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HomeMy WebLinkAboutCertificate of Liability InsurancePRODUCER ANDERSON & JACOBY INSURANCE CO 7855 SW 104TH STREET :TIC #100 MrAMr _Fr, 3,3_15Fr INSURED MIAMI RIVER COMMISSION UM ROSENSTILE SCHOOL 4600 RICXSNEACKER CSWY SG207 MIAMI, FL .ACORD,M CERTIFICATE OF LIABILITY INSURANCE n,/12/2004 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 1 MT wen 9 INSURERS AFFORDING COVERAGE DATE IMM4DDIVYYYI NAIC # INSURER A: L$.gni? iTrR C 0. Oi AMBRSCA INSURER B: INSURER C: INSURER D: INSURER E: 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 DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 15 SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. POLICY EFFECTIVE NSA ADD'L POLICY NUMBER OATEIMMIDDIVY! LTA INSRD TYPE OFINSUjSANCE A A GENERAL LIABILITY x COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: 7 POLICY PRO- 7 LOC AUTOMOBILE LABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS g HIRED AUTOS X NON•OWNED AUTOS GARAGE UABILITY ANY AUTO EXCESSNMBRELLA LIABIUTY OCCUR I CLAIMS MADE DEDUCTIBLE RETENTION 5 BND-MIAM09-000000002835 END-MIAMO9-000000002835 01/22/2004 01/12/2004 OTS POLICY EXPIRATION DATE IMMlDDL Y! 01/22/2005 01/12/2005 ‘4Vy t:1 LIMITS EACH OCCURRENCE DAMAGE TO RENTED PREMISES IEe oecurenCal MED EXP (Any one person) PERSONAL & ACV INJURY GENERAL AGGREGATE PRODUCTS • COMP/OP AGG COMBINED SINGLE LIMIT IEa accident) BODILY INJURY IPer person' 1,000,000 $ 1, d 01111.0 5 70,000 er 1,000,000 $ 2,000,000 2,000,O40 I,000,00D BODILY INJURY (Par accident) PROPERTY DAMAGE (Per accident) AUTO ONLY • EA ACCIDENT OTHER THAN AUTO ONLY: EACH OCCURRENCE EA ACC AGG AGGREGATE s WORKERS COMPENSATION AND EMPLOYERS' LIABIUTY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below DESCRIPTION OF OPERATIONS / LOCATIONS !VEHICLES ! EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS CITY OF MIAMI IS NAMED AS ADDITIONAL INSURED. WC STATU- TORY LIMITS E.L. EACH ACCIDENT OTH• ER E.L. DISEASE - EA EMPLOYEE 5 E.L. DISEASE • POLICY LIMIT 5 CERTIFICATE HOLDER CITY OF MIAMI, ISA0A 444 SW 2ND .AVENUE 2ND FLOOR MIAMI, FL 33130 CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 45 DAYS WRITTEN NOTICE TD THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABIUTY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTOO D REPREE 1ATIVE .717 ACORD 25 (2001108) ACORD CORPORATION 1988