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DfYY A� CERTIFICATE OF LIABILITY INSURANCE DAT10125/ 13rn 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 THOMAS LEDWIDGE CONTACT NAME: LOURDES MENDOZA 15225 NW 77TH AVE SUITE 205 a/co"N X0_305 822-2424 _ Ai c. No): 305 822-2558 E-MAIL MIAMI LAKES , FL 33014 ADDRESS: _LOURDES(cD.LEDWIDGEAGENCY. COM DINSURERIS) AFFORDING COVERAGE NAIL # INSURER A : State Farm Mutual Automobile Insurance Company 25178 INSURED OAC ACTION CONSTRUCTION CORP INSURER B : 12540 SW 130TH ST STE 2 INSURER C : MIAMI FL 33186-6266 INSURER D : INSURER E ; 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 1 ADDL SUER i POLICY EFF7 POLICY EXP LIMITS LTR 1 TYPE OF INSURANCE POLICY NUMBER I MMIDD/YYYY MMIDD/YYYY i - GENERAL LIABILITYEl - - -EACH OCCURRENCE $ AGE T -RENTED $ COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence) — CLAIMS-MADE F1 OCCUR MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ POLICY PRO JELOC $ CT A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT -- 44T 7958-F05-59D 06(0512013 12/05/2014 Ea accident $ ANY AUTO 689 4492-D03 -59A 10103/2013 04/0312014 BODILY INJURY (Per person) $ 1 , 000,000 ALL OWNED SCHEDULED BODILY INJURY (Per accident) $ 1 , 0001000 AUTOS AUTOS 927 4908-C15-59B 09/15/2013 03/15/2014 PROPERTY DAMAGE x S }( NON-OWNED $ 1 .000,000 HIRED AUTO AUTOS 9454338-022-59A 09122/2013 03/22/2014 Peraccident $ UMBRELLA LIAR OCCUR ❑ ❑ EACH OCCURRENCE $ _ EXCESS UAB CLAIMS MADE AGGREGATE $ DED RETENTION $ $ WORKERS COMPENSATOR LIMIT TY LIMITS OTH- S AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EX Y / N [.EL.EACH ACCIDENT ; $ OFFICEIMEMBER EXCLUDED? N f A ❑i (Mandatory in NH) I E. L. DISEASE - EA EMPLOYE $ If yes, describe under ! E. L. DISEASE - POLICY LIMIT $ OF�(%RIPTIQN OF OPERATIONS hPinw ❑ ❑ DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101 , Additional Remarks Schedule, If more space is required) 08 CHEVROLET C1500 VIN: 2GCEC13J281158461 08 LINCOLN NAVIGATOR SPORT WG VIN : 5LMFU27528LJO5525 13 CADILLAC SRX SPORT WG VIN : 3GYFNDE39DS597275 11 FORD F250 SD PICKUP VIN: 1 FT7W2BT1 BEB52505 CERTIFICATE HOLDER CANCELLATION INDIAN RIVER COUNTY SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN HISTORIC DODGETOWN ROOM RENOVATIONS ACCORDANCE WITH THE POLICY PROVISIONS, 3901 26TH STREET AUTHORIZED REPRESENTATIVE �• (� VERO BEACH , FL 32960 t1! © 1988-2010 A RD PORATIOW All rights r erved . ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD 1001486 132849.6 1 2010