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...., . ~ ACORO@ CERTIFICA TE OF LIABILITY INSURANCE I DATE (MMIDDIYYVYI .., ~ 02/01/2011 ~ THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT ~FFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED 8Y THE POLICIES B!:LOW. THIS CERTIFICATE OF INSURANCE Does NOT GONSTlTUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. i IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED. subject to the tenns and conditions of the policy I 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). J PRODUCER ILEANA CABRERA-RODRIGUEZ NAME: KEVIN FERNANDEZ i r.:JgN.t "vt\. 305-529-9966 I FAX 1925 PONCE DE LEON BLVD iAiC NoL30~~~9-2B~__ 1~ E-MAIL ADDRESS: CORAL GABLES FL 33134 PRODUCER - INSURER/51 AFFORDING COVERAGE -~~ I 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 : J -- INSURER E : I INSURER F : d COVERAGES r .II THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTlMTHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT INlTH RESPECT TO WHICH 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 SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. -1'I~f:1 TYPE OF INSURANCE ADDL SUBR I ,:~15givWn /:~15g~1 LIMITS POLICY NUMBER .~ GENERAL L1ABIUTY EACH OCCURRENCE $ i-- ~~Ac.;~ TlJR~TE'(j COMMERCiAl GENERAL LIABILITY D ~ PREMISES lEa occurrence\ $ ( I CLAIMS~ADE D OCCUR l- MED EXP (Anyone person) $ I-- PERSONAL & ADV INJURY $ f-- GENERAL AGGREGATE S ~l'L AGGREG~TE LIMIT APFI~t PER: PRODUCTS - COMPIOP AGG S T POLICY rl ~~Ri- LOC .. $ -'I A AUTOMOBILE UABIUTY 224 1098-801 02/01/2011 08/01/2011 COMBINED SINGLE LIMIT $ 1,000,000 - (Ea accident) ANY AUTO 0 D 4194787 -801 02101/2011 08/01/2011 BODILY INJURY (Per person) ~ - $ '. - ALL OVvNED AUTOS 435 3821-B01 02101/2011 08/01/2011 BODILY INJURY (Per accident) $ X SCHEDULED AUTOS PROPERTY DAMAGE X 0637061-801 02/01/2011 08/01/2011 s HIRED AUTOS (Per accident) f-- I X - $ NON.{)VvNED AUTOS .. -r $ ~Il UMBRELLA UAB H OCCUR EACH OCCURRENCE $ f-- -- EXCESS UAB CLAIMS~ADE 0 0 AGGREGATE $ -II ._- - DEDUCTIBLE $ -- RETENTION S $ I WORKERS COMPENSATION I T~~m,~;, I IOJ~- L.J AND EMPLOYERS' LlABIUTY Y I N ANY PROPRIETORIPARTNERIEXECUTIVE D D E.L. EACH ACCIDENT $ I OFFICER/MEMBER EXCLUDED? N/A kMandatory in NHI E.L. DISEASE - EA EMPLOYEE $ r'1 ,,~:~,~','scribe under E.L. DISEASE - POLICY LIMIT $ LIJ 0 0 J DESCRIPTION OF OPERATIONS/ LOCATIONS / VEHICLES (All,ch ACORD 101, Additlonll Rem.",s Schedule, It more sp.co Is required) r'l L,J CERTIFICATE NUMBER: REVISION NUMBER: ,... L ,. L ... J .... L ... L L 'iCERTIFICATE HOLDER d ,.11 L.11 ,... CANCELLATION City of sunny isles beach 18070 Collins Avenue Sunny isles beach, fl33160 SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. L.J ACORD 25 12009/091 Th.. ArnDn ~.__ __.. .___ ___ ___L~_u ~_ PORA TION. All rights reserved.