HomeMy WebLinkAboutCertificate-Liability Insurance 1Nov 20 08 06:11p Mian 's River of Life 305.75_7884_ _ p:3
ACORD,� CERT F(CATE OF LIAB(L(TY (NSCiRANCE nAT — 2003 -I
11J131D4
PRO7Y.AGER 30583&-S206 THIS CER71MATE is ISSUED AS A MATTER OF WFORJAA70ON
C. BRIAN HART INSURANCE CORP_ ONLY AND CONFERS NO R►GHTS UPON THE CERTFICATE
7954 NW 22ND AVENUE HOLDER. THIS CERTFICATE DOES NOT AMEND, EXTEND OR
9_HART9B c LLS OUTH .NET ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
WWI, FL 33157 INSURERS AFFORDING COVERAGE NAIC _
1K9URE' IwswERR INTERSTATE FIRE AND CASUALTY INS 22629
MIAMI'S RSVER OF LIFE, INC msioC@RB NATIONAL CASUALTY COMPANY 11191
230 NE 92ND STREET W -SURER c
MIAMI, FL 33138 IW&� o -
T -HE POLICIES OF INSURVC—E LIST=—D 5F-' 0W HAVE SEEN ISSUED TO THE WSURED K& ED ABOVEFORTE-E PSLk-Y PERF 6dDtCrITED. NtTi�.ITr'STANDING
AW RFOLAREMN`IT, TERM OR CONDTfON OF ANY CONTRACT OR OTHER DDCLbAEK7 WfTH RESPECT TO YWIGH TH'S CE rWI ATE MAY BE ISSUED OR
LOLAY PEERTAX THE INSURANCE AF'FORD'ED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TtRMS, EXCL.=KxcS AHOCONonlof•t5 OF SUCH
POUCES. AGGREGATE UMIM SHOWN M4Y HAVE 3="N REDUCED BY PAID CLA9,t5.
W SFi POLJC7 MUI� POLICY EFFE_^TKE PGL r -Y EXPRI.TT Si I LZ�a
A I X �LJASILJTY I ' E.cxox� s 500.0m
ALe`NeRRIe Lusrm I AM1001256 07/1812008 1 07/182009
CLA.MS MADE X 0=UR
Goa AGGREGATE Llwir MNPLLrrets pm
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S X f ALT0201 nE LABILM
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X ALL OWNED AJTOS
SCHEDULED Alf FDS
X HR= -D AUTOS
X ":)s-0wMED AUTOS
X 2MO FORD rF3=lLUYktMT8D7
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1 GAmum Ltw6CriY
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OCCUR D CLA11tS MADE
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CITY OF MIAMI AS ADDITIONAL INSURED
r FZ?T1FIr ATF uni rtca r -n Ur m I ."v .
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AUURIJ = Ili10Tmul f 6-- v v CACORD CORPORATION 1985
SHOULD AXY OF nW AROW MESC fBED POLICES BE CWCELLED av-FO ETW Eab5RATIO1i
DATE 7HEME0F. THE MMAMG PtXXZEA Wk.L ENDEAVOR TO MML 30 DAYZ WMTTEN
CITY OF MIAMI
wcTK:£ HE TO TTE MOLDER YEC. area
KA D TO THE LEFT, BUT FATO DO So ZISALL
RISK MANANGEWENT
a1 law 110 LL LITT OF ANY KIND UP{]It THE YMPtER, ITS Aa trS OR
444 SW 2ND AVENUE
MIAW, FLORIDA 33129
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AUURIJ = Ili10Tmul f 6-- v v CACORD CORPORATION 1985
No,-,, ZO 08 06: lop hialr- 's River of Life 305-75 -7584 p - z
ACORD� CERTIFICATE OF LIABILITY INSURANCE o:���:,� MA (.12 oDo
PRODUCER
Licht>`ause-Prr ems, L�
THIS CERTIFICATE IS ISSUED AS A hVTTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
-01 s. ?:ne strea-_
HOLDER. 71-41S CERTIFICATE DOES NOT AMEND, EXTEND OR
suite 35o
ALTERTHE COVERAGE AFFORDED 13YTHE POLICIES BELOW.
