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Certificate of Garage Insurance
„,.r royrkhanna @cs.com •� 7 DATE (MM /DD/YYYY) A RE' CERTIFICATE OF GARAGE INSURANCE 05/19/2015 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 endorsement(s). PRODUCER NAME: ACT Deborah B Howard Al24072 Insurance Capital Management LLC ,a c No. Ext): 5 223 -2199 FAX No): 561 -429 -2375 5240 Babcock Street NE E-MAIL SS: i cmllc13 @yahoo.com Suite 102A INSURER(S) AFFORDING COVERAGE NAIC # Palm By Fl 39905 INSURERA: Catlin Specialty Insurance Company 15989 INSURED INSURER B: Progressive Express Insurance Company Roy Khanna INSURERC: 3117 Carol Avenue INSURER D : Palm Springs FL 33461 INSURER E : INSURER F : COVERAGES PROD / CUSTOMER ID: CERTIFICATE #: REVISION #: 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. ADDL SUBR POLICY EFF POLICY EXP ILTRR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM /DDIYYYY) LIMITS GARAGE LIABILITY AUTO ONLY (Ea accident) $ 1,000,000. • ALL OWNED HIRED AUTOS A NON- -OWNED AUTOS ONLY X 0900702333 1/9/2015 01 /09I2016 OTHER THAN EA ACCIDENT $ 1,000,000. USED IN GARAGE BUSINESS AUTO ONLY 1 / Sealer Service Liability AGGREGATE $ 2,000,000. GARAGE KEEPERS LIABILITY _L OOTTC P / LOC $ 180,000. LEGAL LIABILITY PERILISIED LOC $ A DIRECT BASIS 0900702333 01/09/201501/09 /2016 COLLISION LOC $ 180,000. I PRIMARY n EXCESS LOC $ COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE _$ DAMAGE TO RENTED 1 CLAIMS -MADE IL1 OCCUR , PREMISES (Ea occurrence) $ MED EXP (Any one person) $ . APPIT� ` /�� ,- _ - � — c — � v �� - , EM PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: IA - _. >t11111/”: Ci0-41-' GENERAL AGGREGATE $ POLICY PRO- LOC WAI Y JECT -� CG ' t-C. PRODUCTS - COMP /OP AGG $ OTHER: $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE _AGGREGATE $ DED 1 1 RETENTION $ $ WORKERS COMPENSATION I P EATUTE I I OERH _ AND EMPLOYERS' LIABILITY ANY PROPRIETOR /PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ OFFICER /MEMBER EXCLUDED? Y/ N N I A (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ If yes, describe under REMARKS below E.L. DISEASE - POLICY LIMIT $ COMMERCIAL AUTO 100,000 COMBINED SINGLE LIMIT B X 02121612-2 04/03/2015 04/03/2016 BODILY INJURY /PROPERTY DMG. REMARKS (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) Monroe County Board of County Commissioners is listed as an additional insured as indicated above with an "x" CERTIFICATE HOLDER V ]3 'AIN11OJ 3U2JNOW CANCELLATION '3 813 - Kll Monroe County Board of County Commissioners SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Attn: Rick Management ACCORDANCE WITH DATE THEREOF, NOTICE WILL BE DELIVERED IN W THTHE POLICY PROVISIONS. 1100 Simonton Stree6 :8 WV S— Nnr slot Key West FL 33040 AUTHORIZED REPRESENTATIVE . Fax 305 - 289 -6061 080338 803 03113 Al24072 4 ee0 t / . 7 Fax 305 - 292 -4487 © 2010, 2014 ACORD CORPORATION. All rights reserved. ACORD 30 (2014/01) The ACORD name and logo are registered marks of ACORD Produced using Forms Boss Web software. www.FormsBoss.com; 7 Impressive Publishing 800 - 208 -1977