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HomeMy WebLinkAboutInsurance203/16/2007 10:eb 3056661366 TONY FALCON PAGE 02 ACORD,., CERTIFICATE OF LIABILI TY INSURANCE DATE (MMIDD/YYYY) 03/16/07 PRODUCER TONY F4..CON INSURANCE AGENCY 5900 SW 13 ST SUITE 106 SOUTH MIAMI, FL 33143 IN$URFD ONE AR1, INC 4141 NORTH MIAMI AVE MIAMI, F► 33127 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. INSURERS AFFORDING COVERAGE INSURER A. ALLSTATE INDEMNITY QOMPANY INSURER B: NAIC INSURER C: INSURER D: INSURER E: COVERAGES THE POLICES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING . ANY REOt, REMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTUN, THE INSURANCE Af FORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. 1GGREOATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INsk A00'L, 'LTR ion TYPj OF INSURANCE GEMEML UAMUTY COMMERCWL GENERAL U XBILITY C AJMS MADE K OCCUR 'G YLAGGREGATE LIMIT APPU'S PER. POLICY 7 7,07. r 1 LDC AU 'OMOBILE LIABILITY ANY AUTO • ALL OWNED F.UTOS X SCHEDULED AUTOS X HIRED AUTOS X NONOWNEDAUTOS POUCYNUMBER 048641865 POLICY EFFECT/ DATEIRNDDMO 12/19/06 P0ATE1 EXPIRATION DmJ 12/19/07 LIMITS EACH OCCURRENCE OAatE TO RENTED PREMISES IEe ac..vlrwe) MED EXP (Any one potion) PERSONA. & ADV (NJURY $ $ 1 $ GENERAL AGGREGATE 1 PRODUCTS - COMP/OP AGO 1 COMBINED SINGLE LIMIT (Es sadder/0 $ 1,000,000 BODILY INJURY (Pr person) 1 BODILY INJURY (Pet model%) $ PROPERTY DAMAGE (Pa/ sodden) $ 09IA0E LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT OTHER THAN AUTO ONLY: EA ACC AGG $ S S EI ESbUMBRELLALIABILITY OCCUR . CLAIM: MADE DEDUCTIBLE RETENTION EACH OCCURRENCE 5 AGGREGATE 1 1 ISPECIAL )i OV l N30 below WORKER COMPENSATION AND EMPLOY411• LIABILITY ANY PROMGETORIPARTNER/EXECUT'INE OFFIGERARGADER ExCLu0E0T I OTHER J 1 MSC STATU- aTH- TORY LSAtTS I i FR., 1 E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLO $ E.L. DISEASE - POUCY UNIT 1 SCRIPTION CF OPERATIONS/ LOCATIONS 1 VEHICLE$ I EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS ADDITIONAL INSURED PAR"IES ARE AS FOLLOW; MIAMI-DADE COUNTY/DEPARTMENT OF RISK MANAGEMENT; THE CHILDEPN TRUST; THE CIV' OF MIAMI. RTIF)CA—E HOLDER HE CITY OF MIAMI 14 SW 2}d AVE IAMI, FU33130 i CANCELLATION SHOULD ANY OF THEABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSOb G INSURER WILL ENDEAVOR TO NAIL 30 DAYS WRITTEN NOTICE THE CERTIFICATE HOLDEN NAMED TO THE LEFT. BUT FAILURE TO DO 50 SHALL IMPO O� T1ON OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR SENA TNORIZED c) 3RD 25 2001/08) ® ACORD CORPORATION 1988 SENT EY: CHAPLAIJ 8 CASTRO INS; 30564 91513; APR -1 1 - 07 1 0 : 05AM; PAGE 2/2 ACORD, CERTIFICI. i E OF PRODUCER Chapfan & Castro Insurance 2293 S.W. 1st St Miami, FL 33135 (305)541-4009 INSURED ONE ART , INC 4141 N. MIAMI AVE SUITE 300 MIAMI , FLORIDA 33127 COVERAGES LIABILITY INSURAI :E °A3/2 07 (HIS 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 p9LICIES DELOW. INSURERS AFFORDING COVERAGE INSURER A FIRST COMMERCIAL INS. CO. INSURER B. INSURER C. NAIC # INSURER 0. INSURER E. INSURER F I THE POLICIES OF INSURANCE LISTED HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING iLtisR 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 NAVE BEEN REDUCED BY PAID CLAIMS. ADM POLICY ecF TA MIND TYPE OF INSURANCE POLICY NUMBER °ATE i �1 r...i GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY E1' I CLAIMS MADE T OCCUR I:J U GENL AGGREGATE LIMIT APPLIES PER POLICY 0 PROJECT _J LOC POUCY !XPINATION OATS 1MWDWYh LIMITS EACH OCCURRENCE DAMAGETO Reams -- PREMISES (Ea occurenoel MED EXP (My ono person) PERSONAL Il ADV INJURY GENERAL AGGREGATE PRODUCTS - COMP/OP AGG IJ { AUTOMOBILE LIABILITY ANY Auro 0 ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS LI NON OWNED AUTOS II GARAGE LIABILITY ANY AUTO II EXCESS LIABILITY U OCCUR L CLAIMS MADE Li DEDUCTIBLE rn 1 RETENTION A COMBINED SINGLE LIMIT (Ea acclden!) BODILY INJURY (Per person) BODILY INJURY (Per occident) PROPERTY DAMAGE (Per accident) AUTO ONLY - EA ACCIDENT OTHER THAN AtJro ONLY: EA ACC AOG EACH OCCURRENCE AGGREGATE WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/ PARTNER / EXECUTIVE OFFICER / MEMBER EXCLUDED? If yin. caseate under SPECIAL PROVISIONS below OTHER 26218 01 /06/07 01 /06/08 J WC STATU- L I oTH- TOfEY LIMITS ER E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE E.L. DISEASE • POLICY LIMIT 100,000 100,000 500,000 DESCRIPTION OF OPERATIONS 1 LOCATIONS / VEHICLES / EXCLUSIONS ADDEO BY ENDORSEMENT / SPECIAL PROVISIONS ART ACADEMY - MUSIC EDUCATION CLASSES CERTIFICATE HOLDER CANCELLATION CITY OF MIAMI 444 SW 2ND AVE MIAMI, FL 33130 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE ExPIRATION DATE THEREOF. THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE MOLDER NAMED TO THE LEF �- UT FAILURE TO DO SO SMALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY " . UPON THE INSURER, ITS ENT9 OR REPRESLNTATNES. _ J AUTHORIZ: : REP SENTATIVE ACORD 25 (2001/08) 4aACORD CORPORATION 1088 • ki�iE:�I:;s`�:. .