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-yr ` • � � <br />A l� CERTIFICATE OF MARINE / ENERGY INSURANCE <br />DATE (MM/DD/YYYY) <br />4/27/2023 <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(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 <br />Bateman Gordon and Sands <br />3050 North Federal Hwy <br />Lighthouse Point FL 33064 <br />CONTACT <br />NAME: <br />PHONE g54-941-0900 FAX <br />A/c No Etl: VC,No): 954-941-2006 <br />E-MAIL hicb Sa enc <br />ADDRESS: twG 9 9 Y•com <br />PRODUCER <br />CUSTOMER ID #: <br />INSURERS AFFORDING COVERAGE NAIC # <br />4/21/2024 <br />INSURED <br />INSURERA: Newyork Marine AND General Ins Company 16608 <br />Contour Marine, Inc <br />1040 Adams Street <br />INSURER B <br />INSURERC: <br />Hollywood FL 33019 <br />INSURER D : <br />AND INDEMNITY <br />CREW LIABILITYCCURRENCE <br />a JONESACT <br />COLLISION LIABILITY <br />TOWERS LIABILITY <br />REMOVAL OF WRECK <br />IN REM <br />DED: $5,000 <br />INSURER E: <br />INSURER F: <br />4/21/2023 <br />COVERAGES CERTIFICATE NUMBER: 1757328167 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 />INSR <br />LTR <br />TYPE OF INSURANCE <br />ADDL <br />SUBR <br />POLICYNUMBER <br />POLICY EFF <br />MMIDD <br />POLICY EXP <br />MM/DD/YYYY <br />LIMITS <br />A <br />HULL AND MACHINERY <br />COLLISION LIABILITY <br />TOWERS LIABILITY <br />ML202300002458 <br />4/21/2023 <br />4/21/2024 <br />X PER SCHEDULE ON FILE <br />X INSURED VALUE $ $445,000 <br />COLLISION (Ea occurrence) $ <br />TOWERS (Ea occurrence) $ <br />A <br />PROTECTION <br />X <br />X <br />AND INDEMNITY <br />CREW LIABILITYCCURRENCE <br />a JONESACT <br />COLLISION LIABILITY <br />TOWERS LIABILITY <br />REMOVAL OF WRECK <br />IN REM <br />DED: $5,000 <br />ML202300002458 <br />4/21/2023 <br />4/21/2024 <br />PER CLUB RULES <br />X ER VESSEL, CSL $ $1,000,000 <br />COLLISION (Ea occ), CSL $ <br />TOWERS (Ea occ), CSL $ <br />REMOVAL OF WRECK <br />Ea occurrence $ <br />$ <br />$ <br />$ <br />POLLUTION LIABILITY <br />OPA 90 <br />CERCLA <br />NON-OPA / NON-CERCLA <br />EA OCCURRENCE $ <br />$ <br />$ <br />$ <br />MARITIME EMPLOYERS LIABILITY <br />ALTERNATE EMPLOYER <br />INCLUDES � I CREW F—] EMPS <br />JONES ACT <br />DEATH ON THE HIGH SEAS <br />IN REM ENDORSEMENT <br />N / A <br />ANY ONE PERSON $ <br />ANY ONE ACCIDENT $ <br />$ <br />$ <br />$ <br />$ <br />$ <br />$ <br />$ <br />CERTIFICATE HOLDER CANCELLATION <br />Page 1 of 2 © 2012-2015 ACORD CORPORATION. All rights reserved. <br />ACORD 31 (2016/03) The ACORD name and logo are registered marks of ACORD <br />SHOULD ANY OF THE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE <br />WITH THE POLICY PROVISIONS. <br />City of Sunny Isles Beach <br />AUTHORIZED REPRESENTATIVE <br />-"J'''' <br />18070 Collins Ave <br />Sunny Isles FL 33160 <br />Page 1 of 2 © 2012-2015 ACORD CORPORATION. All rights reserved. <br />ACORD 31 (2016/03) The ACORD name and logo are registered marks of ACORD <br />