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Home My WebLink AboutFolio 2024-2025 Permit - CR 7124 CR 7124 - 9/24/2024 AC€ RD CERTIFICATE OF LIABILITY INSURANCE °ATE(MM/°°"YYY) 09/01/2324 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 3Y 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 :CONTACT - NAME_ LAHEY SEAN Ins Office Of America, Inc.r 0,t. " '.,.A„i ' PHONE — FAX 120C University Blvd Ste 20 i I E-MANo'Ext� we No)-- _ IL SEP 1 1 2024 T• ADDRESS JU !ter - — _ INSURER(S)AFFORDING COVERAGE NAIL# P L 334585215 IINSURER A: Ohio SecurityInsurance Com an INSURED ------- P Y • 24082 — • DI Secuencia!Lic Dba Signarama ` i INSURER B 6144 Hollywood Blvd I Z► ( INsuRER c 7 INSURER D -- Hollywood I INSURERS: FL 33023 i — - i INSURER F: COVERAGES CERTIFICATE NUMBER: 0079016126 -- — REVISION NUMBER:2016-03 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INC:CATED. 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 - - --.—_—..— LTR TYPE OF INSURANCE j POLICY EFF�POLICY EXP — -- IADDL�I --- X COMMERCIAL GENERAL,LIABILITY WV° !(MOD/TINY)I(MM/DD/YYYY) LIMITS I INSD POLICY NUMBER EACH OCCURRENCE $ 1,000,000 I CLAIMS-MADE I_XJ OCCUR I DAMAGE TO RENTED - — — PREMISES(Ea occurrence) $ 300,000 A MED EXP(My one person) $ 15,000 —_ X X BKS65193203 108/29/2024 08/29/2025 j PERSONAL&ADVINJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY PRO- _ —�JECT -X J LOC --- --_-- I PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: _ AUTOMOBILE LIABILITY $ COMBINED SINGLE LIMIT ANY AUTO LEa accident) $ 1,000;000 SCHEDULED BODILY INJURY(Per person) $ A OWNED AUTOS ONLY AUTOS BKS65193203 08/29/2024 08/29/2025 BODILY INJURY(Per accident) $ X HIRED X NON-OWNED __ AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE $ l_ner accident) UMBRELLA LIAB it I OCCUR $ EXCESS LIAB EACH OCCURRENCE $ CLAIMS-MADE AGGREGATE _ AGGREGATE $ DED RETENTION$ WORKERS COMPENSATION $ I AND EMPLOYERS'LIABILITY PER OTH- 'ANYPROPRIETOR/PARTNER/EXECUTIVE Y/N __. STATUTE ER _ OFFICER/MEMBEREXCLUDED? 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 $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION City of Dania Beach SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 100'V Dania Beach Boulevard AUTHORIZED REPRESENTATIVE Dania Beach FL 33004 "� - !, Curtis Luken ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered ma ks of ACORD • Ac EP CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) I 09/09/2024 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 i CONTACT g Automatic Data Processing Insurance Agency,Inc. NAME: Automatic Data Processing Insurance Agency, Inc. i PHONE -- IA/C No.Ext) 1-800 524-7024 —1 FAX�.V ---- - EMAIL � C Not--- -- ---. --- !ADDRESS 1 Adl Boulevard �_—__._ INSURER(S)AFFORDING COVERAGE NAIc a Rose and NJ 07068 I INSURER A Tra elers Indemnity Ccmp..ny f America � 25666 INSURED ------------ DL SECUENCIAL LLC -- INSURER B. INSURER C: 6144 HOLLYWOOD BLVD INSURER D: - INSURER E: PEMBROKE PINES — -- FL 33024 INSURER F: COVERAGES CERTIFICATE NUMBER: 3836653 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. iLTR� TYPE OF INSURANCE ADDL ISUBR - ----------_-------- POLICY EFF I POLICY EXP --- -- INSD WVD POLICY NUMBER (MMIDD/YYYY) (MM/DDIYYYY) LIMITS —_ COMMERCIAL GENERAL LIABILITY • EACH OCCURRENCE $ CLAIMS-MADE T)OCCUR ,nAdAi;ETURENTED --- --- --"- PREMISES(Ea occurrence) $ "-------- MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: --- - 'I O- GENERALAGGREGATE $ POLICY L it JE PRCT LOC -- I PRODUCTS-COMP/OP AGG $ ,OTHER: $ COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY ANY AUTO _SEa accident) $ OWNED --' SCHEDULED BODILY INJURY(Per person) $ H REOS ONLY _ AUTOS ' BODILY INJURY(Per accident: $ AUT • NON-OWNED ' PROPERTY DAMAGE _ AUTOS ONLY AUTOS ONLY I Per accidea $ UMBRELLA LIAB I OCCUR EACH OCCURRENCE EXCESS LIAB i CLAIMS-MADE --- - $ —AGGREGATE $ , DED ' RETENTION$ --- — -- -- - -- --- WORKERS COMPENSATION 1 $ AND EMPLOYERS'LIABILITY STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N A OFFICER/MEMBER EXCLUDED? N N/AI N UB-8T366700-24-42 08/29/2024'08/29/2025 E.L.EACH ACCIDENT $ 1,000,000 (Mandatory in NH) 1,000,000 If yes,describe under ' E.L.DISEASE-EA EMPLOYEE $ DESCRIPTION OF OPERATIONS below r--- ' E.L.DISEASE-POLICY LIMIT $ 1,000,000 I DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION I j SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE i THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN The City of Dania Beach 1 ACCORDANCE WITH THE POLICY PROVISIONS. 100 W Dania Beach Boulevard I AUTHORIZED REPRESENTATIVE Dania Beach FL 33004 : 71 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD