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.., . ~ 1 . ACORD~ CERTIFICA TE OF LIABILITY INSURANCE I DATE (MM/DD/YYVY) ~ 02/01/2011 THIS CE~TlFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT 'AFFIRMATIVELY OR NEGATIVELY AMEND. EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER. AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the pollcy(les) must be endorsed. If SUBROGATION IS WAIVED. subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER ~2tI~CT KEVIN FERNANDEZ ILEANA CABRERA-RODRIGUEZ r.~~H! ~_.. 305-529-9966 I FAX {AlC, Nol: 30~529-~856_. 1925 PONCE DE LEON BLVD E.MAIL ADDRESS: ~ CORAL GABLES FL 33134 PRODUCER ,.......11\ INSURER/SI AFFORDING COVERAGE NAlC. INSURED INSURER A: State Farm Mutual Automobile Insurance Company 25178 ._- ABC CONSTRUCTION INC. INSURER B : 7280 NW 8 ST INSURER C : MIAMI. FL 33126 INSURER 0 : INSURER E : INSURER F : CERTIFICATE NUMBER' REVISION NUMBER: .., . -. . ...I COVERAGES THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD - INDICATED. NOT\MTHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT IIVITH RESPECT TO IfIIHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOVVN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE IADDL SUBR It:SM~1 I /~~~%~l WilTS LTR I'...... wvn POLICY NUMBER - GENERAL LIABILITY EACH OCCURRENCE $ ~ ~n()r{Em"ED -- COMMERCiAl GENERAL LIABILITY D D PREMISES lEa occurrence\ $ I CLAIMS-MAOE D OCCUR MED EXP (Anyone person) $ PERSONAl & AOV INJURY $ - ~ J I-- GENERAL AGGREGATE $ -- GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ h POLICY r~l P'~PT n LOC $ -, A AUTOMOBILE LIABILITY 0256901-B01 02/01/2011 08/01/2011 COMBINED SINGLE LIMIT $ 1,000,000 - (Ea accident) - ANY AUTO ~ D 035 3117.B01 02/01/2011 08/01/2011 BODILY INJURY (Per person) $ -\ - ALL OWNED AUTOS 1832531-B01 02/01/2011 08/01/2011 BODILY INJURY (Per accidenl) $ X SCHEDULED AUTOS PROPERTY DAMAGE ~ X 9125787.014 02/0112011 08/0112011 $ HIRED AUTOS (Per accident) - , ~ .. $ NON-D\NNED AUTOS - $ .. UMBRELLA L1AB H OCCUR EACH OCCURRENCE $ - j EXCESS L1AB CLAIMS-MADE 0 0 ~(3ATE $ DEDUCTIBLE $ -- ------ RETENTION $ $ WORKERS COMPENSATION I T~~~T';JV~ I IOJ~' :1 AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNERiEXECUTIVE 0 0 E.L EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? NIA ~Mandatory In NHI E.L. DISEASE - EA EMPLOYEE $ yes, describe under E.L. DISEASE - POLICY LIMIT I $ "ocr,., l D D -4 DESCRlP1l0N OF OPERATIONS' LOCATIONS I VEHICLES (Attach ACORD 101. Addltlona' Rema",. Schedule, If more space I. required) _I -' CANCELLATION I CERTIFICATE HOLDE' . ...1 I -'I -/ -I City of sunny isles beach 18070 Collins Avenue Sunny isles beach, fl33160 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TliE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WlTli THE POUCY PROVISIONS. AUTp'~IZED're,!,RESENT A TlVE. ( /"~'J / ./ , <'''Y::-;-<7' ~. .' I' .-oJ ----- .?'c' ('..'~./~.<..-. I -..-'-. "-'''. @ 1988. Z9.99 ACORD CORPORA TION. All rights reserved. I L.J ACORD 25 (2009/09) The ACORn n::lmA :an'" In...'" !!Ira .^-...I_.....__.... ___1._ _~ . ,...,,__