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SNIFF-1 OP ID: DL <br /> ACRO' CERTIFICATE OF LIABILITY INSURANCE DATE/07/2019 <br /> 03/07/2019 <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br /> CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE 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(ies) 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 954-825-0424 C ACT Diana Lanza Schott <br /> Lanza Insurance Agency Inc. <br /> PHONE <br /> 9900 W Sample Road-Ste 300 PHONE 954-825-0424 I FAX <br /> (A/C,No,Ext): <br /> Coral Springs,FL 33065 AIL Diana@LanzaIns.com <br /> (ac,No): <br /> Diana Lanza SchottdDREss: �° <br /> INSURER(S)AFFORDING COVERAGE NAIC/l <br /> INSURER A:James River Insurance Co 12203 <br /> �1���D INSURER a:Progressive Express Ins.Co. 10193 <br /> onstru tion& <br /> 80 SW 6 t e� INSURER C:Starstone National <br /> ompano eac ,FL 33060 INSURER D:Travelers Ins Co 19046 <br /> INSURER E:Zurich Ins Company <br /> I INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: 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 CONDITION 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 /> INNSBR TYPE OF INSURANCE ADDL R POLICY EFF POLICY EXP <br /> POLICY NUMBER (MM/DD/YYYY1 fMMIDD/YYYYI LIMITS <br /> A X COMMERCIAL GENERAL LIABILITY <br /> EACH OCCURRENCE _ $ 1,000,000 <br /> CLAIMS-MADE X OCCUR X X 00071075404/0412018 04/04/2019 DAMAGE TO RENTED 100,000 <br /> A Contractural PREMISES(Ea occurrence) $ <br /> MED EXP(Any one person) $ 1,000 <br /> PERSONAL 8 ADV INJURY $ 1,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 <br /> POLICY II JRO- LOC <br /> ECT PRODUCTS-COMP/OP AGG $ 2,000,000 <br /> / OTHER: <br /> AUTOMOBILE LIABILITY <br /> Q $ <br /> (EeacBlcideDSINGLELIMIT $ 1,000,000 <br /> X ANY AUTO _ X x 06427311-6 05/07/2018 05/07/2019 BODILY INJURY(Per person) $ <br /> OWNEDSCHEDULED <br /> AUTOS ONLY X AUTOS <br /> yy� BODILY INJURY(Per accident) $ <br /> X AUS X AUp ONLY TO ONLp Y (PeOacudent)pAMAGE $ <br /> C UMBRELLA LIAR X OCCUR $ <br /> EACH OCCURRENCE $ 5,000,000 <br /> X EXCESS LIAB CLAIMS-MADE X x 74031 N183ALI 04/04/2018 04/04/2019 <br /> AGGREGATE $ <br /> DED I I RETENTIONS <br /> D WORKERS COMPENSATION $ <br /> AND EMPLOYERS'LIABILITY <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N X 8H232494 07/24/2018 07/24/2019 X I STATUTE X °RH <br /> FFICER/MEMBEER EXCLUDED? N/A E.L.EACH ACCIDENT $ 1,000,000 <br /> Mandatory In NH) <br /> If yes,describe under E.L.DISEASE•EA EMPLOYEE $ 1,000,000 <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 <br /> E Pollution Liab POL9987443-00 03/01/2019 03/01/2020 Pollution <br /> E Builders Risk 500,000 <br /> EC4453320-00 03/01/2019 03/01/2020 Buidlers 4,000,000 <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more apace is required) <br /> PROJECT-Sunny Isles Gateway Park-Bid No 19-01-01 <br /> City of Sunny Isles Beach is listed as additional Insured as per written <br /> contract. Waiver of Subrogation is favor of the additional insured. <br /> CERTIFICATE HOLDER CANCELLATION <br /> SUNNYIS <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> City of Sunny Isles Beach ACCORDANCE WITH THE POLICY PROVISIONS. <br /> r 18070 Collins Ave <br /> \ Sunny Isles Beach, FL 33160 AUTHORIZED REPRESENTATIVE <br /> I <br /> ACORD 25(2016/03) <br /> ©1988-2015 ACORD CORPORATION. All rights reserved. <br /> The ACORD name and logo al 'egistered marks of ACORD <br />