Loading...
HomeMy WebLinkAboutCertificate of Liability Insurance--'-'-m 1 urII.A 1 C Jr LIAt3MLI I T ITM ETI[AIMs•-.L 1 iG/Lt71/ U4 PRODUCER OCG & Associates, Inc. 536 Biltmore WayHOLDER. Coral Gables, Fl. 33134 305 447 9577 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC#1 'ED De Hostos Senior Center, Inc. 2902 NW 2nd Avenue Miami, FL 33127 1305 573 6220 INSURER A: Scottsdale Insurance INSURER a Florida Retail Federation INSURER C: INSURER D: INSURER E: v 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 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 PAID CLAIMS. IN$A LTR AOWL ItSRCI TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM/DDIYY) POLICYEXPIRATION DATE/MOD/WY LIMITS A GENERAL X LIABILITY COMMERCIAL GENERAL LIABILITY CLS0620924 12/4/2004 12/4/2005 EACH OCCURRENCE $ 1, 000 , 000 PREMISES (Ea occurence) $ ! CLAIMS MADE X I OCCUR MED EXP (Any one person) $ 5,000 $ 1,000,000 PERSONAL BADVINJURY GENERAL AGGREGATE $ 1,000,000 GEN'L 7 AGGREGATE LIMIT APPLIES PEE', PRODUCTS - COMP/OP AGG $ 1,000,000 POLICY r--I jECOT pi LOC AUTOMOBILE " LIABILITY 1 E s COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Pet accident) $ • PROPERTY DAMAGE (Peraccident) $ GARAGE LIABILITY } , % 'A 4 + 'I"� D I- BOTHER 111 ,f AUTO ONLY • EA ACCIDENT $ THAN • EA ACC $ AUTOONLY: AGG $ EXCESS/UMBRELLA LIABILITY . ACD( _ EACH OCCURRENCE $ OCCUR L ICLAIMSMADE AGGREGATE$ $ $ $ B WORKERS COMPENSATION AND EMPLOYERS LIABILITY o FICERNE BER EXCLUDED? C"DvE If yes, describe under SPECIAL PROVISIDNS below FRFSIF052030553 04/07/04 04/07/05 X TORYLIMITTH- S OER E.L. EACH AGCIDENT $ 100,000 E.L. DISEASE • EA EMPLOYEES 100 000 r E.L. DISEASE - POLICY LIMIT $ 500,000 OTHER DESCRIPTION OF OPERATIONS / LOCATIONS 1 VEHICLES 1 EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Adult Day Care facilities for daily activities and fuctions. CGL Policy also includes by endorsements; Errors & Omissions coverage GLS 172S and sexual/physical abuse GLS44. • CITY OF MTAMI IS LISTED AS ADDITIONAL INSURED WITH RESPECT TO COM iERCIAL GENERAL LIABILITY CERTIFICATE HOLDER CANCELLATION City Of Miami Risk Management 444 SW 2nd Avenue, 2nd Floor Miami, Fl. 33130 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATI DATE THEREOF, THE ISSUING INSURER W}LL END OR TO MAIPO DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER yAM DUT pi'R-LEFT, RFAILURE TO DO SO SHALL i, IMPOSE NO OBLIGATION OR LIABILITI OF PINY NDI UPDN THE INSURER, ITS AGENTS OR � REPRESENTATIVES. /I!1 /,�/ AUTHORIZED REPR=SEI�TATIVE Ao../RD 25 (2001/08) ©ACORD CORPORATION 1988 ON A -CORD- CERTIFICATE Lir LIABILITY INSURANCE PRODUCER DCG £ Associates, Inc. 536 Hi -it -more Kay Coral Gables, Fl . 33134 305 447 9577 1 ._93-15e-E09 ai ni-O,= Centrgr , Inc. 2902 NW 2nd Avenue Amami, FL 33127 305 573 6220 COVERAGES 1 5/14,1UUn THIS CERTIFICATE 18 ISSUED AS A MATTER OF INFORMATION ONLY HOLDERND THISONFERS NO RIGHTS UPON CERTIFICATE OOES NOAM NECERTIFICATE Q, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE PQLJCIES BELOW. INSURERS AFFORDING COVERAGE INSURER A: rror14a ill.£Ta31 rederati.on ; INSURER B: INSURER C: INSURER O: INSURER E: NAIC N THE POLICIES OF INSURANCE LISTED SEI-OW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE TO ANY REOUIREMEi1T, TERM OR CONPITId►I OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT MAY PERTAIN. THE INSURANCE AFFORDED eY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TE C ES AGGREGATE L)IKTS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAWS- paLII I-Y MIRO TYPEOFINSURANCE POLICY NUMBER , CTI E P WZISIATI GENERAL UABtLITY COMMERCIAL GENERAL LIABILITY 1 CLAIMS MADE L1 OCCUR OEM. L AGGREGATE LIMIT APPLIES PER POLICY jT PI LPC AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON•OWNEDAUTOS GARAGE LIABILITY ANY AUTO p(CESSAJMBRELLA LIABILITY OCCUR Cl CLAIMS MADE DEDUCTIBLE RETENTION . S A W ORKER5 COMPENSAT)DN AND EMPLOYERS' LIABILITY MN POP IETORlP�RTIMENP(LCUTIVE' OFFICER/MEMBER ERCLUO€Q9' rree. deeento udder SPECIAL PROVISIONS below OTHER FAFSIF052030553 4/7/2005 4/7/2006 OFQ'RIPTION Of OPERATIONS 1 LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT 1 SPECIAL PROVISION6 City Of Miami . . Department. of Community D.V*loplotren.t 444 SW 2nd Avenue • 2nd Floor 1 iami r. Fl . 33130 --ORDTS(2BO1/Oi) • DATE T►IEREO, THE 1SSUINC INSURER WILL NOTICE TO THE CERTIFICATE HOLDER NAM IMPOSE NO OBLIGAT1oN OR LiADILITT OF REPRESENTAT1V1rs, ALITHORIaED REPR:E9ENTATIVE CMlG 1.1�►TION SMOUL) ANY of THE ABOVE DESCRIBED POLICIES RE CANCELED QEFORE THE EXPIR END IVOL TO M4 OAYS WRITTE EFS,.SUTIFAILURE TO DO SO SO E INSURER, ITS AGENTS XICY PERIOD INDICATED. NOTWITHSTANDING ;I IHICH THIS CERTIFICATE WAY BE ISSUED OR MS, EXCLUSIONS ARP COtiIpITTONS OF SUCH L IMfTIj3 EACH OCCURRENCE 3' PREMISES iEB Q rr•ncsl S MED €<P (Any spree perion) S PERSONAL 4AOVINJURY S GENERAL AGGREGATE S PRODUCTS - COMP/OP AGG S COMBINED SINGLE OMIT S BODILY INJURY (Pa person) s BODILY INJURY (PAT Accident) S PROPERTY DAMAGE cpsr ecclaMit) s AUTO ONLY . EA ACCIDENT S EA ACC $ OTHER THAN ALJTDONLY', AGC S EACH OCCURRENCE f . AQ43REGATE S _ i I s ----i{ i try x TORYLMfTS FR 3 EL. EACH ACCIDENT `1 100 004" / E,L. DISEASE • EA EMPLOY (]�{� f Too , c ` �I" E.L. DISEASE - POLICY LIMN S 5110 r 001 it .4 rr •nn /'-Y Inn