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® ACORD CERTIFICATE OF LIABILITY INSURANCE DATE Y 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 NESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. RTANT: 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). RODUCER Harden and Associates CONTACT CT Patti Barrett 501 Riverside Avenue, Suite 1000 (A//CC,NN,I�ztJ' 904-421-5293 FAX No):904-466-4380 E-MAIL Jacksonville FL 32202 ADDRESS: pbarrett@hardeninsight.com INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Covington Specialty Ins Co 13027 NSURED DISAOPE-01 INSURER B:Admiral Insurance Company 24856 Disaster Program&Operations, Inc 10033 Sawgrass Drive W. Ste. 121 INSURER c:Old Dominion Insurance Co 40231 Ponte Vedra FL 32082-2832 INSURER D:StarStone National Insurance Company INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:444473853 - REVISION NUMBER: 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 PAID CLAIMS. I: NSR ADDL SUBR POLICY EFF POLICY EXP P LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS A GENERAL LIABILITY VBA563189 8/19/2017 8/19/2018 EACH OCCURRENCE $1,000,000 X 1 COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES(Ea occurrence) $100,000 CLAIMS-MADE X OCCUR MED EXP(Any one person) $5,000I F PERSONAL&ADV INJURY $1,000,000 • GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ ,, X I POLICY I I jE I I LOC $ C I UTOMOBILE LIABILITY 61T6575Z 8/19/2017 8/19/2018 COMBINED SINGLE LIMIT `' (Ea accident) $1,000,000 _ ANY AUTO BODILY INJURY(Per person) $ • ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE X HIRED AUTOS X AUTOS I(Per accident) $ $ D X UMBRELLA UAB X OCCUR 76901 W170ALI 8/192017 8/192018 EACH OCCURRENCE $1,000,000 , EXCESS UAB CLAIMS-MADE AGGREGATE $ I DED RETENTION$ $ WORKERS COMPENSATION WC STATU- OTH • - AND EMPLOYERS'UABIUTY Y/N TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A (Mandatory In NH) . E.L.DISEASE-EA EMPLOYEE $ If yes,describe under Ii DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ B Professional Liability 60000034723-02 8/192017 8/19/2018 OCC/AGG 1,000,000 • DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,If more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Sunny Isles Beach ACCORDANCE WITH THE POLICY PROVISIONS. II Office of the City Clerk 18070 Collins Avenue AUTHORIZED REPRESENTATIVE Sunny Isles Beach FL 33160 1, '0 s. I •— I c,, _, _D��t-icy_ ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD