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<br /> AC'vRf CERTIFICATE OF LIABILITY INSURANCE , ' • DATE!'/7UDI J i�.r
<br /> ; ai9+21ii
<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 I
<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 polities may require an endorsement A statement on
<br /> this certificate dons not confor rights to tho ccrttfIcatc holdor In!lou of such cndorsomont(s). .
<br /> PRODUCEN _ CONTACT-
<br /> Blackadar Insurance Agency,Inc_ PJu+e: Denlsc Carberry
<br /> MONF.
<br /> 1436 N Ronald Reagan Blvd teix No"Eity 40./-831-3832 oruc,Ho):407 830-14881
<br /> Longwood FL 32750 Am:mess_ denIsecblackadar.corn
<br /> YJRJR FRISIAFFOR1NNOCOV5RAGR —_ _-_"NATE#
<br /> ' ' ' INSURER A:ALLIED INS CO _ __ I 368.211
<br /> INURED JS1.LW Hl1-L1 INSURER B:INDIAN HARBOR INS CO 3EI:4;1
<br /> All Webbs Enterprises Inc
<br /> 303 Commerce Way ,INSURER c l Allied insurance
<br /> Jupiter FL 33458 INSURER 0:
<br /> INSURER E:
<br /> —_____. _INSURER F ••
<br /> COVERAGES CERTIFICATE NUMBER:1072676750 REVISION NUMBER; ,
<br /> THIS IS'I'o CI-fChll'Y THAT THE POLICIES OF INBUFlANCI;I.f$TF..f)BELOW HAVE BEEN 4:11.1H).1,0 THl;INSUIif_'D MOW.NAMHMOW.I-OR'11"IE POLICY PLRIOD I•
<br /> INUICAT1E0, NO'IWII-HSTANfING ANY REQUIRF_MEIVI','ri:RM OR CONHITION 01'ANY CON—fir/CI"OR OTHER DOCUMCNT WITH r<L'SPL•:CT TO b.'IIIC:-I TI US 1
<br /> r,CRTIFICA•I'I: MAY lilt ISSUI7)Olt WW PH(I'AIN,THI: INSIIIRANCt..AF 1 01tnl;u RY"1;11'.POLICIES L)CSCRIILD HEREIN IS SUBJECT 10 ALL TIIE TERMS. i
<br /> EXCLUSIONS AND LONDITIONS 01:SUCH It;
<br /> Pol. 0:S.I_IMrrs SHUVu1V IA/1Y HAV!:111:1:11Itf:u1k;LD DY PAID CLAIMS.
<br /> !NSR .41Pfii.l9lJrlil —. POLICY EFF I POLICY OW
<br /> 1"TR TYPE OF INSURANCE INSD•WYD I POLICY NUMBER urW
<br /> / bIXrYYYI lraNloafYrYYI LIMITS
<br /> A. X I COMMERCIAL°ENERALIJABILITY ACF3V095SR065 '1172/2019 • 1102020 FAC.HOOCLIRRF.Nt +£1,000,11011 .�. I
<br /> CLAIMS hWiF X OCCUR I DAMAGE TO RENTED
<br /> rRE1.0Sat{Ea oceuneace) €i3ODU,O:JU
<br /> MED mr"prasen) €SO,CICIO
<br /> I
<br /> PFkf;
<br /> fNJ;.Ll.AnVItLAIRY €1 flaU.::_..i
<br /> 0
<br /> CI=V'LuGREGATELIMIT APPLES PER: G.ENkkALAGARF.GA'IF ;2,000,0?:1
<br /> FY)LICY I X 122i I I inc
<br /> I t.1t(J11L1t:fS-Ct)WO,ARO $7,f`JO,C(:i.� •
<br /> •_ OTHER: • $ •
<br /> c AUTOM017a.T;IJARIJITV ACP30095I61I/5 11!717019 9117.12020 i'i)ImtrwiiSINCi1.FLIU g1.;0J,0GC
<br /> (Fa aCdOBntt
<br /> X ANY AUTO BODILY INJURY o'er p raon) 5
<br /> 04:Ni u. 9C111;1U1w
<br /> All I OR ONLY All f(3SBODILY INJURY(ref accident! 5
<br /> HlkvO NON-OWNED
<br /> X plJl:)RONIY X lulTOf,t )Nl.v YROBF,H1YITAMAO• S
<br /> per=kerb ,
<br /> A X UMBREILAlIA6 X occur?
<br /> ACP10095;M8H5 11,'212019 11/22020 ;FAC�Horx-wH1`.FtJI:F. €4r,001 JU -_-•--
<br /> E%CE9SLWB l ICIARISAMUF AttGRFAATF £
<br /> 'DOD I X RETENTION.
<br /> it,f , i
<br /> WORKERS COMPENSATION i1 •STA U IH-
<br /> 0.1!0 FKPLDYRRS'I_Ui8h1fN
<br /> Y/R ••
<br /> `STATUTE ER
<br /> AN YFR OPRIETOR.TARTNERl EIE CU'nVE
<br /> .OF.=1CCfL•iAEMBERE)lCLUDED? NFA
<br /> (1,11r,datary in NIH
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<br /> ,„IIISFiVir-I-Al-#.1-1.0//1- $
<br /> If kr_:,describe alder • .. ".._". •
<br /> I DcGCRIP:ICN OFOPCRATIONS beiow _ E.E.DJStANF.-YUI_ICY Limn' S •
<br /> A EqupmerJ:Fbetar ACP30095313665 11/2:2019 1117/2020 Rented&Lsesed .SS0a,073 '
<br /> B Contractors rouIlcn PECOOSS30180f 11/2/2019 1 f/212020 $1MJS2M
<br /> s :roteSEfon6JLI9DIF/ FCC00.5301E101 . 1112/2019 11/2.2020 .$1M:S2N1
<br /> I i
<br /> DESCRIPTION OFOPORATTONS1 LOCATIONS/VEHICLES ACORD t01,Additional Remark;Schedule,may be attached IF snore spam isrcquorcd)
<br /> Contractors Pollution Liability pollcy#PEC005301801 effoclfvo 11/2/2019 to 11/2/2020$1,000,000 por Occurronoa$2,000,000 Aggregate.Professional Liability
<br /> policytPEC005301801 effective 11/2/2019 to 11!212020$1,000,000 per Occurrence$2,000,1)00 Aggregate.
<br /> General Liability Blanket Additional Insured including completed operations_Primary&Non-Contributory,Blanket Waiver of Subrogation parturition contract.
<br /> Business Auto:Blanket AdditionAl Insured and Blanket Waiver of Subrogation per written contract.Excess policy follows form. I
<br /> CONTRACT#2020-6831
<br /> CERTIFICATE HOLDER ' _ _ CANCELLATION •
<br /> i SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> The City of Sunny Isles Beach ACCORDANCE WITH THE POLICY PROVISIONS. •
<br /> 18070 Collins Avenue
<br /> .. 3rd Floor .. • ,AUTRDPUF,O RF RFBF.NTATIVE • ... .
<br /> Sunny Isles Beach FL 33160 j
<br /> .tiJ .0
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<br /> a 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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