Orland:, Z, =2Bc1
GENERAL UAWU Y
INSURERS AFFORDING COVERAGE MAIC x
Lnsulx�
INSJR_RASs.:nsu_anr.e CO ✓zny
.SG 8,:shuood Park Dive
INSURER 8:
I ItisuRER C:
Suite 2DO
I'empz, PL SS516
I
{NSUR`R Q:
j INS'JR=R E:
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAIJEO ABOVE FORTr:E POLICY PERIOD INDICA7--ED. NOTWITHSTANDING
ANY REDUIRSVIEMT, TERM DR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT Wrr-H RESPECT T O 1hrI13H THIS CERTIFICATE MAY BE ISSUED OR
WAY PERTNN,THE WSUrPANCE AFFORDED BY THE FOLICIES DESCRIBED 1-z-;Ri EIN IS SUBJECT TO ALL THETERms, EXCLUSION'S AND CONDiIONS OF SUCH'
PDUGfES. AGGREGATE LIM7S SHOWN' MAY MAVE BEEN P DUCE:D BY PAID CLAVUS.
INS
LT
L'
NSRD TYPE OF INSURANC^ (
POIICY NUIFEP.
POS FJ--FFCTIVE
QATc IMNJ'JDIYY` (
POLICY EKRRATION
D1+T: LMWDOtYI'1
L1A6'S
I
GENERAL UAWU Y
C_ty of Miami DepartmeMt of Risk. Management
I
17nREN'Cc I S
CAF` -
PREMISES (Ea =uren 0 I S
C014MERMAL GENERA.. LIAB'L7Y
MED FO:P (Arty one pemm) I S
CLAIMS W'ADF a OCcJR
PERSONAL L AIN INJURY I S
GeNERALAGGRE'-GATE =
GENL AGGREGATE LIM7 AP PL'.S ?.R:
PiRODUZ Ii S - COMP7y AGG S
PRO-
PO_ICY cr:T LD✓
AUTWO:MLE
LIABILITY,
c
OOR{BIN=O SING LlldfT $
(ca axl)
ANY AIJ70
BODILY INJURY
f
ALL AWNED AUTOS
SGiEDUL`D AIJTCS
BODILY INJURY
(Pepe=yenL) S
HIRE AUTOS
NON-DV.�NEU W�70S I
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PRO?--R-.Y DAMAGE 5
--ar acddCil
L --GE LABILITY
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ANY AUTO
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PLITO ONLY: A. 5
I EXCES54UM1iFiEt.LA LIABILITY
EACH OCCURRENCE 5
OCCUR E:1 CLAM✓S MAD---
AGGREGATE- I5
IS
i DEDUCTI9LE
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WORK -RS COM:-NSATYJN AND
kS=,T:_�R 000062-04
12/31/2007
0-1/01/2009Ly
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I EL EAC;-! ACCIDENT S 1, 001), D D D
EMPLGYchS LIABSi Y
I
ANY PROPRIETOR/?A�iNERTX`cCU'T'=
OFF ICEPJMEM3ER:XCLU DED?
I F --L. DISEASE -rA EMPLOYEE S 1, 000,000
E.L. DISES=- POLICY LINK 5 1,000,000
e71Z'7, eundar
SPECIAL PROVISIONS below
OTHER
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DESCRIPTION OF OPERATIONS I Ltr-ATIDNZ )VEHICLES I EXCLUSIONS ADDED BY ENAORSEMW 1 SPECIAL PROVISIONS
Coverage is extended to the leased e4Ip10yeas Of alternate EnP10y8r (Alabama, Florida, G?Orgia, Indiana, Mississippi,
Texas and Mic_can Operations Orly) :Miami's River of Life, IsC. # 8006037 (Effective 3/1/08) DISQAI]+53: Th -e
Certificate Of Insurance does not censt_tute a contract between the issuing insurer(s), authorized represe_-ztative o
producer, and the ce-ti£inate holder, nor noes it affirmatively or negatively amend, extend or alter the coverage
afforded by the policies listed t-hereCn.
CERTIFICATE HOLDER CANCELLATION
ACORD 25 (2Q01108) V ACUKU GURYOKArION 1953
SHDULD ANY OF7HEABO'✓E DESCRIBED POI -ICES BE CANCELLED BEFORE 1HE EXPIRATION
DATE THEREOF,THE ISSUING WSURER WILL ENDFAVMTO KNL SO DA, S WRITTEN NOTICETO
THE CERTIFICATE HOLDER NAME=TOTHE LEFT, BUT FAILURETO DO SO SHALL WPOS'c NO
OBLIGATION OR L14BILI Y OF AHY MHD UPON THE INSURER, ITS AGENTS OR
REPRESENTATIVES
C_ty of Miami DepartmeMt of Risk. Management
AUTHORMED REPRESEWTATIVE
444 SW 2nd Avenue
Miami, FL 3313D
Page 1 0` 1
ACORD 25 (2Q01108) V ACUKU GURYOKArION 1953