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HomeMy WebLinkAboutFolio 2024-2026 Permit - CR 4836 CR 4836 - 9/24/2024 ' BROWARD COUNTY LOCAL BUSINESS TAX RECEIPT Receipt Business Type:f�ELECTRICAL CONT�W.TOR) Owner Name:'VACCATO, KEITH ANTHONY Business Opened:01z/12/2017 Business Location: 8666 BRIDLE PATH CT State/County/Cert/Reg: C'I 3 0 0 7 8 92, Exemption Code. Business Phone: 17543674910 Rooms Seats Employees Machines Professionzis For Vending Business Only Number of Machines: Tax Amount TransferFee Penalty Prior Years 27.00 Collecitioncc ~ �— ~ "" " «» | c' "" ----- � � , , eIIIIIIIIIIIIIIIIMIIINNBMIIIIIIIIIIIIIMIW Ron DeSantis,Governor Melanie S.Griffin,Secretary 1 tc.14-2,-71,„ .,-,0•5:' , 40 cif . #` STATE OF FLORIDA j ' � DEPA2TMENT OF BUSINESS AND PROFESSIONAL REGULATIO!�I 1 ELECTRICAL CONTRACTORS' LICENSING BOARD 1 j THE ELECTRICAL CONTRACTOR HEREIN"IS CERTIFIED UNDER THE i PROV(SI E � C(-t��, 1"�489, FLORIDA STATUTES I — t . .: s VACCATOKEITH A ° I •. ,. .fRIC, INC i1, v . `isot *ATH COURT ` CA '`` ' FL 33328 i LICE I % w EC,, 7892 EXPIRATION DATE:AUGUST 31,2026 Always verify licenses online at MyFloridaLicense.corn JE_r.YD ISSUED:05/07/2024 1 k. Do not alter this document in any form. Ajz4OFi This is your license. It is unlawful for anyone other than the licensee to use this document. AC RD CERTIFICATE OF LIABILITY INSURANCE 1- DATE(MM/DD/YYYY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE OL 9/6/HIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THIOPOLICIES 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 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 CUN IA(,I NAME: Certificate Department DIRT Insurance Group,Inc PHONE FAX 12550 W ATLANTIC BLVD E-NIA ADDRESS:Ext): 954772-8232 (A/C,No): ADDRESS: COI@dtrtinsurance.com INSURER(S)AFFORDING COVERAGE NAIC# CORAL SPRINGS FL 33071 INSURER A: Us Specialty Ins Co INSURED - -- -- -- 29599 INSURER B: INFINITY ASSURANCE INS CO . 39497 VACCATO ELECTRIC INC INSURER C: 8666 BRIDLE PATH CT INSURER D: INSURER E: Davie FL 33328 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 ADDL SUER POLICY EFF LW TYPE OF INSURANCE INSD VD POLICY NUMBER (MM/DD/YYYY) (MM/DDT W ) LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ $1,000,000 CLAIMS-MADE X OCCUR UAMA(at IV KEN ItU PREMISES(Ea occurrence) $ $100,000 MED EXP(Any one person) $ $5,000 A U24AC138798-03 8/24/2024 8/24/2025 PERSONAL&ADV INJURY $ $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY PRO" GENERAL AGGREGATE $ $2,000,000 JECT LOC PRODUCTS-COMP/OP AGG $ $2,000,000 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMI I (Ea accident) $ 1,000,000 ANY AUTO BODILY INJURY(Per person) $ ALL B AUTOS X AUTOS 509561970347001/5 509561970347001/5 9/21/2024 9/21/2025 BODILY INJURY(Per accident) $ X HIRED AUTOS XNON-OWNED !KUk EK I Y UAMAUE AUTOS (Per accident) $ 1,000,000 $ UMBRELLA LIAB OCCUR A X EXCESS LIAB EACH OCCURRENCE $ 5,000,000 CLAIMS-MADE U24AC138798-03 8/24/2024 8/24/2025 AGGREGATE $ 5,000,000 DED I I RETENTION$ WORKERS COMPENSATION $ AND EMPLOYERS'LIABILITY STK V I ti- ANY PROPRIETOR/PARTNER/EXECUTIVE YIN STATUTE I ER OFFICER/MEMBER EXCLUDED? N/A E.L.EACH ACCIDENT $ (Mandatory In NH) If yes,describe under E.L.DISEASE-EA EMPLOYEE $ DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ B Physical Damage 509561970347001/5 9/21/2024 9/21/2025 Deductibles-Named Peril:$500,Coll:$500 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) ELECTRICAL CONTRACTOR CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DEL IVERiED IN City of Dania Beach ACCORDANCE WITH THE POLICY PROVISIONS. 100 West Dania Beach Blvd AUTHORIZED REPRESENTATIVE -- Dania Beach FL 33004 'f 4,.J •--a J ACORDI ©1988-2014 CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered ma ks of ACORC