HomeMy WebLinkAboutExhibit 2EXHIBIT A
Avante Insurance Agency, Inc.
7490 West Flagler Street
Miami FL 33144
Phone:305-648-7070 Fax:305-648-7090
ACORD CERTIFICATE OF LIABILITY INSURANCE
PRODUCER 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 POUCIES BELOW,
OP ID RF
ACTIO-2
DATE (MM/DD/YYYY)
0S/01/48
INSURERS AFFORDING COVERAGE
NAIL 4
INSURED
Action Community Center Inc.
970 SW 1 Street #304
Miami FL 33130
INSURER A
Associated Industries Ins. Co.
INSURERS:
Scottsdale insurance company
INSURER C:
National indemnity Co of South
NSURER D: rrr Kart ford Insurance Company
INSURER E:
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED A8OVE 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 IS SUBJECT TO ALL S-IE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH
. POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
1NS11%AmL
LTR
ILSRC
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE (MOM')
POLICY ERYINA I ION
DATE PANKOW)
UFMTS
GENERAL L!A9 ." .. .. ....
_._
c anI ^CL 44ENN ....S1,000,000
B
'X
COMMERCIALGENERAt�LLIAtBNJTY
CPS0811173
12/31/07
12/31/08
PREMISES(Ea racev a) �8
100,000
CLAIMS MACE L'- + OCCUR
MED EXP At, onm parssn)
$ 1,000
PERSONA. & ADV INJLRY
8 1, 000,000
GENERAL AGGREGATE
s2,000,000
GEM. AGGREGATELIMIT APPLtESPER:
PRODUCTS-COMP/OPAGG
$ Excluded
POLICY n xa Flux
LOC
AUTOMOBILE
_.
LIABILITY
NY AAUTO
COMBINED SINGLE LIMIT
(Ea occident)+
$ rJ 0 0 0 0 0
C
X
ALL OWNED AUTOS
SO-EDULEDAUTOS
74APS012984"
02/24/08
02/24/09
BODILY INJURY
(Perperso")
$
C
C
X
X
HIREDAUTOS
NGNOW DAUTos
74APS012984
74APS012984
02/24/08
• 02/24/08
02/24/09
02/24/09
mODILYILIURY
(Pereocidenl)
$
PROPERTY DAMAGE
(Per accident)
$
GARAGE
LIABILITY
S�'►'!
AUTO ONLY - EA ACCIDENT
$
NV ARV
1111\\
OTHER MAN EA ACC
$
AUTO ONLY:
ACM
$
EXCESSA/MBRELLA LABILITY
�,
'�YJ
EACH OCCURRENCE
$
OCCUR I , CLAIMS MADE
J
j�/j
(A/„.1.
/�,A
AGGREGATE
$
(y..>,
$
DIPUCTIBLE
$
RETENTION $
$
WORKER$ COMPENSATION ANO
X (TORY L M S %; OER
A
EMPLOYERS' WWI?
ANY PROPRIETOR/PARTNER/EXECUTIVE
2007327964
11/20/07
11/20/08
E.L.EAGHACCIDENT
$ 500, 000
OFFICER/AEMBER EXCLUDED?
E.L. DISEASE -EA EMPLOYEE
$ S 0 0 , 0 0 0
U yss dsseribe trader
SPECIAL PROVISIONS below
E.L. DISEASE -POLICY LIMIT
$ S 0 0 , 0 0 0
8
OTHER
Personal Property
Business Income
CPS0811173
CPS0811173
12/31/07
12/31/07
12/31/08
12/31/08
1000 Ded $20,000
1000 Ded $30,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENTI SPECIAL PROVISIONS
5% Wind & Hail Deductible/ Location: 970 SW ist St. #304 Miami,11 33172
D.2021D 218DDAH7807 7/02/07-7/02/08 $100,000 $500 DED
Including as additional insured City of Miami.
City of Miami Lost Payee.
CERTIFICATE HOLDER
CANCELLATION
City of Miami
Department of CIP and Transp.
Office of City Manager
444 SW 2nd Ave 10th Floor
Miami FL 33130
ACORD 25 (2001/08)
CITYM33
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES 8E CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLOER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER. ITS AGENTS OR
REPRESENTATIVES.
Au RAZED g?grrWW
lIi•
0 ACORD CORPORATION 1988