORD name and logo are registeredmarks of ACORD INSO25 c,uDn IIISFM SERVKES.INC.