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ACORD® DATE(MM/DD/YYYY) CO CERTIFICATE OF LIABILITY INSURANCE 5/7/2018 . . 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 ESENTATIVE 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). - tt PRODUCER NAME: EACT Patti Barrett Harden and Associates PHONE FAX 501 Riverside Avenue, Suite 1000 (NC,No.Extl:904-421-5293 _(ac,No):904-466-4380 E-MAIL Jacksonville FL 32202 ADDRESS: pbarrett©hardeninsight-com INSURER(S)AFFORDING COVERAGE 1 NAIC 8 INSURER A:Covington Specialty Ins Co 13027 NSURED DISAOPE-01 INSURER a:Admiral Insurance Company I 24856 Disaster Program&Operations, Inc 10033,Sawarass 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. ) LTR SR I NSR ADDL SWVOI POUCY NUMBER I(MM/DDY/YYYY)I(MM/DD/YYYY)EFF POUCY EXP Ir TYPE OF INSURANCE LIMITS A GENERAL UABIUTY VBA563189 8/19/2017 8/192018 EACH OCCURRENCE 5 1,000.000 �. X DAMAGE TO RENTED : COMMERCIAL GENERAL LIABILITY PREMISES(Ea occurrencet 5 100,000 I f CLAIMS-MADE X OCCUR • MED EXP(Any one person) 5 5,000 I PERSONAL 8 ADV INJURY S.1,000.000 GENERAL AGGREGATE ,52,000,000 • • I(GSE-N'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG 15 I X I POLICY ri PEi Ii LOC I I$ CI TOMOBILE LIABILITY U 061765752 8/192017 8/19/2018 COMBINED SINGLE LIMIT ' (Ea accidenl) 51.000,000 _ ANY AUTO BODILY INJURY(Per person) 5 I AUTOWNED AAUTOEDULED BODILY INJURY(Per accident) S IX HIRED AUTOS X AUTOS ED PROPERTY P r awe DAMAGE i 5 5 D I X I UMBRELLA UAB X OCCUR 76901W170ALI 8/1912017 8/192018 EACH OCCURRENCE S 1,000,000 • I EXCESS UAB CLAIMS-MADE AGGREGATE S I DED I RETENTIONS 5 WORKERS COMPENSATION WC STATU- OTH-I AND EMPLOYERS'UABIUTY Y/N TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT S OFFICER/MEMBER EXCLUDED? N I A (Mandatory In NH) E.L.DISEASE-EA EMPLOYE 5 II yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S L B Professional Liability E0000034723-02 8/192017 8/192018 OCC/AGG 1,000.000 DESCRIPTION OF OPERATIONS 1 LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,It 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. 0 Office of the City Clerk 18070 Collins Avenue AUTHORIZED REPRESENTATIVE Sunny Isles Beach FL 33160 r‘ i) .-.1-)4)-_,-(7,1 a. .Lii*- I ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD • I