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<br />INSURANCE FACT SHEET <br /> <br />Ne require a Certificate of Insurance or Declaration Page shown in the name of the Municipality listed below. If more than <br />me insurance company is used, indicate each & for what type coverage. Per the Agreement, we require Liability & Physical <br />)amage on all vehicles, Liability & Property Damage on all other equipment & FORD MOTOR CREDIT COMPANY named <br />3S Loss Payee or Additional Insured, RETURN TO: Ford Motor Credit Company, P.O. Box 1739, Dearborn, MI 48121- <br />1739 <br /> <br />fRANS NO: <br /> <br />6600000 <br /> <br />PLEASE NOTE: FORD MOTOR CREDIT REQUIRES A <br />MINIMUM OF $1,000,000 FOR PUBLIC LIABILITY COVERAGE <br /> <br />JlUNI: <br />\DDRESS: <br />~ITY: <br /> <br />City of Sunny Isles Beach <br />17070 Collins Ave" Suite 250 <br />Sunny Isles Beach, FL 33160 <br /> <br />~ONT ACT: <br /> <br />Linda Dosal <br /> <br />PHONE: (305) 947-0606 <br /> <br />:QUIP OESC: <br /> <br />(2) 2001 Ford Explorer's, 1FMZU72E11ZA54350, 1FMZU72E31ZA54351, (18) 2001 Ford Crown <br />Victoria Police Sedans, 2FAFP71W41X121866, 2FAFP71W61X121867, 2FAFP71W81X121868, <br />2FAFP71VVX1X121869,2FAFP71W61X121870,2FAFP71W81X121871,2FAFP71VVX1X121872, <br />2FAFP71W31X124015, 2FAFP71W51X124016, 2FAFP71W71X124017, 2FAFP71W91X124018, <br />2FAFP71W01X124019, 2FAFP71W71X124020, 2FAFP71W91X124021, 2FAFP71W01X124022, <br />2FAFP71W21X124023,2FAFP71W41X124024,2FAFP71W61X124025 <br /> <br />NSURANCE COMPANY: <br /> <br />~DDRESS: <br /> <br />:;fTY: <br /> <br />STATE: <br /> <br />ZIP: <br /> <br />CONTACT PERSON: <br />EXPIRATION DATE: <br /> <br />::lHONE: <br />::lOLlCY NO: <br /> <br />_lABILITY AMT: <br /> <br />PROPERTY DAMAGE AMT: <br /> <br />:JHYSICAL DAMAGE AMT: <br /> <br />COMPREHENSIVE DEDUCTIBLE: <br />COLLISION DEDUCTIBLE: <br /> <br />NSURANCE COMPANY: <br /> <br />\DDRESS: <br /> <br />::;ITY: <br /> <br />STATE: <br /> <br />ZIP: <br /> <br />::lHONE: <br /> <br />CONTACT PERSON: <br /> <br />-'ABILITY AMT: <br />::lHYSICAL DAMAGE AMT: <br /> <br />EXPIRATION DATE: <br /> <br />PROPERTY DAMAGE AMT: <br />COMPREHENSIVE DEDUCTIBLE: <br />COLLISION DEDUCTIBLE: <br /> <br />::lOLlCY NO: <br /> <br />3ELF-INSURED: <br />F YOU ARE SELF-INSURED FOR ANY COVERAGE, PLEASE PROVIDE THE NAME OF YOUR INSURANCE <br />'OOUFUND. <br /> <br />\lAME OF INSURANCE POOUFUND: <br />3ELF-INSURED FOR: LIABILITY: $ PROPERTY: $ <br />::;ONTINUOUS COVERAGE: FROM TO <br /> <br />PLEASE SIGN: ~~ <br />- -- - - Christopher Russo, Cily Manager <br /> <br />PHYSICAL:$ <br />