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CERTIFICATE OF LIABILITY INSURANCE <br />DATE (MM/DD/YY) <br />05/17/24 <br />PRODUCER INSURHAUS, Inc. <br />17w045 Hodges Road <br />Oakbrook Terrace, IL-60181 <br />Ph: 630-786-9971 <br />Fax: 630-495-6039 CERTIFICATE Nº: CT92252 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND <br />CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE <br />DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE <br />POLICIES BELOW. <br />INSURERS AFFORDING COVERAGE NAIC # <br />INSURED PIF CONSTRUCTION GROUP INC <br />2999 NORTHEAST 191ST STREET <br />AVENTURA FL 33180 <br />INSURER A: Obsidian Specialty Insurance Company <br />INSURER B: <br />INSURER C: <br />INSURER D: <br />INSURER E: <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR POLICY PERIOD INDICATED. NOTWITHSTANDING ANY <br />REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED IR MAY PERTAIN, THE <br />INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITION OF SUCH POLICIES, AGGREGATE LIMITS <br />SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />LTR <br />ADD'L <br />INSRD <br />SUBR <br />WVD TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE <br />DATE (MM/DD/YY) <br />POLICY EXPIRATION <br />DATE (MM/DD/YY)LIMITS <br />A X X GENERAL LIABILITY <br /> X COMMERCIAL GENERAL LIABILITY <br /> CLAIMS MADE X OCCUR <br /> <br /> <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br /> X POLICY PROJECT LOC <br />SCB-GL-000053853 05/10/24 05/10/25 <br />EACH OCCURRENCE $ 1,000,000 <br />DAMAGE TO RENTED <br />PREMISES (Ea occurence)$ 50,000 <br />MED EXP (Any one person)$ 5,000 <br />PERSONAL & ADV INJURY $ 1,000,000 <br />GENERAL AGGREGATE $ 2,000,000 <br />PRODUCTS - COMP/OP AGG $ 1,000,000 <br /> $ XXXXXXX <br /> AUTOMOBILE LIABILITY <br /> ANY AUTO <br /> ALL OWNED AUTOS <br /> SCHEDULED AUTOS <br /> HIRED AUTOS <br /> NON-OWNED AUTOS <br /> <br /> <br />NOT APPLICABLE <br />COMBINED SINGLE LIMIT <br />(Ea accident)$ XXXXXXX <br />BODILY INJURY <br />(Per person)$ XXXXXXX <br />BODILY INJURY <br />(Per accident)$ XXXXXXX <br />PROPERTY DAMAGE <br />(Per accident)$ XXXXXXX <br /> GARAGE LIABILITY <br /> ANY AUTO <br /> NOT APPLICABLE <br />AUTO ONLY - EA ACCIDENT $ XXXXXXX <br />OTHER THAN <br />AUTO ONLY <br />EA ACC $ XXXXXXX <br />AGG $ XXXXXXX <br /> EXCESS/UMBRELLA LIABILITY <br /> OCCUR CLAIMS MADE <br /> <br /> DEDUCTIBLE <br /> RETENTION $ <br />NOT APPLICABLE <br />EACH OCCURRENCE $ XXXXXXX <br />AGGREGATE $ XXXXXXX <br /> $ XXXXXXX <br /> $ XXXXXXX <br /> $ XXXXXXX <br /> WORKERS COMPENSATION AND EMPLOYERS' <br />LIABILITY <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICER/MEMBER EXCLUDED? <br />If yes, describe under <br />SPECIAL PRIVISIONS below <br />NOT APPLICABLE <br /> <br />WC <br />STATU- <br />TORY <br />LIMITS <br /> OTH- <br />ER $ XXXXXXX <br />E.L. EACH ACCIDENT $ XXXXXXX <br />E.L. DISEASE - EA EMPLOYEE $ XXXXXXX <br />E.L. DISEASE - POLICY LIMIT $ XXXXXXX <br /> <br /> <br /> <br />OTHER <br /> <br /> <br />NOT APPLICABLE <br />NOT APPLICABLE <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PRIVIONS <br /> <br />Schedule Autos list provided upon request; <br /> <br />Schedule often changes, please confirm is issued certificate in force or <br />reprint new one; <br />Insured's system code# O9QE7B <br />To print new COI go: WWW.INSURHAUS.COM <br /> <br />IMPORTANT: if the certificate holder is an <br />ADDITIONAL INSURED, the policy(ies) must be <br />endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain <br />policies may require an endorsement. A <br />statement of this certificate does not confer <br />rights to the certificate holder in lieu of such <br />endorsement(s). <br />To confirm <br />is this certificate in <br />force <br />please call <br />630-786-9971 <br />or fax <br />630-495-6039 Scan to validate the <br />certificate <br />CERTIFICATE HOLDER CANCELLATION <br />THE CITY OF SUNNY ISLES BEACH BUILDING DEPARTMENT <br />18070 Collins Avenue <br />Sunny Isles Beach, FL 33160 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PRIVISIONS. <br />PREPARED BY <br />Marina Shahkmatova <br />AGENT <br />Marina Shakhmatova <br />ACORD 25 (2001/08)© ACORD CORPORATION 1988