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CERTIFICATE OF LIABILITY INSURANCE I OATE(MWDO(YYYY) �ACaRlaa 03/01/12 ® THIS RTIFICATE 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). CONTACT �ODUCER NAME ADELIO/NOVUS INSURANCE PHONE (954)6986801 I ( .Nol: (954)582-5239 ®Noels Insurance INC IL EsO: EMAIL $809 W.Sample Road _ADDRESS: novas insurance@hetmail.com ak INSURER(S)AFFORDING COVERAGE NAIC e Dho954 8 33064 phonne e ((954))698b601 Fax (954)582-5239 INSURER A: LANDMARK INSURANCE COMPANY ("INSURED INSURER B: ja SNACK TIME LLC INSURER C: 149 NW 70 St INSURER D.: ____ ___. _ .—.-- — INSURER E: ----' ®BOCA RATON,FL 33487- (561)674-6160 INSURER F: ®COVERAGES CERTIFICATE NUMBER: 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 0 CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN LS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. POLICY EFF POLICY EXP I LIMITS ADDLSUBS INSR TYPE OF INSURANCE NSA WVDI POLICY NUMBER (MINDDIYYYY1 (MMJDDTYYY GENERAL LIABILITY EACH OCCURRENCE Ls 1000,000.00 I ® DAMAGE TO RENTED 5 100"1:100 W. MIA A COMMERCIAL GENERAL LABILITY PREMISES(Ea occurrence) -" CLAIMSLtADE J OCCUR MED EXP(Any one person 5 5.000.00 �_ GIDKO 04726/2011 04/2612012 ®A Y ° PERSONALE ADV INJURY s 1 000,000.00 C." --"— ---"-- --"— ® E- GENEPAL AGGREGATE 5 2,000,000.00 ® GENL AGGREGATE LIMIT W APPLIES PER'. PROCTS-COMP/OP AGG 5 1.300,000.00 ;.-1 FOICY (- JPFC ' I LOC COMBINED SINGLE LIMIT c ® AUTOMOBILE DABILITY (Ea ecveent) 5 L_- ANY AUTO BODILY INJURY(Per person) S ® - Ir-, ALL OWNED rr I' SCHEDULED BODILY INJURY(Pet accident) S L_- AUTOS LJ NON-C PROPERTY DAMAGE 5 E 1 N(NI{TMNED (Per accident) ® HIRED AUTOS �J AUTOS I S El u — ® L UMBRELLA LIAR OCCUR EACH OCCURRENCE ® I_!EXCESS LIAR �CLAIMS-MADE AGGREGATE S _ 5 5 I ® WORKERS COMPENSATION .WC STA TS OT AND EMPLOYERS'LIABILITY Y I N ® ANY PROPRIETORA'ARTNER/EXECUTIVE EL EACH ACCIDENT S (Mandatory EXCLUDED' N I A (Mandatory in NH) E .DISEASE.EA EMPLOYE $ ® Ifyd'A dcacrme O EL.DISEASE-POLICY WAIT 15 DEBCRIPTN OF OPERATIONS PERATIONS belox ® I DESCRIPTION OF OPERATIONSI LOCATIONS I VEHICLES (Attach&CORD 101,Additional Remarks Schedule.if more space is required) S CATERING SERVICES ®CERTIFICATE HOLDER IS ALSO AN ADDITIONAL INSURED ---- ® CERTIFICATE HOLDER CANCELLATION 4, SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE CO CITY OF SUUNY ISLES BEACH THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 18070 COLLINS AVE ® SUNNY ISLES BEACH FL 33160 AUTHORIZED REPRESENTATIVE ® (305)792 1634 -� _ � , _ _ 1 – ©1988-2010 ACORD CORPORATION. All rights reserved. 0 ACORD 25(2010105)OF The ACORD name and logo are registered marks of ACORD ® S