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<br />f ACORD.. CERTIFICATE OF LIABILITY INSURANCE CSR DD r DATE (MMIDDIYYYY) <br />BRJ:GH-2 04/22/04 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATlOI <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Gul.fstream Insurance Group Ine HOLDER. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR <br />P.o. Box 8908 ALTER THE COVERAGE AFFORDED BY THE POUCIES BELOV\ <br />Fort Laude~e FL 33310-8908 <br />Phone: 954-561-2220 INSURERS AFFORDING COVERAGE NAIC# <br />INSURED INSURER A: Co~ony Insurance C <br /> INSURER B: ~0ECl :Ella ~ of! the SIS 38261 <br /> Bri~t Maintenance lIne. INSURER c: <br /> 233 3 Three Lane Drive INSURER D: <br /> Boca Raton FL 33428 <br /> INSURER E: <br /> <br />COVERAGES <br /> <br />THE POlICIES OF INSURANCE USTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED PBOVE FOR THE POUCY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF PI'<< 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 />POUClES. AGGREGATE UMITS SHOWN MAY HAVE BEEN REDUCED BY PAID ClAIMS. <br />LTR NSR[ TYPE OF INSURANCE POLICY NUMBER ~~ UMlTS <br /> GEHERAL UABlLITY EACH OCCURRENCE s 1000000 <br /> - ------ 07/01/04 PREMiSEs lEa occunmce) <br />A X COMMERClAL GENERAL LiABIlITY GL3156049A 07/01/03 $ 1000000 <br /> I CLAIMS MADE ~ OCCUR MS:l EXP (Any one peISOI'I) s 5000 <br /> PERSONAL & M1V INJURY S 1000000 <br /> - <br /> GENERAL AGGREGATE S 2000000 <br /> - s 2000000 <br /> GEN"l. AGGREGATE UMIT APPlIES PER: PROOUCTS - COMPIOP AGG <br /> IPOUCyn~ nLOC . <br /> AUTOM08ILE UABlLITY COMBINED SINGlE LIMIT <br /> - (Sa accident) S <br /> ANY AUTO <br /> - <br /> - ALL OWNED AUTOS BOOR. Y INJURY <br /> (Per person) $ <br /> - SOIEOULED AUT~ <br /> HIRED AUTOS BOOR. Y INJURY <br /> - (Per accidenl) $ <br /> NON.OWNED AUTOS <br /> - <br /> - PROPERlY DAMAGE S <br /> (Per accidenI) <br /> GARAGE UABlLITY AUTO ONLY - SA ACCIDEI>IT S <br /> R AHY AUTO OTHER 1HAN SA ACe S <br /> AUTOONL Y: AGG S <br />I EXCESSlUMBRB.LA LIABILITY EACH OCCURRENCE S <br />tJ OCCUR DClAlMSMAOE AGGREGATE $ <br /> S <br /> R ~BLE S <br /> RETENTlON $ S <br /> WORKERS COMPENSATION AND X ITORY LIMITS I IO~ <br />B EMPLOYERS' UABlUTY 21WECGD0404 01/01/04 01/01/05 EL EACH ACCIDENT $ 100000 <br />ANY PROPRIETORIPARTNERlEXECUTlVE <br /> OFFICERJMEMBER EXCLUDED? EL DISEASE - EA EMPLOYEE $ 100000 <br /> ~~~V~beIow EL DISEASE - POLICY UMIT S 500000 <br /> OTHER <br />DESCRIPTION OF OPERATIONS I LOCATlONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br />Attn: Cec:i~e <br /> <br />CERTIFICATE HOLDER <br /> <br />City of Sunny Is~es <br />Fax: 305-949-3113 <br />Suite 250 <br />17070 Co~~ins Avenue <br />Sunny Is~es FL 33160 <br /> <br />CANCEUATION <br />SUNNY:IL SHOULD MY OF THE ABOVE DESCRIBED POUClES BE CANCB.LED BEFORE THE EXPIRAno <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAJI..URE TO DO so SHALL <br />IMPOSE NO OBLIGATION OR UABIUTY OF Atf'( KIND UPON THE INSURER. ITS AGENTS OR <br />REPRESEHTATNES. <br /> <br />~~ <br /> <br />ACORD 25 (2001108) <br /> <br />@ACORD CORPORATION <br />