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Folio 2024-2026 Permit - CR 7693 CR 7693 - 9/24/2024
Aco® CERTIFICATE OF LIABILITY INSURANCE DATE(MM(DDIYYYY) iitteee..i 08/15/2024 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 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 endorsements) I PRODUCER '-r CONTACT 1 ,-� k+ -*_ NAME: CHRISTINA MONTES LOVINGER FINANCIAL SERVICES,INC.`'- • . A/C, o,Ext): 813-837-2699 1 WC,No): 8 1 3-83723 1$ -_ 4016 HENDERSON BLVD STE O SCp 9 ADDE-MRESS: CMONTES@LOVINGERFINANCIAL.COM TAMPA,FL 33629 aG•(f t 2024 INSURER(S)AFFORDING COVERAGE NAIC# • INSURER A:. HAMILTON SELECT INSURANCE INC INSURED INSURERS: INFINITY ASSURANCE INSURANCE COMPANY RED LADDER ROOFING,LLC. • ' 1515 AMARONE PLACE INSURERC: NAUTILUS INSURANCE CO . LUTZ,FL 33548 INSURER D: I 93 INSURER E: V 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 ----------_.----- —- ADOLISUBRr • POLICY EFF POLICY EXP I LTR I TYPE OF INSURANCE INSR WVO POLICY NUMBER (MMIDDIYYYY) (MM/DDIYYYY) LIMITS GENERAL LIABILITY I EACH OCCURRENCE $ 1,000 000 r �.� LA�MA 11 GETO ED REN urre - --- --._. .... .... j x COMMERCIAL GENERAL L'ABIUTY PREMISESJEa occurrence) $50,000 CLAIMS-MADE x OCCUR I MED EXP(Any one.person) $ 1,000 A SBHS00083531 i08/11/2024 08/11/2025 PPERSONAL&ADVINJURY $ 1,000,00O_ I, GENERAL.AGGREGATE f$2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/O2 AGG I$2 000,000 _POLICY X PEp ---_-.,LOC $ AUTOMOBILE LIABILITY I f I COMBINED SINGLE LIMIT (Ea accident) $ 1__. I ,000 000_ 1 X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED B I x AUTOS AUTOSBODILY INJURY(Per accident) $ NON-OWNED 50007596901 05/09/2024 11/09/2024 PROPERTY DAMAGE HIRED AUTOS I AUTOS _Ter accident) $ 1 I UMBRELLA LIAB X OCCUR �' CI, EACH OCCURRENCE $2,000,000 C I X EXCESS LIAB CLAIMS-MADE 11! AN1321900 08/11/2024 I08/11/2025 AGGREGATE $2,000,000 DED i ,RETENTIONS I $ WORKERS COMPENSATION WC STATU- OTH- ANY PR PRI ER EXCLUDED?EXECUTIVE NIA E L'EACHTORY LIMITS ER_ AND EMPLOYERS'LIABILITY YIN , �' EACH ACCIDENT $ OFFI(Mandatory In NH) E L DISEASE-EA EMPLOYE $ It yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLIO LIMIT $ $5 Million designated construction $5 Million designated ccnstruction project A �' SBHS00083531 08/11/2024 08/11/2025 project general aggregate general aggregate DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) OPERATIONS:ROOFING JONEISY SEPULVEDA-ROOFING LICENSE NUMBER:CCC1333906 LOCATION:1515 AMARONE PLACE LUTZ,FL 33548 CERTIFICATE HOLDER IS LISTED BELOW: CERTIFICATE HOLDER CANCELLATION I i CITY OF DANIA BEACH SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 100 W.DANIA BEACH BOULEVARD ACCORDANCE WITH THE POLICY PROVISIONS. DANIA BEACH,FL 33004 AUTHORIZED REPRESENTATIVE C I ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD