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HomeMy WebLinkAboutInsuranceACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD/YYYY) 03/26/08 PRODUCER 1-305-592-6080 Arthur J. Gallagher Risk Management Services, Inc. 8200 N.W. 41st Street Suite 200 Miami, FL 33166 Antonio B. Abella - A000306 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 NAIC t1 INSURED ARCHDIOCESE OF MIAMI CATHOLIC CHARITIES 9401 BISCAYNE BLVD. MIAMI, FL 33138 INSURERA NATIONAL CATHOLIC RRG 10083 INSURERBUnderwriters At Lloyds London 15792 INSURERC I 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 IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR ADD'y NSRD TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM/DD/YYI POLICY EXPIRATION DATE LMM/DD/YYI LIMITS A GENERALLIABILITY RRG1048-09 04/01/08 04/01/09 EACHOCCURRENCE $1,000,000 B X ICOMMERCIALGENERALLABILITY J086033 04/01/08 04/Oh 09 DAMAGE TO RENTED DAMAGE TO RENcurence) $Included I CLAIMS MADE I X OCCUR MED EXP (Any one person) $ Nil PERSONAL BADV INJURY $ 1, 000, 000 GENERAL AGGREGATE $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $1,000,000 POLICY I PRO JEG7 LOC B A AUTOMOBILE X LIABILITY ANY AUTO J086033 RRG1048-09 04/01/08 04/01/08 04/01/09 04/01/09 COMBNEDSINGLEUMIT (Ea accident) $1,000,000 A ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per person) X X HIRED AUTOS NON -OWNED AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY -EA ACCIDENT $ ANYAUTO OTHER THAN EAACC $ AUTO ONLY: AGG $ EXCESSNMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR i 'CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ $ B WORKERSCOMPENSATIONAND J086033 04/01/08 04/01/09 X I WC LIMIT S TORY LIMIT OTH- ER EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $ 500 , 000 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $500,000 Ifyesdescribe under SPECIAL PROVISIONS below E.L. DISEASE - POLICYLIMIT $ 500, 000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Wherever Insurer B is shown: $250,000 Self Insured Retention is included within the limits CERTIFICATE HOLDER IS ADDITIONAL INSURED/ LOSS PAYEE ASRESPECTS TO THE SERVICES PROVIDED FOR THE FOLLOWING DAYCARE CENTERS: CENTRO HISPANO, 144 NW 26 STREET, MIAMI, FLORIDA CENTRO MATER WEST, 8298 N.W. 103 STREET, HIALEAH GARDEN, FLORIDA CENTRO MATER, 418 S.W. 4 AVENUE, MIAMI, FLORIDA GOOD SHEPHERD, 18601 S.W. 97 AVENUE, MIAMI, FLORIDA NOTRE DAME, 160 N.E. 62 STREET, MIAMI, FLORIDA SAGRADA FAMILIA, 970 S.W. 1 STREET, MIAMI, FLORIDA SOUTH DADE, 285020 S.W. 148 AVENUE, LEISURE CITY, FLORIDA 33033 CERTIFICATE HOLDER CANCELLATION CITY OF MIAMI DEPT. OF COMMUNITY DEVELOPMENT 444 SW 2ND AVENUE 2ND FLOOR MIAMI, FL 33130 USA 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 HOLDER 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. AUTHORIZED REPRESENTATIVE ACORD 25 (2001/08) riazmia 8378425 © ACORD CORPORATION 1988 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25 (2001/08)