�'_ {'i�.%iS� !6A� {��'Ziir�; ��.<< • C kPY6fi±6Egce,_ Ft.. _'1lCi if=,rE UfYI'=, P.4 box SSLEE 1 .-.- iRD :ft�E ra:�-C`,���J r . _ MOLY AN COWERS 11m RIlI WE UPSt(e 71+1E .oil vrtiFIQA n +t ir11l3SBIL IMRE CeitreicaTE @OM s'TAMMO, memo T INSURERS APPOPENEr COMMIE i '•'= ::`.._..._ —I LNWf+eiA S` I _._. , BREW II C.—_____4 _..- ---.. MUMPS: Ss �-,.--_-- INSURER F: THE FOIIC:IEES OF DJSURANCE LISTED MAYS N ER ISSUED IT `ME move NAMED ove FO1 THE POLICY Maw WOICATED. !sari I` s:r.e.al"dopa. ANY RE ARBIRsAl , WM Oh CI DT1OI(. OF AM' OONIVADT OR CTNC DIXISFEFFT 1MTH RESPECT TO WHICH THIS CaToFICATC tik4Y Mif R iJfi. Oh vAY PRRTAIRI. THE INSLINANce AFFORDED BY THE POL CM8 OEaci'vzeb HSRSIN 14 9 I JECr TO 81S.t. VIE TERM. OlDLUSCONE ANIC' ''+FCtf' '.dfi Ck7 .Z. V\:: i': POLICIES. ASiGREEGATE UIIIfMM SHO*K Pv1kt'' HAVE Mitt R DIJC�► BY FAIR . ---_ _.._._I L U 1 _ i . ,.,. 'MS Of Mi11Ml1A � IJ.."t- [..fIC`g'3R . � AMC �� 6fIhYNE: . Wilegil. EJAOF.lT'Y 1 j MUIR OOCLIRRENNC5 7 �f1S7,0t3; I I _ _ _m.. GENERAL _ ck'2Fri LTeli. :,..,,-- 071b17V< V•: I:,r;: f ..Btu , 'r00,a i S� or (Alf on pinion] I 5.OUJ 1- Qi t' WADE at GS%Ces°i PERSONAL `J!W INJURY .00O� Q 1 1 I 11►L AQrwIRR�G.iE i rO� tt . Q o &AO�'r TE Li iirkol'�.!` : PRF,i) i PR�DOLII.'fE- COM140F A is LOC 503• o I - 1 -�._... G 'ail�Y 0 rRw�zf 0 . ...i._ - AttIOMG!!E LPAOW?1' . O ANY AUTO • C _ I:11 A.LL MI - i FIt> t C;'E. BODILY fNJUR`dlu somouLEC Aifl _- (1'M fora BODtY IN.IUir (Par ao�earq Q i REo,4u7OS O N.^IdGOIPIEIIAl'la "-1 C.; 10 Q Ac:�v II Ly L LIBLTti 0 OCCUR . r— i /osotocrelA ❑ RErewroR �i WJ AP ANY PIIOEQEMON, PARTNER i 1T r:G'f �' M RCiR inF.JIT�-U[7a? IISnots nUSr F 9lSC OF OPERATIONS P f OMIT/On 1 YEQCB g$1 AMES BY ERIDORiiMErt 1 -`i. PIICMQMe On dirt, Ira provided rouble programming at Shadowlawrr Eie seat y wed a �14e NW 40 Streak wig rnflee sU ati 4 t 4144 Nortlh Miami AMMO, Suits 300, Miami, FL 33127. ^ertl Holder is a1 Addfionat Insured. AUTO ONLY: Lyn THIN .E! .B a l-j AGC3 SAGE OOCURRENIA I o SINGLE Lfl lT AQOREDATE I_J gktg _:WIT EL, oiss•se ,EAstetowi E.L. OrEAsE. PoLJCY LAW ci'FRWICA4E G OLDER 111E My of feOlarre 444 M tf 2nd Avenue 'Wont. 11ZEIP AcoR0 iiE (MUSS) CANCELLATION 1 91HOILD MT OF ME move ROIL eet POMes OE CAROO Lu1R aeFi7Re comemnom DATR1RERSOF. The MUMS * IM1lR wax W*AMOR TO MAC., 30 Dims MRITrEN NOT =S 7O THE OEMENGATE MOLDER NAME Yo OUT/eAL1IRE TO DO SO AHEM RPM No OiLI@ATICN Ofi F.IimE i i OF ANY Kee wow TIE siIR11IESR. fl* ROMS OR NEIIMENSITAIRree. C ACOno CO ORA790P1 IBBB ?„ (SF1„t k`idc f\"1=zWtf UirarM, Fr ;ik: r, 27 ..: TIME CLRICIWCAT'E Ek cFr i AE.".�( rEa t = t'r_yFCIt4Er�r/4Y 0,,,; 'BURS J 01.' /R L r.:5' MGM t u'®C ?'ems VE,F.TfrICA - • 1,104.016a.11416 C 'IC /W . I. ALTER 154E_CpyRaNNAMIRCW StOnstate AFFORDS'S Q45FORABE 1 J:Ist /.; 4.Ft9Le'Ec:L E EaE- totF is ?c, ' Lrisur @; Ij ix BE V RAGeS , Ia*ER F: r FI♦@ POLICIES Or MIRANCE UtTED HAVE BEEN Souza y0 Tat NEMEC NAMED AAOV! PDX ME POLICY PERRIOLY INDICATED. Nar�+MTFR TiaPtD51 �: F NYREGUIRMBif. TERM OR ComorliON OF MY CONTRACT OR QTYIER COCLIAINT WITH AggeEK-T. TLC VJiTh 1 THIS CERPFICAIE Pk&? BE t93UE'C L! 6%YPRATAKLTHE BIBLIRANCZArPORDSOIiY1) ibOuCiE6 cesoluticeMI I NJ SUBJECT TOALL THETEIN IDIXLISIOAMAUliCOIUTIriSat?OP«.^^-•` POLICIES. ABATE WAFTS SHOWN NAY P VE SEEN R®UDEC WPM" CLA& YT?EOFStrBURAI a __i i,S',. V.111,9 fp' 1 Ws wroanYi r !razorems qiihdRAL UM LITY 1 COMMERCIAL GVESAAL L! jE`^ a* 1 fst Q 3`P-ti' ©O CLea>ka ff c..4-4m. !! 1 I Lj 0 PQICY ❑ PAD ❑ LOG_ lair/mom/ Lukaiiirt ANY Atin, Q Mi ann+ED AUTO I. sCH A f ( 113 HIRJ?DAUTOS I ! ! 0 r. tL OWNED PAR•04. '0 GARAGE LERar r ART AUTO MEW LiAgEff, n OCCUR [,1 ova".ZF's.ar'a I 10 C DUCTT$L6 ! 10 MINTON imoNconsecommiAvor.iNao LarPLORaar LJABltrrr IANY PROPRIETOR 1 PARTNER f I ECIr ,' OFFICER MEMBER ERG-Ulia? 1 eyes, aladlbe tndsr SPECIAL PROVBIONE Wow t' • OMR - i 1 i 19ESGI1pmak OF OPl1!LT o 1 LQ]^.�iRont "t/!K'!.G*Js 1 p?rz tILl9L"cE D EY EDOIEBBIEAIT 1 SAW:1P.�. a r tf Vacant Lend Only F1k_v-e iAGNOCcunaBI1GC Gd1c,aJJf� 1 �.. ioo,00r+ MD., Ow cffle preen) 5,000 slwSCHAL S ADV NJw"€t' r ` .00040o I tni/RALAOOREGATE 4 5 ,OOQ,00P 1 PRODUCTS -CObIP OF AGG ! 'i ,000,000I J GOM> no siK .E Le `71- c��o I BODRY INJURY BODI.Y FUMY PROPERTY °AWARE CPR' aeaer+4 + — AUTOONLY. EA ACCIENT QTHUM IRAN I ACC +I AUTO ONLY; A00 J I EAOH 0OCURRANCE AOOpCATJE 1 CERTIFICATE OLDER The ally a' Warn, 444 SW 2Rd w.cwr RJiisrrlE, F. 11m, EL EACM ACCIDENT Lt. =BEARE—EA EaMPterTEE EL ADE-PQLIL 'i' UM r CANCELLATION SHOftD AIRYOF THE ABOVE DES�EO PoLiCCIEe BE CANCELLED BEFORE TH 1 BMPIRATION DATE mormar, 7Ni t$S MIe NLBURC'R VYLL PDGAVOR TO N_fi5 30 DAYS yarrow norm TO THE TORTIMATE HOLDER MIMEO PO I Di LOFT. BUT FARMS TO DD So SWO.1.110006E ND OBLIOATTCJII OR LicaBt...` i"\ 1 OF Mr 1O D UPON TOW NMRBii. UT AQuKrS ORMst TA11 !'�9f. 1 Aunt:OWED REPRIMBPWATIVE 0 ACME; WIRF0Il9A`1ONE 91Ttt1€