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<br />A CORD"A CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DDIYYYY) <br /> 7/9/2008 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Seitlin ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />6700 North Andrews Avenue, Suite 300 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />Fort Lauderdale FL 33309 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />(954) 938-8788 (954) 938-8566 <br /> INSURERS AFFORDING COVERAGE NAIC# <br />INSURED INSURER A: American Guarantee & Liability I 26247 <br />Keith and SChnars, P. A. INSURER B: Travelers Property Cas Co Amer 25674 <br />6500 North Andrews Avenue INSURER C: The Phoenix Insurance Company 25623 <br />Ft. Lauderdale FL 33309 INSURER D' Seabright Insurance Company 15563 <br /> I 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. NOTWITHSTANDING <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~~~ ~~l(;~ POLICY NUMBER POLICY EFFECTIVE I Pg~ICY EXPIRATION LIMITS <br /> ~ERAL LIABILITY EACH OCCURRENCE $ 1 000 000 <br />C ;""'''' '"'''' "^""~ P630193X5294PHX07 8/14/2007 8/14/2008 ~~~~~~J9E~~~~nce) $ 300,000 <br /> I CLAIMS MADE W OCCUR MED EXP (Anyone person) $ 5,000 <br /> X CONTRACTUAL LIAB. PERSONAL & ADV INJURY $ 1,000,000 <br /> X XCU, Broad Form PD GENERAL AGGREGATE $ 2,000,000 <br /> ~'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 <br /> X POLICY n ~~g n LOC <br /> ~TOMOBILE LIABILITY COMBINED SINGLE LIMIT I $ <br />B ~ ANY AUTO P810290K8594TIL-07 8/14/2007 8/14/2008 (Ea accident) 1,000,000 <br /> I-- ALL OWNED AUTOS BODILY INJURY <br /> $ <br /> SCHEDULED AUTOS (Per person) <br /> I-- <br /> ~ HIRED AUTOS BODILY INJURY <br /> $ <br /> ~ NON-OWNE D AUTOS (Per accident) <br /> I PROPERTY DAMAGE $ <br /> (Per accident) I <br /> I RAGE LIABILITY I AUTO ONLY - EA ACCIDENT $ <br /> ANY AUTO OTHER THAN EAACC I $ <br /> AUTO ONLY' I <br /> AGG I $ <br /> ~"'.""a~ ~""~ EACH OCCURRENCE I $ 5,000,000 <br />A X OCCUR D CLAIMS MADE AUC508678703 8/14/2007 8/14/2008 AGGREGATE $ 5,000,000 <br /> PROD/CO-OPS AGG $ 5,000,000 <br /> R DEDUCTIBLE I $ <br /> I RETENTION $ $ <br />D WORKERS COMPENSA TlON AND BB1070352 12/1/2007 12/1/2008 X I TVX~~T~J,~~ I IOJ~-i <br /> EMPLOYERS' LIABILITY i $ <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE EL EACH ACCIDENT 1,000,000 <br /> OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEd $ 1,000,000 <br /> If yes, describe under E.L. DISEASE - POLICY LIMIT I $ 1,000,000 <br /> SPECIAL PROVISIONS below <br /> I OTHER I I I <br /> I <br /> I <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS <br /> RE: APPROVAL OF SIGNAL WARRANT TRAFFIC STUDY AGREEMENT. CERTIFICATE HOLDER AS CONTRACTOR IS <br /> ADDITIONAL INSURED AS RESPECTS GENERAL LIABILITY WHEN REQUIRED BY WRITTEN CONTRACT. WAIVER OF <br /> SUBROGATION AS RESPECTS GENERAL AND AUTO LIABILITY AND WORKERS COMPENSATION IN FAVOR OF ADDITIONAL <br /> INSURED WHEN REQUIRED BY WRITTEN CONTRACT. GENERAL LIABILITY IS PRIMARY AND NON-CONTRIBUTORY WHEN <br /> REQUIRED BY WRITTEN CONTRACT. ALL OF THE ABOVE IS SUBJECT TO THE TERMS, CONDITIONS AND EXCLUSIONS <br /> <br />CERTIFICA TE HOLDER <br /> <br />CANCELLA TION <br /> <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRA TION <br />City of Isles Beach DATE THEREOF. THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ DAYS WRITIEN <br />Sunny <br /> NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT FAILURE TO DO SO SHALL <br />18070 Collins Ave. IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br /> REPRESENTATIVES. <br />Sunny Isles Beach FL 33160 AUTHORIZED REPRESENTA TIVE ""v--e., tZJ2 <br /> I <br /> <br />ACORD 25 (2001/08) <br /> <br />@ACORDCORPORATION 1988 <br /> <br />Page 1 of <br />