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HomeMy WebLinkAboutFolio 2024-2025 Permit - CR 5660 CR 5660 - 9/24/2024 . C (q1 tf i--hz,O ACORE)® DATE(MM/DD/YYYY) �� CERTIFICATE OF LIABILITY INSURANCE 9/19/2024 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. 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). PRODUCER C.ON1At.1 NAME: Yanet Rodriguez Discount Insurance Inc. (A/CNN,Ext): (305)828-0578 Ijac,No): 8302 NW 103rd St Ste 102 ADDRE anet ccdiscountinsuranceinc.net ADDRESS: Y rC INSURER(S)AFFORDING COVERAGE NAIC# Hialeah Gardens FL 33016 INSURER A: BERKSHIRE HATHAWAY ASSUR CORP 13070 INSURED INSURER B: INFINITY ASSURANCE INS CO 39497K Big Plumbing Corp. INSURER C: NORMANDY HARBOR INS CO INC 13012 9190 NW 119TH ST INSURER D: #Bay10 INSURER E: HIALEAH FL 330184101 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT 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.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR AUULJUCK POLICY LFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS K COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 UAMAGt IU KLN ItU CLAIMS-MADE 7OCCUR PREMISES(Ea occurrence) $ 100,000 MED EXP(Any one person) $ 5,000 — A Y Y B1BP534594 09/23/2024 09/23/2025 PERSONAL&ADV INJURY $ 100,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 A POLICY n PRO I Jl I� JECT I LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINEU SINGLE LIMI I (Ea accident) $ 1,000,000 K ANY AUTO BODILY INJURY(Per person) $ B OWNED r SCHEDULED AUTOS ONLY Pb. AUTOS Y Y 50014532501 09/23/2024 09/23/2025 BODILY INJURY(Per accident) $ v�/ HIRED -V�/ NON-OWNED PROPER IYUAMAGE /� AUTOS ONLY AUTOS ONLY (Per accident) $ K COMP X COLL PIP $ 10,000 UMBRELLA LIAB OCCUR EACH OCCURRENCE $ - EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION �/ PEK U 1 H- AND EMPLOYERS'LIABILITY Y/N /� STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 C OFFICER/MEMBER EXCLUDED? n N/A Y NHFL0174672023 10/07/2023 10/07/2024 (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 Business Personal $50,000 A Commercial Property BIBP534594 09/23/2024 09/23/2025 Property Deductible $500 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Plumbing Contractor Lic#:CFC1430510 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN City of Dania Beach ACCORDANCE WITH THE POLICY PROVISIONS. 100 West Dania Beach Boulevard AUTHORIZED REPRESENTATIVE Ya c!Rodrieg,tz I Dania Beach FL 33004 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD