Azulejo Inc. - Laserfiche WebLink

Home Browse Search

't CERTIFICATE OF LIABILITY INSURANCE "17106/2018 ) 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 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 CLARK ALVARADO INSURANCE AGENCY INC. cNAAMME: Mari Vidal 5209 NW 36TH ST (A/C.No.Ext):305-887-9543 ONE FAX Nol:305-887-3625 MIAMI SPRINGS, FL 33166 E-MAILDSS:marisabel.vidal.md9r@statefarm.com 016 INSURER(S)AFFORDING COVERAGE NAIC S INSURER A:State Farm Mutual Automobile Insurance Company 25178 INSURED AZULEJO, INC. INSURER B: 307 NW 10th Terrace INSURER C: Hallandale Beach, Fl 33009 INSURER 0: INSURER E: i INSURER F: I COVERAGES CERTIFICATE NUMBER: 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. INSR ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSR I___I POLICY NUMBER I(MMIDDlYYYY) IMWDDIYVYY)I LIMITS GENERAL LIABILITY r,,,L J I EACH OCCURRENCE 15 I COMMERCIAL GENERAL LIABILITY DAMAGEMITO RENT D PREMISES{Ea occurrence) I$ I CLAIMS-MADE OCCUR I MED EXP(Any one person) I$ I I PERSONAL&ADV INJURY I S GENERAL AGGREGATE IS GEN'L AGGREGATE LIMITAPPLIES PER PRODUCTS-COMP/OP AGG I S I 78,-. I 1 POLICY I LOC I I s AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT A I(Ea B dent II$ BODILY INJURY(Per person) s 1,000,000 41111 ANY AUTO C24 9602-B19-59 08/19/2018 02/19/2019 ALL AUTOS OWNED X AUTOSULED BODILY INJURY(Per accident)I s 1,000,000 NON-0WNED 2016 Toyota Tundra PROPERTY DAMAGE X HIRED AUTOS X AUTOS (Per accident) I$ 1,000,000 VIN:5TFRM5F12GX100000 — Comp/Coil Deductible I s 500 UMBRELLA LIAB OCCUR a EACH OCCURRENCE $ r- EXCESS LIAB CLAIMS-MADE AGGREGATE S DED I RETENTIONS $ WORKERS COMPENSATION I WC STATU- I IOTH- AND EMPLOYERS'LIABILITY Y!N I TORY LIMITS ER ANY PROPRIETOR'PARTNER/EXECUTIVEI E.L EACH ACCIDENT S E/ OFFICMEMBER EXCLUDED? NI AI I I (Mandatory in NM) E.L.DISEASE-EA EMPLOYEE S If yes,describe underI - - - -- --- OFSCRIPTION OF OPF RATIONS helow E.L DISEASE-POLICY LIMIT S pl 904-2793-B15-59 08/15/2018 02/15/2019 $1,000.000 CSL ENOL INCLUDING HIRED AUTO DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) CERTIFICATE HOLDER CANCELLATION City of Sunny Isles Beach SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF. NOTICE WILL BE DELIVERED IN 18070 Collins Avenue ACCORDANCE WITH THE POLICY PROVISIONS. Sunny Isles Beach, Fl 33160 I AUTHORIZED REPRESENTATIVE 1/1 , vo4,-.2„2,j:, O 1V�978�88--200110 ACORD CORPORATION. All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD 1001486 132849.6 11-15-2010 i