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HomeMy WebLinkAboutLiability InsuranceA7OR>D CERTIFICATE OF LIABILITY INSURANCE DATE(MWDD/YYYY) TYPE OF INSURANCE 11/1/2022 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 Nexus Partners Insurance- rw°M Acr Co Strahler 5745 North Scottsdale Road, Suite B120 Scottsdale, AZ 85250 PHO /CC N o Ext): 904-739-2722 ac No): E-MAIL ADDRESS: pa_matrixonesource.com INSURER(S) AFFORDING COVERAGE NAIC# INSURERA: StarStone National Insurance Company 25496 INSURED All HR, LLC L/C/F Valrose Investment Group LLC 12735 Gran Bay Parkway West Ste 202 Jacksonville FL 32258 gE: [INSURER INSURER F: - nGVIJI VIr IYVItI�CI[. 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 LTR TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER POLICY EFFPOLICY MM/DD/YYW IXP MMIDDIYYYYI LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS- ADE -1 OCCUR EACH OCCURRENCE $ DAMAGETo RENTED PREMISES Ea occurrence $ _ MED EXP (Any one person) $ PERSONAL &ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO LOC JECT GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY ANYAUTO OWNED SCHEDULED COMBINED SINGLE LIMIT $ Ea accident BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Per accident $ UMBRELLA UAB EXCESS LAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANYPROPRIETOR/PARTNERIEXECUTIVE OFFICER/MEMBEREXCLUDED? ❑N $ ✓ STATUTE, EORH A NIA 1 T80220001-843 1/1/2022 1/1/2023 E.L. EACH ACCIDENT $1,000,000 (Mandatory in NH) If yes, describe under E.L DISEASE- EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS / LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Coverage provided for all leased employees but not subcontractors of: Valrose Investment Group LLC 3/16/2022 FL - Florida City of Sunny Isles Beach 18070 Collins Avenue Sunny Isles Beach FL 33160 ACORD 25 (2016/03) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Jodie R. Kramer Cole ©1988-2015 ACORn CORPORATInN All rinkf r .-,.A The ACORD name and logo are registered marks of ACORD 71071234 1 Matrix 1 2217030 1 Master Certificate I Nicolas Beltran 111/1/2022 8:21:30 AM (PDT) I Page 1 of 1 VALRO-1 OP ID: NE ACORD CERTIFICATE OF LIABILITY INSURANCE DATE (MWDD/YYYY) 11/01/2022 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(les) 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 305-477-0444 Combined Underwriters of Miami 8240 N.W. 52 Terr, Suite 408 Miami, FL 33166 CONTACT RONALD M. LASTER PHONE306-477-0444 MAXF305-599-2343 (A/C, No, Ext): (C, No): E-MAIL RONALD M. LASTER INSURERS AFFORDING COVERAGE NAIC # INSURER A; SCOTTSDALE INSURANCE CO. 41297 INSURED VALROSE ENTERPRISES INC. DBA AWNINGS BY VALRbSE INSURER B: NAUTILUS INSURANCE CO. 17370 INSURER C EVANSTON INSURANCE CO. 35378 INSURER D: 4450 EAST 11TH AVENUE HIALEAH, FL 33013 CLAIMS -MADE � OCCUR INSURER E: INSURER F: 07/01/2022 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 LTRTYPE OF INSURANCE D p UVVVBR POLICY NUMBER POLICY EFF POLICY FRCP LIMITS B X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 1,000,000 DAMAGE TO RENTED $ 100,000 CLAIMS -MADE � OCCUR NN1426639 07/01/2022 07/01/2023 MED EXP (Any oneperson) $ 5,000 X $500 DEDUCTIBLE PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY �X PRO ❑ LOC JECT GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 $ OTHER: AUTOMOBILE LIABILITY INED (Ea accideen SINGLE LIMIT $ BODILY INJURY Perperson) $ ANY AUTO BODILY INJURY Per accident $ OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Per accident C UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 2,000,000 AGGREGATE $ 2,000,000 X EXCESS LIAB CLAIMS -MADE EZXS3083938 07/01/2022 07/01/2023 DED RETENTION$ PROD/COMP $ 200,000 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY STATUTE EERH E -L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ OFFICER/ME� BOER EXCLUDEDECUTIVE F—]N (Mandatory In NH) / A E.L. DISEASE - POLICY LIMIT $ If yes, describe under DESCRIPTION OF OPERATIONS below A PROPERTY CPS7393187 07/0112022 07/01/2023 SEE NOTES C EXCESS LIABILITY XS19000906-02 07/01/2022 07/01/2023 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) f'=0TICI(`ATC rant 111:10 CANCELLATION CITYSIB SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE CITY OF SUNNY ISLES BEACH THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 18070 COLLINS AVENUE, 3RD FL SUNNY ISLES BEACH, FL 33160 AUTHORIZED REPRESENTATIVE �G ACORD 25 (2016103) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO 11/1/2022 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 terns and conditions of the policy, certain policies may require an endorsement. A statement on this certMcate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER $itateFarm STATE FARM INSURANCE • IMMA PIERRE, AGENT • e♦t NAMEA� IMM Pierre/ Latoya Brown PHONE 954-251-4537 FAX No): 954-239-7488 —EMAIL Imma Imma Ierre.COm/ tato a Imma Iem3.00m ADDRE @ P Y @ P 61QQ HOLLYWOOD BLVD SUITE 520 INSURER(S) AFFORDING COVERAGE NAIC@ NsuRfRA, State Farm Mutual Automobile Insurance Company 25178 INSURED VALROSE ENTERPRISES INC 4450 E 11TH AVE HIALEAH, FL 33013-2535 INSURER B: 0 NsuRER C: INSURER D. INSURER E: INSURER F: Ell ..c�wwn nvnnocrt: 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 TYPE OF INSURANCE ADOL SUER POLICY NUMBER POLICY EFF POLICY t7CP LMITS COMMERCIAL GENERAL LIABRJTr CLAIMS -MADE EACH OCCURRENCE $ PREMISES Ea occurrence $ MED EXP (Arty me Person) $ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: ❑ PRO-JECT GENERAL AGGREGATE $ PRODUCTS - COMPIOP AGG $ POLICY LOC OTHER: $ AUTOMOBILE LIABILITYY Y G39 0791-E12-59 05/12/2022 11/12/2022 COMBI1We'd) LE LIMIT $ 1,000,000 X NYAUTO BODILY INJURY (Per pawn) $ OWNED SCHEDULED 0390799 -E12 -59D 05/12(2022 11(12/2022 BODILYINJURY(Peraccident) $ AUTOS —OAUTOS HIRED ONLY NON -OWNED 039 0788-E12 59B 05/12/2022 11 /12/2022 PROPERTY DAMAGE (Per accident $ AUTOS ONLY AUTOS ONLY S UMBRELLA UAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE AGGREGATE $ DED RETENTIONS $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY I, / N STATUTE ER E.L. EACH ACCIDENT $ ANY PROPRIETORIPARTNERISMCUTIVE OFFICERIMEMBEREXCLUDED? NIA (Mandatory in NIS I= ( ss.describe under E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more sWce Is required) 08 FORD F450SD VIN: 1FDXF46R88ED99020 13 FORD F250 VIN: 1 FT7X2AT1 DEA47206 01 MITSUBISHI FE640T VIN: JW6BHF1SX1L000995 City of Sunny Isles Beach 18070 Collins Avenue Sunny Isles Beach, FL. 33160 ACORD 25 (2016/03) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 94,91M-�� a 019138 2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 10014M 132849.13 04-22-2020