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HomeMy WebLinkAboutInsuranceG Acom- CERTIFICAT[ 3F LIABILITY INSURANCL OP ID 89,- ALLAP-3 DATEIMMIDDIYYYY) 08/21109 PRODUCER ' HORTON D. NEINLR/AMPAC THIS CERTIFICATE IS ISSUED AS A MATTgR OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE CORAL GABLES HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 3 62 MINORCA AVENUE ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. LTR CORAL GABLES FL 33134 Phone: 305-444-2324 Fax : 305-444-4980 INSURERS AFFORDING COVERAGE NAIL 9 INSURED INSURER A; 9130ttedala Insurance ca"ay INSURER B: NATIONAL LIABILITY f, FIRE GENERAL UAWLITY Ailapattah Community Action, Inn . 2257 N.W. N . River Drive Miami FL 33125 rnSURER c: — INSURER D: f 1, 000 , 000 INSURER E; X X COMMERCIAL GENERAL LIABILITY COVERAGES THE POLICO OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTMTHSTANDINC ANY REOUIREMMr. 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, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAD CLAIMS. LTR UIQ NB TYPE OF INSURANCE POLICY NUMBER DATE MYII� EXMIAkN DATEFECTIVE FOU" MP,, LIMITS GENERAL UAWLITY N OCCURRENCE f 1, 000 , 000 A X X COMMERCIAL GENERAL LIABILITY CLS 137 316 9 07/01/09 07/01/100 PREMISES Ee oeouroneo s 50,000. CLAIMS MADE X� OCCUR MED EXP (Any one peraenl s EXCLUDED PERSONAL 6 ADV INJURY 11 J 000a000. GENERAL AGGREGATE S 1,000,000. GEN'L AGGREGATE LIMIT APPLIES PER: FRODUCTS - COMPIOP AGG f 1J 0 0 O 000. POLICY JET Loc AUTOMOBILE UAMUTY 8 R ANY AUTO 73APN338708 12/06/08 12/06/09 (EMB4 D SINGLE LIMIT $500,000. ALL OWNED AUTOS BODILY INJURY f X SCHEDULED AUTOS (per Pereen) X HIRED AUTOS X BODILY INJURY f NON -OWNED AUTOS. (Per a=am) PROPERTY DAMAGE f IPer aWdo" GARAGE LIABILITY AUTO ONLY. EA ACCIDENT S ANY AUTO OTHER THAN AUTO ONLY: AGG S EIICE86IUMBRELLA LIABILITY EACH OCCURRENCE f OCCUR CLAIMS MADE AGGREGATE ! DEDUCTIBLE RETENTION WORKERS COMPENSATION AND Ulm - EMPLOYERS LIABILITY /// TORY LWRS ER ANY PROPRIETDRJPARTNERIEXECUTNE E.L. EACH ACCIDENT s OFFIOERIMT9MBER EXCLUDED? hyO!, dar«x(be under a ECIgL PROVISIONS ILL DISEASE - EA EMPLOYgE i esiew OTHER L. DISEASE - POLICY LIMIT I DESCRIP"T1pN Of OPERATIONS/ LOCATIONS J YENICLE8 / E1ICLUBIONB ADDED EY ENDORSEMENT J SPECIAL PROVISIONS ADDITIONAL INSURED -- CITY OF MLAM, CERTIFICATE HOLDER CANCELLATION CI TaNX SHOULD ANY OF THE ABOVE DE"MIBID pOurAEV ge CANCELLED gWo THE EXPIRATIp CITY OF M'IAMi DATE TNER60F, THE ISIUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN RISK CERTIFICATE HOLDER NAMED TO THE LEFT. BUT FAILURE TO DO 50 SHALL 444 SSP 2 AVE, 3rd FLOOR IMPOSE ND OBLI ON OR LIABILITY OF ANY KIND UPON THE INSURER I'M AGENTS OR MIAN2 FL 33130 RE9EIrr ACOAD CERTIFIGAT" OF LIABILITY tNSURANC OP ID EG DATEIMM1DOMM) ALLU-4 08118/09 PRODUCER THIS CERTIFICATE IS ISSUED AS A PATTER OF INFORMATION 14OR'r0W D. MINER/AMPAC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE CORAL GABLES HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 3 62 MINORCA AVSN= ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. CORAL. GABLES FL 33134 Phone:305-444-2324 Fat;x:305-444-4980 INSURERS AFFORDING COVERAGE NAIC6 INSURED INSURER A: Florida Retail Federation INSURER S: Allapattah Community INSURER Action, Inc. _ 2;57 NF'L.33i2River Drive INSURER D: MiaINSURER