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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