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<br /> , , ,'''; '," .',0'",,""'; """"J "",'. ;,' . , <br />. 1 <br />.ACDBI).. CERTIFICATE OF liABiliTY INSURANCE' DATE (MMlDDNYYY) <br />01/16/2004 <br />PRODUCER (954)724-7000 FAX (954)724-7024 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Keyes Coverage, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />8201 West McNab Road ALTER THE COVERAGE AFFORDED BY THE POUCIES BELOW. <br />Tamarac, Fl 33321 <br /> INSURERS AFFORDING COVERAGE NAIC# <br />INSURED Munlclpal Llghting Systems INSURER A: HARTFORD CASUALTY INS. CO. <br /> 70J5-A S.W. 47th Street INSURER B: <br /> Miami, FL 33155 INSURER c: <br /> INSURER 0: <br /> FAX: 561-641-5302 INSURER E: <br /> <br />COVERAGES <br /> <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDIN <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, <br />II~~ ~~~1 TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS <br /> GENERAL LIABILITY 2lSBABL8143 09/01/2003 09/01/2004 EACH OCCURRENCE $ l,OOO,OOC <br /> I-- <br /> X COMMERCIAL GENERAL LIABILITY DAMAGE T9_ RENTED $ 300 , OOC <br /> I-- I CLAIMS MADE m OCCUR <br /> MED EXP (Anyone person) $ 10,OO(] <br />A PERSONAL & ADV INJURY $ 1,000,00(] <br /> I-- <br /> GENERAL AGGREGATE $ 2,000,00(] <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COM~OPAGG $ 2,000,00(] <br /> II .nPAO. n <br /> POLICY JECT LOC <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> I-- (Ea accident) $ <br /> ANY AUTO <br /> I-- <br /> ALL OWNED AUTOS BOOIL Y INJURY <br /> I-- (Per person) $ <br /> SCHEDULED AUTOS <br /> I-- <br /> HIRED AUTOS BODILY INJURY <br /> I-- $ <br /> NON.OWNED AUTOS (Per accidenl) <br /> I-- <br /> PROPERTY DAMAGE $ <br /> (Per accident) <br /> GARAGE LIABILITY AUTO ONLY. EA ACCIDENT $ <br /> R ANY AUTO OTHER THAN EA ACC $ <br /> AUTO ONLY: AGG $ <br /> EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ <br /> tJ OCCUR 0 CLAIMS MADE AGGREGATE $ <br /> , $ <br /> R DEDUCTIBLE $ <br /> RETENTION $ $ <br /> WORKERS COMPENSATION AND I T"X~~T~1~~1 IOJ~' <br /> EMPLOYERS' LIABILITY E,L, EACH ACCIDENT $ <br /> ANY PROPRIETOR/PARTNERlEXECUTNE <br /> OFFICER/MEMBER EXCLUDED? E,L, DISEASE. EA EMPLOYEE $ <br /> If yes, describe under E,l, DISEASE. POLICY LIMIT $ <br /> SPECIAL PROVISIONS below <br /> OTHER <br />Io-~SCRIPTlON OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br />~ITY OF SUNNY ISLES BEACH IS NAMED AS ADDITIONAL INSURED WITH RESPECT TO LIABILITY COVERAGES. <br /> <br /> <br />CITY OF SUNNY ISLES BEACH <br />ATTN: JANE HINES <br />17070 COLLINS AVENUE <br />SUITE 250 <br />SUNNY ISLES BCH, FL 33160 <br /> <br />CANCEL T N <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL <br />~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY <br /> <br />OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES, <br />AUTHORIZED REPRESENTATIVE <br /> <br />Care <br /> <br /> <br />~~ <br /> <br />ACORD 25 (2001/08) <br /> <br />@ACORD CORPORATION 1988 <br />