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<br /> ACOR® DATE(MMIDDITYYY)
<br /> �� CERTIFICATE OF LIABILITY INSURANCE 02/19/2019
<br /> os
<br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS.NO RIGHTS UPON THE CERTIFICATE HOLDER.:TOTS
<br /> CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED By THEE POLICIES
<br /> BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED
<br /> REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
<br /> IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the policy(les)must have ADDITIONAL INSURED provisions or be endorsed.
<br /> If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement A statement on
<br /> this certificate does not confer rights to the certificate holder In lieu of such endorsement(s).
<br /> PRODUCER CONTACT Katelyn Pap/rd
<br /> Brady Risk Management PeH�ONEEnt} (631)649-8561 i T .No): (631)549-8557
<br /> PO Box 2540 MARY lADDots @b
<br /> INSURER(S)AFFORDING COVERAGE NAIC p
<br /> Halesite NY 11743INSURER A: Navigators Insurance Company 42307
<br /> INSURED INSURERS: National Surety Corp 21881
<br /> Shorty's Inc. INSURER c: United National Insurance Company 13064
<br /> C/O Brady Risk Restaurant Group INSURER D: The Hartford Steam Boiler Inspection&Ins.Co. 11452
<br /> 9150 SW 87th Street Suite 205 INSURER E: RdeUty&Deposit Company of Maryland 39306
<br /> Miam) FL 33178 I INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER: 19-20 ALL LINES REVISION NUMBER:
<br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
<br /> INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDf17ON OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
<br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
<br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br /> INS TYPEOFINSURANCE Atll$C.SlRlk POLICY EFF POLICY EXP
<br /> INSO WVD POLICY NUMBER (MMIDD/YYYY) (MMIDD/YYYY) LIMITS
<br /> X'COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1.000,000
<br /> CLAIMS•MADE ®OCCUR DAMAGE TO RENTED 100,000
<br /> X Liquor Liability$1 mm/S2mm PREMISES(Ea occurrence) $
<br /> MED EXP(Ary one person) $ EXCLUDED
<br /> A _ CEI8CGL1349281V 02/15/2019 02/15/2020 PERSONAL Il INJURY $ 1.000,000
<br /> GEN".AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE S .2,000,000
<br /> RPOLICY❑jR ®LOC PRODUCTS-COMP/OP AGG _. S 2,000,000
<br /> OTHER Employee Benefits $ 1,000,000
<br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000.000
<br /> --� (Ea accident) _
<br /> ANY AUTO BODILY INJURY(Per person) $
<br /> A — OWNED -SCHEDULED CE18CGL1349281V 02/15/2019 02/15/2020 BODILY INJURY(Per accident) $
<br /> AUTOS ONLY AUTOS
<br /> HIRED v NON-OWNED. PROPERTY DAMAGE
<br /> AUTOS ONLY AUTOS ONLY (Per accident) $
<br /> S
<br /> UMBRELLA LIAB X'OCCUR EACH OCCURRENCE $ 10,000,000
<br /> -
<br /> B x EXCESS UAe CLAIMS-MADE SU049069222-043787-01 02/15/2019 02/15/2020 AGGREGATE $ 10,000,000_
<br /> DED 1 RETENTION$ 1 $
<br /> WORKERS COMPENSATION I STATUTE I 10R
<br /> AND EMPLOYERS'LIABILITY Y/N
<br /> ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ NIA E.LEACH ACCIDENT $
<br /> OFFICER/MEMBER EXCLUDED?
<br /> (Mandatory In NH)
<br /> El.DISEASE-EA EMPLOYEE $
<br /> If yes.describe under
<br /> ,DESCRPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S
<br /> DESCR PION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required)
<br /> Shorty's Inc.:9150 SW 87th Street Suite 205 Miami,FL 33176
<br /> 1)9200,LLC/SHORTY'S INC. dba SHORTY'S Barbeque Address:9200 S DIXIE HWY MIAMI,FL 33158 Building Limit$600,000,Contents Limit
<br /> $235,000,EDP Limit:$38,429,Signs Limit$25,000.Business Income limit:$1,762,000
<br /> 2)9180,LLC/Storage Address:9180 S DIXIE HWY,MIAMI FL,33156 Building Limit$170,000,Contents Limit$10,000,Business Income Limit$99,000
<br /> CERTIFICATE HOLDER CANCELLATION
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> Cityof SunnyIsles Beach THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN
<br /> ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> 18070 Collins Avenue
<br /> Sunny isles Beach. Fl 33160 AUTHORIZED REPRESENTATIVE
<br /> I �
<br /> O 1988.2015 ACORD CORPORATION. All rights reserved.
<br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
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