COI Expires 10/07/2019ACCORV
DATE (MWDDNM)
CERTIFICATE OF LIABILITY INSURANCE
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THIS ckwi*icAitis tssuwAsk At�titb'�ihObkk"6No�LY-AN"'D''CO'N—FERSNO , RI , GHTS 11 U I PO N I THE CERTIFICATE HOL I DE I R. 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 pollcylles) must be endorsed. If SLIBROGATION 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
. . . . . . . .
PRODUCER CONTACT
Hemisphere Insurance Group Ext I O�j 50 1-2 8 0 1 jyo j (305)� 553-9010
-ADDRESM. hemi.sphar,einsgrp@aol.com
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INSURER A: CAP SPECIALTY INSURANCE COMPANY 10472
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INSURER 8:
INSURER C:
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UOTE�71;.GES CERTIFICATE A1,1,BER: RETISION NIMBER.
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TYPE OF INSURANCE
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GENERAL LIABILITY
COMMERCIAL GENERAL LIABILITY
� CLAIMS -MADE S6 OCCUR
POLLUTION LMILITY
�'ROFESS16iN �LIAB
:]POLICY T 111, 1 LO
AUTOMOBILE LIABILITY
I � � ANY AUTO
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AUTOS AUTOS
NON-OWNFV
HiREDAutOS AU Ff.:)S
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UMBRELLA LIAB
A �S� EXCESS LIAS JCLAWSWOE Y
PER [ EiMNTipt;
i�6RKERS COMPENSATION
AND EMPLOYERS'LIABILITY YIN
ANY PROPRIETORMARTNERIEXECUtWC
OFFICERMEMBER EXCLUDED? NIA
(Mandatory in NH) Ej
If ea. doac0be under
D SCRRTION OF OPERATIONS Wow
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CERTIFICATE HOLDER IS ALSO ADDITIONAL, INSURED.
CERTIFICATE HOLDER
UL =
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EXP {Any one porsonI S
130DILY INJURY (Por person)
BODILY INJURY (Per
ac d d a n OPEEr DAMAGE
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EACH
1010712018 1,0/07Q019 AGGREGATE
E.L. EACH ACC IDIENT
El OISE
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CANCELLATION
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1111-1 2TH ST
KEY WEST, FL 33040
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AUTHORIZED REPRESENTATIVE
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