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I • ARD® CERTIFICATE OF LI , BLIP( INSURANCE DATE(MM/DD/YYYY) ‘,......------ 11/20/2017 40 THIS CERTIFICATE 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 policy(ies)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 Alliance Insurance Solutions, LLC. ID: (Impact) CONTACT NAME: Lindsay Frederick c/o Impact Staff Leasing, Inc. PHONE(61C,No.Ertl: 561-743-0065 I FAx(ANC.No): 250 W. Indiantown Rd. Suite 108 Jupiter, FL 33458 E-MAIL ADDRESS: ® INSURER(S)AFFORDING COVERAGE I NA1C 0 INSURER A: $_UNZ Insigarao Company _3�.2 ® INSURED Impact Staff Leasing, Inc. INSURER BAspen Rar London-Best Rating'A' 250 W. Indiantown Rd. Suite 108 INSURER c: Catlin Syndicate Lloyds Best Rating-A' ® Jupiter FL 33458 INSURER D: Bd(S ndiccte_Lloyds_BestRating-A" ® INSURER E: ( INSURER F: - . I ® COVERAGES CERTIFICATE NUMBER: 17148191 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD ® INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH 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, 0EXCLUSIONS AND CONDITIONS OF SUCH POLICIES-LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. `'- INSR I ADDL SUBR POLICY EFF l POLICY EXP LTR TYPE OF INSURANCE INSR WVD I POUCY NUMBER I(MM/DD/YYYY)I(MMJDD/YYYY)I UNITS q 1 I GENERAL UABIUTY I I EACH OCCURRENCE $ ® # DAMAGE TO RENTED COMMERCIAL GENERAL LIABILITY PREMISES(Ea occurrence) S CLAIMS-MADE OCCUR MED EXP(Any one person) S ® I PERSONAL&ADV INJURY S GENERAL AGGREGATE S GEE�N'L AGGREGATE LIMIT APPLIES PER: - PRODUCTS-COMP/OP AGG I S 0 I-1 POLICY I 1,71-'T I I LOC I I S AUTOMOBILE UABILfTY I COMBINED SINGLE LIMIT I$ I(Ea accident) 40 ANY AUTO BODILY INJURY(Per person) I S AALL UTOS SCHEDULED BODILY INJURY(Per accident)I S I HIRED AUTOS AUTOS NON-OWNED (Pet PROPERTY deem)AGE I S ® 1 Is I I I I Is eUMBRELLA LIAB OCCUR I EACH OCCURRENCE $ ® EXCESS UAB CLAIMS-MADE AGGREGATE 5 I.DED I I RETENTIONS I Is jrIc., S I S BI O A WORKERS COMPENSATION WCPE0000004603 8115/17 8/15118 I ORYIMfT LS I IOtK ® AND EMPLOYERS'UALTTY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N I A E.L.EACH ACCIDENT I S 1,000,000 (Mandatory in NH) I E.L.DISEASE-EA EMPLOYEE S 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below I. I E.L.DISEASE-POLICY LIMIT I$ 1,000,000 ® B Workers Compensation C Excess Coverage This is for informational purposes and nothing shall create any right D under such reinsurance. ® DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) ® Coverage provided for all leased employees but not subcontractors of:Prestige Auto Transport Inc dba Prestige Auto Transport Towing 8 Recovery Client Effective: 8115/2017 ® CERTIFICATE HOLDER - CANCELLATION ® Office of the City Clerk SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Sunny Isles Beach THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ® 18070 Collins Ave ACCORDANCE WITH THE POUCY PROVISIONS. Sunny Isles Beach,FL 33160 O AUTHORIZED REPRESENTATIVE ® -..„,//A J A . Glen J Distefano ® O 1988-2010 ACORD CORPORATION. All rights reserved. O ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD