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06/08/2007 14:57 305991' . '
, INSURANCE ItJr.
A.COJ�. CERTIFICATE OF LIABILITY' INSURANCt
PRODUCER
_INSURA1rCE INDUSTRIES INC
953 NE 125th St
N Miami, FL 33161 I
_ _,0/5) 891.2808 z? SUF F.RS AFFORDING COVERAGE NAIL# .
INSURED G� 1NsuFtER A BURLINGTON YNSURANCE COMMA IT . '� ' _._ _ _
RA.FAEI, HERNANDEZ HOUSING & _ __ �. ,
ECONOMIC DEVELOPMENT., CORPORATION INSURER & AEQUICAP INSURMICE COMPANY __
2400 NORTH MIAMI AVENUE •• ___
MIAMI, FLORIDA
033127
RIES If PAGE 03/04
DAtt(wgwLL,. •,
_ I 6/8/2007
THIS CERTIFICATE ',IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO R'GHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
INSURER c Mina RXv>SR INSURANCE COMPANY
INSURER D' I
INSURER E: •
.+ _ :TT_
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR,THE POLICY PERIOD INDICATED, NOTWITNSTANDINC ,
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH TIiiS 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.
lrt3� n"ASD'. ----- .. �..._ ....�_.�. __ POL(CY.EFrE � PW ICY XCtR IQN . _.�.
LTA �NeRD TQ;E OF INSURANCE POLICY NUNtJER DATE(MI.'DDP YY) DATE (MMIDDlYYi
GENERAL LIAIBUYY
X COMMERCIAL GENERAL( -LIABILITY .
J CLAIMSMADE rid I OCCUR
A
A
A
X_
x
GENT. AGGREGATE IJMIT APPLIES PER:
X POLICY I 1 ct 1 1 LOC
PRO-
JJEC T
AUTOMOBILE I.NnBIUT'
ANYAUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AurOs
NON-OWNEDAUTOS
535B012650
535E012650
03/08/07
.03/08/07
03/08/08
03/08/08
LIMITS
EACH OCCURRENCE 3 1 , 00 0 ,, 000
�nE'raThENlra— 100000
s .,00si.
PREMISE a oCcagonctIL
Mth ExP (Any onn Ferian)
PERSONAL 8 ADV INJURY
s 1 000,000
GENERAL AGGREGATE _ s _1. , 0 0 0_/000
PRQDuCTs - COW/OP AGG INC.I U1
COMBINED SINGLE LIMIT
(Ea nceldant) .
BODILY INJURY
(Per maroon)
BODILY INJURY
((?nreoCtdonl)
PROPERTY DAMAGE
(ForacC7dnn()
s 1,000,000
S
_GARAGE LIABILITY
ANYAUTO
.AUTO ONLY - EA ACCIDENT. 3
OTHER THAN EA ACC
AUTO ONLY: AGG 3
EXCES3/UMBREu A DMl rrY _
OCCUR ' CLAIMBMADE
DEDUCTteLE
RETENTION $
WORKERSCOMPENSATIONAND
EMPLOYERS' LIABILITY
ANY PROv1ZE;TORR�ARTNER,EKECUTive
DM I^CERAIDA ER EXCLUDED/
dSPE4IALS PROVIIsIONSblow
OTHER CRIME
WC0706067934
FID2703842
ye. •
.G'
03/04/07
03/)1/0 7
03/04/08
03/31/08
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES l EXCLUSIONS ADDED BY ENDOPeEN,ENT / SPECIAL PROVISIONS
NOT FOR PROFIT ORGANIZATION
,SITY OF kt
CERTIFICATE HOLCIR
EACH OCCURRENCE 3
AGGREGATE �— S
3
S
x,LWt s rA iv- UrH�
TORYLIFA(TS __,� Ems_. -- .� _
E.L. EACH ACCIDENT _ $ _ 100 ,00_0
E.L. DtSE_ASE • EA EMPLOYEE $ 100 , 00 0
E.L, DISEASE - POLtCYLSAIT $ 500 . 000
4100,000
ti!
iAMI IS LI,STFD AS A I,LOSS PAYEE '& AN AD)ITTNAL INSURED ON POLICY
' CANCELLATION
CITY of MIAMI
444 SOUTHWEST 2 AVENUE
SECOND FLOOR
MIAMI, FLORIDA
33130
1 —
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES DE CANCELLED BEFORE THE EXPIRATION
DATE 'mentor. THE tssuiNG INSURER WILL ENDEAVOR TO MAIL 30 .DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT FAILURE TO DO SO t:HAL
IMPOSE NO OOLIGATION OR LIABILITY Of ANY KINN UPDN THE INSURER, ITS AGENTS OF
REPRESE�NTAT1IVES.(RF/� I
AUTHC)R 1 h1[
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