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COMTENG.01
<br />L3e'rieTeT.I
<br />,d►��Ezo CERTIFICATE OF LIABILITY INSURANCE
<br />DA61(am2 12MOIYYYII
<br />6/28/2023
<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(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
<br />C CT
<br />Collinsworth, Alter, Fowler & French, LLC
<br />15050 NW 79th Court
<br />PNONE FAX
<br />ac, Na, :305 822-7800 c N.1005) 305 362-2443
<br />7015233926
<br />Suite 200
<br />Miami Lakes, FL 33016
<br />INSURER(S) AFFORDING COVERAGE WUCA
<br />INSURER A: Continental Insurance Company 35289
<br />MED EXP (Myone erecn 15,000
<br />INSURED
<br />iNsuRERs:Valley Forge Insurance Company 20508
<br />Comtech Engineering, Inc.
<br />7900 SW 57 Avenue
<br />Suite 11
<br />INSURER C:Aspen American Insurance Company 43460
<br />IxsuRERD: Evanston Insurance Company 35378
<br />IxauRme
<br />South Miami, FL 33143
<br />INSURERF:
<br />ANY AUTO
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUU�TTF1O�SSWW EEpp
<br />AUTOS ONLY X AUTOSONNLYOPE
<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 />RUIR
<br />TYPE OF INSURANCE
<br />ADDL
<br />Bus
<br />POLICY NUMBER
<br />POLICY EFF
<br />POLICY EXPJJUL
<br />LINI14
<br />A
<br />X COMMERCUILGENERALLUIBILRY
<br />CLAIMS4AADE [X] OCCUR
<br />X
<br />X
<br />7015233926
<br />7/6/2022
<br />7/6!2023
<br />EACH OCCURRENCE 1.000,000
<br />DAMAGE TO RENTED 100000
<br />PREMISES IF, occumance) $
<br />MED EXP (Myone erecn 15,000
<br />PERSONAL B ADV INJURY S 1,000,000
<br />GENL AGGREGATE URMpITAPPUES PER:
<br />POUCV �X dEGT ❑X LOC
<br />OTHER:
<br />GENERAL AGGREGATE 3 2,000,000
<br />PRODUCTS-COMPOPAGG 2,000,000
<br />A
<br />AUMMOBILEUABILrrY
<br />X
<br />X
<br />ANY AUTO
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUU�TTF1O�SSWW EEpp
<br />AUTOS ONLY X AUTOSONNLYOPE
<br />7015233909
<br />71612022
<br />7/612023
<br />COMBINED SINGLE LIMB 1,000,008
<br />BODILY INJURY Per Panon
<br />BODILY INJURY Per accident
<br />RQAMAGE
<br />A
<br />X
<br />UMBRELLA LIAS
<br />EXCESS LULB
<br />[I
<br />OCCUR
<br />CUMMs-MADE
<br />7015233912
<br />71612022
<br />7/611023
<br />EACH OCCURRENCE 3,000,000
<br />AGGREGATE s 3,000,000
<br />DEO I X I RETENTIONS 10,000
<br />B
<br />WORKERSCOMPENSIATION
<br />AND EMPLOYERS' LIABILITY
<br />ANV PROPRIEroR/PAaTNERIFxEcunvE YIN
<br />QFFICEOp/PMEETgO¢� ARTNEI E
<br />nGtory le NH)
<br />If yes, dear W under
<br />DESCRIPTION OF OPERATIONS 1,o w
<br />NIA
<br />X
<br />7015233943
<br />7/6/2022
<br />71612023
<br />XPER OTH-
<br />EL EACH ACCIDENT 1,000,000
<br />E.L. DISEASE - EA EMPLOYEE S 11000'000
<br />E.L. DISEASE - POLICY LIMB 1,000,000
<br />C
<br />D
<br />Equipment Floater
<br />Pollution Liability
<br />IMOOH9722
<br />CPLMOL109481
<br />7/6/2022
<br />212012022
<br />7/6/2023
<br />2120/2024
<br />Leased/Rented 650,000
<br />Each/Aggregate 2,000,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional rfsmar Schsdula, may Im affachad R mon@pace Is mWIwd)
<br />City of Sunny Isles Beach is included as additional Insured with respects to General Liability on a primary and non contributory basis as required by written
<br />contract or permit. Waiver of Subrogation In favor of additional Insured with respects to General Liability and Workers Compensation policies as required by
<br />written contract or permit
<br />CERTIFICATE HOLDER CANCELLATION
<br />ACORD 25 (2016103) 01988-2015 ACORD CORPORATION. All rights reserved.
<br />The ACORD name and logo are registered marks of ACORD
<br />0 23 -D5 -0'I- 2
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />Ci of Sunny Isles Beach
<br />City Y
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />18070 Collins Avenue
<br />3rd Floor
<br />AUTHORIZED REPRESENTATIVE
<br />Sunny Isles Beach, FL 33160
<br />ACORD 25 (2016103) 01988-2015 ACORD CORPORATION. All rights reserved.
<br />The ACORD name and logo are registered marks of ACORD
<br />0 23 -D5 -0'I- 2
<br />
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