HomeMy WebLinkAboutCertificate Of Liability Insurance 309/26/2006 13:48 3056346124
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CERTIFICATE OF LIABILITY INSURANCE pDora
RR� PautsR ($Of) 822-1Oo FAX TN* CERTIFICATE 13 Ia$ iE0 AS A MATTER OF INFORMATION
Collinsworth, Alter, Fowler,
P. 0. sox 9115
Miami Likes, FL 33014-33A5
Lee Fowler
'tome Isar ant (Mstrtc34on, Co.
75110 NAM, 77th COupt
Hand, FL 33166
Dallrl ing 8 French HO HOLDER. CONFERS
e C� )C RIGHTS
HDO Es OTYA EXTEND OR
ATER THE GQYRIRAOC AFFOIWID SY T i,,Clel ,0_
INSURERS AFFORDING COVERAGE
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PSukERA: Aserisure Insurance Co
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09030
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THE POLICIES OF INa4RANCE LIMO DiLQW HAVE; SEEN ISSUED TO TrIF INSURED NAMED AEDVE FOR THE POLICY Pri OO t4DICAT[p. NOTWITNsTAN0(NG I
ANY IR;e0UIRIAKNT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DQCUmew WITH RESPECT TO WHICH'mg CERTIRcATE AV1Y OE IS$ JED oR
MAY PgiTAIN, vie IfiSuRANCI AFFORDED EY THE POLICIES DESCRIRRD HEREIN Is sua.ffiCT TO AU THE TERins. ExCLUSIONR3 AND CONDITIONS OF ®Urw
POurre$. AGGREGATE LIMITS MAN ft4 MAY I'4AV8 WEN RE0UCEo sr PAID CLAIMS
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DisCRMTRON I 0 ERATIO r u3DASIONS / VE4IC►.!b r PKCI.U/SOPS ADDEO EY!I.DORSSMENT / PIMA!, IMAIn$MNI
RE: Ralph Pl' az■ II
Certificate Holder is named as Addi%ional Insured on the General Liability and Auto Liability
insurance for operations being perforned by insured.
"lxplotion, Collapse 61 Underground" Independent Contractors.
CAHGL, A3I0N
.4s J... I . • ► •
City of MiAMiami►NLLSAI
I SoutD MY OF THS AOOLIE M&CRnO P0UOtt YE COMMULD seam Mt
som A1ON DAT4 TNERPOF, 111i IQOUINQ W WRLR NIL. LNO$AVCR Te rM L.
.3QDiwswRmENNomA4ro TOE CLR 1 AT3HasaNAMIEItMsL5:T,
Sur ro mµ. SUCH NOt30s SHALL NMIORR NO OSLIOATT0II OR LI.3 $J ly
ANY KIND WIN The INSURER, re � REPRAUNTK1NDS
444 SW 2nd Avenue
Miami, FL 3113E
AD/1012ED RS/R1RSNt'ATW1 �dl //,, �l
Lae Fowl er/A1.1t�A_- , /('�
tCORD CORPORATION 1988
ACORD 23 (2001/08)