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-, ,,., CERTIFIC), ,,F -,,0F LIABILITY INSURA, ` )E 10/03/2005)
I 'RODUCER C954)724-7000 FAX (S_ x,724-7024 THIS CERTIFICATE IS ,oSUED AS A MATTER OF INFORMATION
Keyes Coverage, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
5900 Hiatus Road ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
iTamarac, FL 33321
_Susie Arbel aez INSURERS AFFORDING COVERAGE NAIL #
INSURED Greater Miami Caterers, Inc. INSURER A: St Paul Travelers
f DBA: Master Host Dinner Service INSURER B:
4001 NW 31st Avenue INSURER C.
Mi.ami.,..FL...3.3-142'.._. _ .-- - - ---INSURER-D!
-.I._ INSURER E:
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDINI
I� ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUME14T 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, EXCLUSIONS AND CONDITIONS OF SUCH
I POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
SR
DD'
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE (MM/DD/YYI
POLICY EXPIRATION
LIMITS
rINSR
GENERAL LIABILITY
660370213829
10/03/2005
10/03/2006
EACH OCCURRENCE
$ 1,000,000
X COMMERCIAL GENERAL LIABILITY
DAMAGE TQ RENTED
ZEM SFSIF, mr,,,anra)
$ 100,000
i,
I,
CLAIMS MADE a OCCUR
MED EXP (Any one person)
$ 1,0()0
Q
PERSONAL & ADV INJURY
$ 11000,000
GENERAL AGGREGATE
$ 2,000,000
I j
I
GENT AGGREGATE LIMIT APPLIES PER:'
PRODUCTS - COMP/OP AGG
$ 2,000,000
.J
POLICY JECT LOC
AUTOMOBILE
X
LIABILITY
ANY AUTO .
810917IC6074TIL04
10/03/2005
10/03/2006
.„
COMBINED SINGLE LIMIT
(Ea accident)
$
1,000,000
JALL
A
^i(er
X
X
OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
BODILY INJURY
(Per person)
$
accident)
$
PROPERTY DAMAGE
(Per accident)
$
J
•�,
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EA ACC
$
ANY AUTO
$
'
AUTO ONLY: AGG
EXCESS/UMBRELLA LIABILITY
CUP917K6086TIL04
10/03/2005
-10/03/2006
EACH OCCURRENCE
$ 1,000,000
X OCCUR n CLAIMS MADE
AGGREGATE
$ 11000,000
A
$
$
DEDUCTIBLE
$
RETENTION $
J
WORKERS COMPENSATION AND
OTH-
OR I IMIT,ATU-1 ER
EMPLOYERS' LIABILITY
ANY PROPRIETORIPARTNERIEXECUTIVE
E.L. EACH ACCIDENT
$
E.L. DISEASE - EA EMPLOYEE
$
_
iOFFICERIMEMBER
EXCLUDED?
'
Ityes, describe under
SPECIAL PROVISIONS•below
E.L. DISEASE - POLICY LIMIT
$
I
OTHER
-ESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
I
Master
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES.
- AUTHORIZED REPRESENTATIVE
Carev Keyes/KEY20���.�
ACORD 25 (2001/08) OACORD CORPORATION 19BB