E; CnVFROGFS 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 AW CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BYTHE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CIMS. LTR NSR TYPEOF INSURANCE POLICY NUMBERFOUL DATE MMIbD A MMIDD LIMITS GENERAL LIABILITY EACH OCCURRENCE S PREMISES(Ed ocarenoe S COMMERCIAL GENERAL LIABILITY CLAIMS MADE a OCCUR MED EXP (Any am person) S PERSONAL Z ADV INJURY S GSNERAL AGGREGATE S GEWLAGGREGATE.LIMITAPPLIES PER' PRODUCTS -COMP/OPAGG t POLICY JECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S ANY AUTO (Ea aaldenl) BODILY INJURY ALL OWNED AUTOS SCHEDULED AUTOS (Per perew) S HIRED AUTOS i, '1 BODILY INJURY NON-O NON -OWNED AUTOS .I,I (Per accid6n) s PROPERTY DAMAGE S (POr ewhknq GARAGE UANLm//! AUTO ONLY • EA ACCIDENT I OTHER THAN EA ACC S ANY AUTO HAUTO / ONLY: AGG f EXCESSIUMBRELLA LIABILITY / EACH OCCURRENCE S OCCUR LJ CLAIMS MADE AGGREGATE s S DEDUCTIBLE S RETENTION i S WORKERS COMPENSATION AND TORY LIMITS ER A EMPLOYERS LtAOIIITY 520 ANY PROPFiIETOR+lPARTNETiIEXECUTIVE 25068 0000 06/13/09 O6/13/1 LEACHACCIOENT13100,000. OFFICERNEMBEREXCLUDED7 LE-LDISEASE EA EMPLOYE $100,000. Iyyse. demob under SPECIALPROVISIONSbelow E.LDISEASE •POLICY LIMIT $500,000. OTHER DESCRIPTION OF OPERATIONS! LOCATIONS I VENICLEa I EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL FROVISIONS Locations 2257 NW R River Drive, and 1836 NW 22nd Place TE City of Miami Department of Public Faeilitie Asset Managwwnt Division 444 SN 2nd Avenue, 3rd Floor Miami FL 33130 SHOULD ANY OF THE ABOVE VFMRIBED POUCIBS BE CANCELLED 6EFORE THE EXPIRATIC DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL LIGAKpo�TION SILM OF ANY KIND UPON THE INSURER, ITS AGENTS OR lMPO 25 (2007108) 0 ACORD CORPORATION 19ee ACOHD. CERTIFICATE F LIABILITY INSURANCE ALIO EQ- ALLAF3 DATE (MM/ODJY 06130/09 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION MORTON D. WEINER/AMPAC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE CORAL GABLES HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 362 MINORCA AVENUE ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. LIMITS CORAL GABLES FL 33134 Phone : 305-444-2324 Fax: 305-444-4980 INSURERS AFFORDING COVERAGE NAIC I INSURED INSURER A: a0ottadala InaUWAAp SE-- Tr .INSURER 8; Allapattah Community A,C tion, Inc. 2257 N.W. H. River Drive Miami FL 33125 INSURER C; INsuRERD: INSURER E: CLS1373169 COVERAGES 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 CONTRACTOR OTHER DOCUMENT VATH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BYTHE POLICIES DESCRIBED HEREw IS SUBJECT TD Aty THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INUK LTR NSRj TYPE OF INSURANCE POLICY NUMBER POU AR DATE MM DATFRIE MMI00 LIMITS GENERAL LIABILITY EACH OCCURRENCE f 1,000 000• A X X COMMERCIAL GENERALLIABILrTY CLS1373169 07/01/09 07/01/10 PREM16E8 Eeoawanea s 50,000. CLAIMS MADE XX OCCUR MED EXP (Any an person) S 5,000. PERSONAL A ADV INJURY S 1 r OOO OOO . GENERAL AGGREGATE i 1 0001000. GENL AGGREGATE LIMIT APPLIES PER. PRODUCTS -COMPIOPAGO a1 000,000, 17 POLICY M ECT LOC AUTOMOBILE LIABILITY COMBPJED SINGLE LIMIT f ANY AUTO (Ea accIdBnt) ALL ONMEO AUTOS BODILY INJURY SCHEDULED AUTOS (PK Parson) i HIRED AUTOS BODILY INJUAY 3 NON -OWNED AUTOS (Per a=Went) PROPERTY DAMAGE : (Par acddoWl GARAGE LIABILITY AUTO ONLY -EAACCIDENT i ANYAUTO OTHER THAN EAACC S AUTO ONLY: AGG f EXCESSAJMBRELLALIABILITY EACH OCCURRENCE is OCCUR M CLAIMS MADE AGGREGATE S DEDUCTIBLE f RETENTION f f WORKERS COMPEIIJSATION AND TORY LIMITS ER EMPLOYERS' LIABILITY E.L. EACH ACCIDENT S ANY PROPRIFTORMARTNEWEXECUTIVE OFFICERIMEMBER EXCLUOEDT EL. DISEASE • EA EMPLOYE f IT N dasonibe loldel EL DISEASE -POLICY LIMIT S SPECIAL PROVISIONS Wow OTHER A BUILDING CF3fl928B54 07/01/09 07/01/10 SPECIAL $491,587. A CONTENTS OPS0928854 07/01/09 07101/10 SPECIAL P150 000. DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES anr•Ta T. 0401ITI►C nonn_nau 4/a6 I EXCLUSIONS ADDED BY ENDORSEMENT "*fent,. I SPECIAL PROVISIONS c—vivaa-. cvas i—JQi6Yi LOSS PAYEE AND ADDITIONAL INSTJ1tiED—LESSOR: CITY OF MIAMI CERTIFICATE HOLDER *1 CITYOMI ENOULLANY OFTHE AllOVEDESCRIBED POLICIES BECANCELLED8E>'ORETHEEXPIRATIO DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN CITY OF MIAMI NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT FAILURE TO DO SO SHALL DEPAR=aNT OF ASSET MAN)2ZffNT 444 Southwest 2 Ave • 3rd. Floo MPOSE No OBL ON ORtlAetuTY OF ANY KIND UPON THE INSURER, ITS AGENTS OR MIAMI FL 33130 r 100) CORP AGO_ D CERTIFICATE OF LIABILITY INSURANCE OP 10 EG DATE(MMMDNYYY) ALTJAP-4 08/18/09 PRODUCER MORTON D. WEINER/AMPAC THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE CORAL GABLES HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 3 62 MINORCA AVENUE ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. CORAL GABLES FL 33134 Phone: 305-444-2324 Fax: 305-444-4980 INSURERS AFFORDING COVERAGE NAIC 4 INSURED INSURER A: Florida Retail Federation INSURER H: R: Allapattah Community Action, Inc. 2257 N , W. N River Drive Miami FL 33125 INSURER INSURER D: INSURER E; COMMERCIAL GENERAL LIABILITY COVERAGES THE POLICIES OF INSURANCE LISTED BEI.OW HAYS BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POUCY PERIOD INDICATED. NOTWITHSTANDING ANY REOUIREMENT. TERM OR CONOITION OF ANY CONTRACT OR OTHER DOCUMENT WTH RESPECTTO "irH TNI$ CERTIFICATE MAY SE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BYTHE POLICIES DESCRIBED HEREIN I$ 9USJECTTO ALL THE TERMS. EXCLUSION6 AND CONDITIONS OF SUCH POLICIES. ASCREGATE LIMITS SHORN MAY HAVE AEEN REDUCED SY PAID CLAIMS, LTR NSR TYPE OF INSURANCE �u�' NUMBFx FULIGY OATe MNroDm A E MMIDD LIMITS GENERAL LIA9IUTY EACH OCCURRENCE $ PREMISES (Ea occurenoe b COMMERCIAL GENERAL LIABILITY CLAIMSMADE r7 OCCUR MED EYP (Any "PereoM S PERSONAL L ADV INJURY S GENEMLAGGREDATE S PRODUCTS - COMP/OP AGO / 'GEML AGGRELRArT APPLIES PER: IGATE — POLICY I 7 LOC AUTOWOOILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (EaaoWen0 3 . BODILY INJURY (Perperacn) I ALL O MED AUTOS SCHEDULED AUTOS BODILY MJURY 3 (Pw Bcdaem) HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE I (Por F=Idenq GARAGE LIABILITY ( AUTO ONLY • EA ACCIDENT 8 OTHER THAN EA ACC S T_ AUTO ONLY: AGO i ANYAUTO EXCWX3 MERELLA LIABILITY EACH OCCURRENCE 3 OCCUR CLAIMS MADE AGGREGATE S I DEDUCTIBLE _ RETENTION ITFr I A WORKERS COMPENSATION AND EMPLOYER9'LIARUTY ANY PROPMETOWPARTNER/EXECUTIVE OFFICERIMEMSER EXCLUDED7 Nyyea deet the under SPECVIL PROVISR7NS bplmv 520 25068 0000 04/13/09 06/13/10 %t I TORY LIMITS ER E.LEACHACCIDENT 3100 000. E.L DISEASE - EA FMPLDYE S 100 , 000 . E.L. DISEASE • POLICY LPA F 14500.Z000. OTHER DESC MON OF OPERATIONS I LACAITONS I VEFIICy Pi I EXCLUSIONS ADDED BY ENDORRFUENT! SPECIAL FROVMIONS Locations 2257 NW R River Drava, aAd 1836 NW 22nd Place CERTIFICATE City Of Miami Department of Public Pacilitie Asset Management Division 444 SW 2nd Avenue, 3rd Floor Miami FL 33130 SHCVL17 ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRAT)0 DATE THEREOF, THE A38UING INSURER MLL ENDEAVOR TO WAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLOSK NAMED TO THE LEFT, BUT FAILURp TO 00 80 SHALL OF ANY KIND UPON THE INSURER, ITS AGENTS OR A_CORD. CERTIFICATE OF LIABILITY INSURANCE OP ID EG DATEMMAEVYVVY1 ALLAP-3 06/30/09 PRODUCER MORTON D. WEINER/AMPAC THIS CERTIFICATE IS ISSUED ASA MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE CORAi GABLES HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 362 MINORCA AVENUE ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, LIMITS CORAL GABLES FL 33134 Phone: 305-444-2324 Fax:305-444-4980 INSURERS AFFORDING COVERAGE MAIC Ir INSURED INSURER A: AeeLeedala InsurADes CaRvanY INSURER 9;--- Allapattah Community Action, Inc, 2257 N.W. NRiver Driva Miami I'_, 33i25 INSURER C; INSURER D: INSURER E: CLS1373169 COVERAGES 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 COCUMENT VNTH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 16 SUBJECT TO ALL TIHE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE VEEN REDUCED BY PAID CLAIMS. LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE MMID DATE IMMIDngN I LIMITS GENERAL LIABILITY EACH OCCURRENCE A 1,000,000. A X R COMMERCIAL GENERAL LIABILITY CLS1373169 07/01/09 07/01/10 PREMISE tents s 5D 000. CLAIMS MADE a OCCUR IAED EXP (My ane person) S 5,000. PERSONAL 6 ADV INJURY S 1 , 0 OO 000 . GENERAL AGGREGATE s 1 000, D00. CENT_ AGGREGATE LIMIT APPLIES PER PRODUCTS-COMPIOP AGO is 1,000,000. POLICY JECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO Ir;v eaddang S ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY NON -OWNED AUTOS (PDT aockwt) _ PROPERTY DAMAGE S (Per seddanl) GARAGE UABILITY AUTO ONLY -EA ACCIDENT $ ANY AUTO OTHERTHAN EA ACC S AIITDONLY: AGG i E7ICE56/UMBRELLA UABIUTY EACH OCCURRENCE $ OCCUR ❑ CLAIMS MADE AOGREGATE S S DEDUCTIBLE $ RETENTION A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY TDAY LIMITS ER _ E -L EACH ACCIDENT $ ANY PROPRIETORIPARTNERMXECUTNE OFFICERMIEMSER EXCLUDE07 F.L. DISEASE • EA EMPLDYEP4 S N ea dZ20*0 uny� EL DISEASE - POLICY LIMIT i SPECIAL PROVI81ONS Delew OTHER A BUILDING CPS0929854 07/01/09 07/01/10 SPECIAL $491,587. A CONTENTS OPS0929054 07/02/09 07/01/10 SPECIAL I50 000, DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENOORSEMENTI SPQCIAL.PROVISICNB SOCIAL SERVICE PROGRAM FOR ELDERLY LOSS PAYEE AND ADDITIONAL INSURED -LESSOR: CITY OF MIAMI CITY OF MIAMI DEPARTMENT OF 444 Southwest MIAMI PZ 33130 tiANL =L ATION CZTYOMI I SHOULDANT Or THE ABOVE DESWUSED POLICES ELF GANCELLED BEFORE THE DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAH. 30 DATE WRITTEN N017CETD TME CERTIFICATE HOLDER NAMED TO THE LEFT. BUT FAILURE TO DO SO SMALL 2 AVG . 3rd, F1oo MANAGEMENT MPOSE NO DL O HN OR LIABILITY OF ANY KING UPON THE INSURER ITS AGENTS OR 2 vs ACORD 25 (2001/08) 47ACOR0 CORPORATION 1988