|
C' E P, 7; -).AT-
<br />'MM/DDNYYY)
<br />—CE—R" 1 8/13/14 • ASA
<br />ER. THIS
<br />BELOW. Ti
<br />P' LICIES
<br />CERTIFIC,�.
<br />�'E OF INS'.`�'
<br />R-
<br />REPREsE;�'',4-111/E 0IR Pk,,tDUGER, Al") "j1'i--I-)RIZED
<br />IMPORTANT-
<br />p C bp E
<br />the terms 2no 0C —,c
<br />' nolicy, Certain Policies may require an eridorsemert. A
<br />certNicate idorsement(si. e c?r
<br />rnowvr';tx
<br />Accurate
<br />8300 West F43• pi-,- �,.t.te
<br />Miami. FL
<br />Phone
<br />INSURED
<br />X-Clean Cor,
<br />12812 SW 2� j
<br />Homestead, FL
<br />COVERMG—ES CERTIF CAYE
<br />THIS —THA7
<br />E-V AiL
<br />�',7 I iH P 0 L TC;FF �fi-2 �D
<br />OR MAY PERTAIN, THE INSUP XEAFFC -:��FCT TC >%iHIC j- THIS
<br />A MEI. BY THE ".'C T E C "' E,--
<br />EXCLUSIONS Ai: D C 2� CN'f SUCH P C L f -CTT�;ALL FHETFRu,3,
<br />-
<br />INSR;
<br />LT
<br />CLICY NUU22
<br />GENERAL ,JP'.0*.r
<br />il4su��EF 7
<br />;')i;c'
<br />S 100,000.00
<br />;Tv
<br />❑ ❑ CLA]N,;-V,1D-
<br />INSURER D:
<br />A G�417214-0
<br />1 El
<br />iNSUR£ R E:
<br />I ❑
<br />COVERMG—ES CERTIF CAYE
<br />THIS —THA7
<br />INDICATED. ANY REQU:R.E.14E,-�F-, 7 =RC1, CR CCND!-;
<br />F A 7 0,c� D C LP.,,
<br />CERTIFICATE
<br />�',7 I iH P 0 L TC;FF �fi-2 �D
<br />OR MAY PERTAIN, THE INSUP XEAFFC -:��FCT TC >%iHIC j- THIS
<br />A MEI. BY THE ".'C T E C "' E,--
<br />EXCLUSIONS Ai: D C 2� CN'f SUCH P C L f -CTT�;ALL FHETFRu,3,
<br />-
<br />INSR;
<br />LT
<br />CLICY NUU22
<br />GENERAL ,JP'.0*.r
<br />LZin",
<br />C 0 W E 9 1; 1 A-L C, E
<br />S 100,000.00
<br />;Tv
<br />❑ ❑ CLA]N,;-V,1D-
<br />i S
<br />A G�417214-0
<br />1 El
<br />5,900.00
<br />I ❑
<br />"100,000.00
<br />1 43ENL AGGREGA �E �IWII 1 PEP--
<br />CGREGATE s 2,-',00,000.00
<br />❑ POLICY "o-
<br />�(:CT,�-COMPIOPAGG; S 1- X00,000.00
<br />AL rOMOE;!-c
<br />ANYAUT--,
<br />:-S
<br />ALL OWN-L-1 ❑ -'-',;HEOULED
<br />AUTO,
<br />';t;t0s
<br />❑i
<br />HIRE AUTOS
<br />IF-r Pcddent), S
<br />:D AUTC
<br />S
<br />1 71 UMBRELFl, I 'A
<br />S
<br />OCCUR
<br />!0
<br />EXCESS LL�.� EACHOCCURRE.WCE
<br />13L.',IS-IVADE
<br />DED ❑ RETENTION$
<br />WORKERS CQMF--4SAT-, 14
<br />AND EMPLOYERS' LiABILITY Y f N
<br />Ul
<br />ANY PROPRIEI-C'Z-,aRTI;Eili:-:,-:E�:..ITP.IE
<br />NF F L' 15 (,z 9
<br />B I OFFICERWEIVISER EXCLUDED, S
<br />A!,CIDEW
<br />(Mandatory in 1q:j)
<br />i Ngs. describe under EA EMPLOYEE S 10
<br />i
<br />DESCRIPTION OF OPERATIONS below
<br />E L D SASE - POLICY LIMIT! S 50
<br />I DESCRIPTION OF OPERATIONS LOCATIONS/VEHICLES
<br />•
<br />CERTIFICATE H61-51FR.
<br />L' N
<br />OLICIES 6 CANCEL BEFORE
<br />The City of Su,-.7-,%i '5!as Beach E ED
<br />18070 Ccilins
<br />Sunny ls:ss r! 33150
<br />Ucia 7sr
<br />ACORD 25 (201,01051) Q )F'RORATIONF. All rit; 'ats reserved.
<br />r F, M egistered ma '-s of ACORD
<br />-�i-Ci !,)!70 are r
<br />
|