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<br />12/16/2004 12:46 <br /> <br />5616845995 <br /> <br />SLATON INS <br /> <br />OP 10 . ~(MMIDDIYYYY) <br />CLEAN- ~Z 16 04 <br />. THIS CERTIFICATE IS IS!~UED AS A MAITER I i INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE: ; RTIFICATE <br />HOI.DER. THIS CERTIFICATE DOES NOT AME I ;. exTEND OR <br />AI. TER THE COVfRAGE AFFOROED BY THE' I :1 JCIES BELOW. <br /> <br />INSU~~RS AFFORDI~G C()VERAGE . ~~IC # <br />Br1c1lt"lth14 E1rpl~r. .(h~.C... J <br />ll:,.rlit..nl 1'11'. I"!"...n.... CC. -;...- <br />_""0 '0_,..,~0..,,"" "', __ - ::-}_ __ -__ <br /> <br />ACORD.. <br /> <br />CERTIFICATE OF LIABILITY INSURANCE <br /> <br />COVERAGES . <br />'l'HE POliCIES OF INSURANCE LiSTeD BE.l.OW HAVC BEEt4 ISSUED TO TtfE INSURED NAMED ABOVE FOR tHE POlICY PER/OO INCICATIiO. NOTWlTH8TANDI~ I <br />AJoN REQUIREMENT, TERM OR CONDITION OF I'HY CON'l'RACT OR OTHliR DOCuMJ!NT WITH ReSPECT TO wHICH THIS CERTIFIl;ATI: WlY BE ISSUED OR <br />MAV !""RTAIN, THE INSURANCE AfFOAOIiO BY TI~E POLICIES DESCRIBED HERF.IN IS SUBJECT TO ALL TliE 1EAMS.IiXCLUSIONS AND CONomONS OF S\JC~ <br />POLICIES. AGGRiG^TE LIMITS SfoIOWN MAY l-lAVEi 9EEN REDUCED gv PAID CLAIMS. <br /> <br />TYF'lOI' IN8UllANCE PQLIC'I' NUMBER <br />~eN&RAL 1.1A8tI.ITY . <br />X X COMMERCIALOENF.RALLlI\BILr1'f 21'UUN'l'S5531 <br />.. CLAIMS MADE ~ OCCUR <br />X GL ~eductible_~ <br />X Contractual Liab <br />GEN'L AGGAEC,U.TE LIMIT APPLIES PliiR; <br />PRO. -, <br />POLICY X JEeT . LOC <br />~AUTOMOBILE UAIlIUTY <br />X AtoIYAUTO 21U'U'N'l'S5531 <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br /> <br /> _. <br /> X HIRED AUTOS eOOIL v INJUR'f <br /> ...:.::.. <br /> ; ~ NON-oWIoIEI) Al,ITOS (I'<r accidentl <br /> .- <br /> ~ --. -.'- PROPEFlTY O~G <br /> (per am/dent) <br /> GARAGE LIABILITY AUTO ONLY - EJ\ AI <br /> r~ ANV AUTO 1-.. .. <br /> OlHER TtiA'" <br /> AUTO ONLY; <br /> EXCESSlUIftlRI!LlA UABLlTY . EJlCH OCCURRENI <br /> I!J OCCUR 0 ClAIMS MADE '0'000553289810 12/01/04 .- <br />C 12/01/05 AGGREGA.TE <br /> . <br /> LJ DEDUCTIBLE 1---. <br /> -- <br /> I R&TENnON $ <br /> WORKERS COMPENSAtiON AND I XhORY -"IMlfS <br /> EMPLOY!!RI' LIAIlllITV <br />A At<< PROpF\lETORfPAATNERlEXECUTI\IE 83028406 Ol/Ol!O4 01/01/05 E.L. eACH ACCIDE <br /> OFFICERlMEMBIifl. eXCLUDED? Ei.l. DISEASE. SA : <br /> If ~!9, deea1be \IT'IdIIt _.--_. <br /> S ECIAL PROVISIONS bCIIow E.L DISEASE .1>01 <br /> OntER <br />B Crime 21UUN'rS5531 04/01/04 04/01/05 Emplo; ! <br /> Disho: : <br />DESCRIPTION OF OPERATIONS I l"ocAnONS I VEIi1CLES , EXCLUSION5 ADDED BY ENOOIUil!!MENT I SPECIAl. PROVISIONS <br />The Certificate holde% is named a8 an additional insured wi~h Nspec~s to <br />qeneral liability. <br /> <br />PRODUCER <br /> <br />i.TON INSURANCE <br />~.O. Box 220537 <br />West Palm Beaoh FL 33422 <br />phone:561-683-B383 rax:561-6B4-5995 <br />INSUR&D <br /> <br />Cleaninq Systems, Inc <br />HOIlle Ha;!.d <br />10330 NW 55th Street <br />Sunrise li'L 33351 <br /> <br /> <br />B <br /> <br />B <br /> <br />B <br /> <br />CERTIFICATE HOLDER <br /> <br />Cl:'l'YOFS <br /> <br />Ci't.y of Sunny 1s18$ Beach <br />170?0 Collins AV8 Suite 250 <br />Sunny Isles Beaah FL 33160 <br /> <br />ACORD 25(2001108) <br /> <br />INSURER A: <br />-. <br />INSURER 8; <br />INsuReR c: <br />INSURER 0: <br />INSUReR E: <br /> <br /> <br />DII 1'2 MMIDDI TItlIl I <br />EACH OCCURRENC, <br />AENTB : <br />04/01/05 ~.REMISES (Ea occur 1 I <br />.~ ~EO EXP (Any OM~ p, : ~I <br />PERSONAL & ADV II . IY <br />CENERAI, AGGREG. , <br />- - - <br />PRODUCtS. COIw'lP : <br /> <br />04/01/04 <br /> <br />04/01/04 <br /> <br />04/01/05 <br /> <br />COMBINED Sl"'GlE . <br />(e~ 8callentl <br /> <br />BODILY INJUl'lV <br />(Pet personl <br /> <br />CANCELLATION <br />SHQULD ANY OF THI! A8O\Iil DllSOR18!!D POLICIES B" ~ , <br />DATIl THEREOF, THE ISSUINGlINSURER WILL ENDEAVOI <br />NOnc:E TO THE CEftTlFlCATE 1l0LDER NAMED TO 'nIE II <br />IMPOSE NO OBt.IGATlON OR uAJILITV OF AHY I<INtl U1'1 <br />REPRESENT" 8. <br />ALI1llORlZfO I!N <br /> <br /> <br />PAGE 01/01 <br /> <br />LIMITS <br /> <br />s..!.f. 000, O~.O. <br />$ 1(10./000 <br />S 10,000 <br />s 1,000!..~OO <br />$2,.O~O,OOO <br />'co r 2,000, O.l!O <br /> <br /> <br />IT $1.000,000 <br /> <br /> <br />- k-- <br />...1:- <br /> <br />dAce $ <br />AOG , <br />S ~ I 000 ,000 <br />$5,000 000 <br />$ <br />t <br />S <br /> <br /> <br />$ 500000 <br />s 500000 <br />_.a.__..... <br />. LIMIT .500000 <br /> <br />'ill 100,000 <br />!st <br /> <br />:ELLED B'EFORE THE EXI'IRA TION <br />; MAIL 30 _ DAYS wRITTEN <br />. " BIlT FAlI.URH TO DO so SHALl. <br />ME INlIUREFJ,1T9 AG!!NTS OR <br /> <br /><l! I :ORD COI~PORA <br /> <br />