HomeMy WebLinkAboutCertificate of Liability InsuranceOP ID KT
ACOR?3 CERTIFICATE OF LIABILITY INSURANCE TtJELO-x
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DATLRMMIDYYYY)
12/12/06
PRODUCER
Preferred Services Group
707 Westchester Ave. , Ste 201
White Plains NY 10604
Phones 914-683-3990 Fax:914-948-9560
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND
ALTER THE COVERAGE AFFORDED BY THE POLICIES
OR
BELOW.
INSURERS AFFORDING COVERAGE
NAIC 8 w
INSURED
SUR
rue1 Miami LLC
2166u0niNorth312MiamiAvenue
MiINSURER
INSURER A: Twin city Firs 7.dsursaa■ Cu
347
INSURERS:
INsuRERC:
INSURER0:
__,
E:
V V,
THE
ANY
MAY
POLICIES.
L IN$
LffW
POLICIES
REQUIREMENT.
PERTAIN,
E
OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS,
TYPE OF INSURANCE
POLICY NUMBER
E e T�yE
%AWE IMIPA 00AYY)
pp �y qp
DATE (�DIVY)
LIMITS
A
X
GENERAL
X
LABILITY
COMMERCIAL GENERAL LIABILITY
121:T>ENTG0261
02/01/06
EACH OCCURRENCE
$ 1000000 -
5 300000
02/01/07
OAMAGC 1vRenrtiv
PREMISES jE,ocanna)
MED EXP (Any ono parson)
$ 10000
! CLAIMS MADE xi OCCUR
PERSONAL Al ADV INJURY
5 10 000 00
"
GEN%
GENERAL AGGREGATE
$ 2000000
AGGREGATE Limn APPLIES PER:
PRODUCTS -COMPIOPAOG
$ 2000000
POLICY si n LOC
r,mp Ben.
1000000
^
X
AUTOMOBILELIASRJTY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
121TENTGO261
0 if
02/01/06
I II
02/01/07
, to U ,
ip.i
COMBINED SINGLE LIMIT
{6$5Cdde1)
51000000
BODILY INJURY
(Par smart)
$
_�
_
X
X
X
BODILY INJURY
IParaccXlsM)
$
PROPERTY DAMAGE
1
GARAGELIASILITY
H-.
ANY AUTO
,,tyy I
AUTO ONLY - EA ACCIDENT
$
EAACs
OTHER THAN
AUTO ONLY: AGO
.... ..�.,,_..
$
EXCESS/UMBRELLALIABILITY
OCCUR u CLAIAISMAOE
v
12XHWiC8891
02/01/06
02/01/07
EACH OCCURRENCE
$
AGGREGATE
5 10000000
5
DEDUCTIBLE
$
5
RETENTION 5
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER:EXECUTIVE
OFFICER/MEMBER EXCLUDED?
II1y1s AI. PRO I$O
9PEL�IAL PROVISIONS hNaw
-
TU
TORY LIMITS DER
E.L. EACH ACCIDENT
1
'
E.L. DISEASE • EA EMPLOYEE
5
E.L. DISEASE • POLICY LIMIT
$
OTHER
DESCRIPTION OF OPERATIONS A LOCATIONS! VEHICLES! EXCLUSIONS ADDED BY ENDORSEMENT! SPECIAL PROVISION
The Certificate Molder is included as an additional insured under the
Comprehensive General Liability Policy and Commercial Automobile Policy
effective December 7, 2006.
CERTIFICATE HOLDER
CITYo02
The City of Miami
Attn: City Manager
444 S.W. 2 Avenue, 10th Floor
Miami FL 33130
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THIRIOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, OUT FAILURI TO 00150 SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
REPRESENTATIVES,
REPRSlf}EAT1
ACORD 25 (2001108)
QI ACORD CORPORATION 1988