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Certification of Contract 063-11/13 A Quick Board Up Service, Inc. C �,c IM. W. MIAMIBEACH. icy 0 CITY OF MIAMI BEACH CERTII+ICATION OF CONTRACT TITLE: Provide Emergency Board-Up and Securing Services CONTRACT NO.: 063 -11/12 EFFECTIVE DATE(S):, This Contract shall remain in effect for two (2) years from date of Contract execution by the Mayor and City Clerk and may be renewed, at the sole discretion of the City, through its City Manager, for three (3) additional one (1)year terms. SUPERSEDES: N/A CONTRACTOR(S): A Quick Board Up Service, Inc. ESTIMATED ANNUAL CONTRACT AMOUNT: N/A A. AUTHORITY - Upon affirmative action taken by the Mayor and City Commission of the City of Miami Beach, Florida, on January 16, 2013, for approval to award a contract, upon execution between the City of Miami Beach, Florida, and Contractor. B. EFFECT - This Contract is entered into to provide emergency board-up and securing services , pursuant to City Invitation to Bid No. 63-11/12 and any addenda thereto (the ITB), and Contractor's bid in response thereto (this Contract, the ITB, and Contractor's bid in response thereto may hereinafter collectively be referred to as the "Contract Documents"). C. ORDERING INSTRUCTIONS - All blanket purchase orders shall be issued in accordance with the City of Miami Beach Procurement Division policies and procedures, at the prices indicated, exclusive of all Federal, State and local taxes. All blanket purchase orders shall show the City of Miami Beach Contract Number 63-11/12. D. CONTRACTOR PERFORMANCE - City of Miami Beach departments shall report any failure of Contractor's performance (or failure to perform) according to the requirements of the Contract Documents to City of Miami Beach, Scott Stephen, Building Assistant Director at 305-673-7000 ext. 6824. E. INSURANCE CERTIFICATE(S) - The Contractor shall file Insurance Certificates, as required, which must be signed by a Registered Insurance Agent licensed in the State of Florida, and approved by the City of Miami Beach Risk Manager, prior to delivery of supplies and/or commencement of any services/work by Contractor. F. ASSIGNMENT AND PERFORMANCE - Neither this Contract nor any interest herein shall be assigned, transferred, or encumbered by Contractor without the prior written consent of the City. In addition, Contractor shall not subcontract delivery of supplies, or any portion of work and/or services required by the Contract Documents without the prior written consent of the City. 1 Certification of Contract Contractor warrants and represents that all persons providing/performing any supplies, work, and/or services required by the Contract Documents have the knowledge and skills, either by training, experience, education, or a combination thereof, to adequately and competently provide/perform same, or services to City's satisfaction, for the agreed compensation. Contractor shall provide/perform the supplies, work, and/or services required under the Contract Documents in a skillful and respectable manner. The quality of the Contractor's performance and all interim and final product(s) and /or work provided to or on behalf of City shall be comparable to the best local and national standards. G. SERVICE EXCELLENCE STANDARDS— Excellent Customer Service is the standard of the City of Miami Beach. As a Contractor of the City, Contractor will be required to conduct itself in a professional, courteous and ethical manner, and at all times adhere to the City's Service Excellence standards. Training will be provided by the City's Organizational Development and Training Specialist. H. PUBLIC ENTITY CRIMES - In accordance with the Public Crimes Act, Section 287.133, Florida Statutes, a person or affiliate who is a contractor, consultant or other provider, who has been placed on the convicted vendor list following a conviction for a public entity crime may not submit a bid on a contract to provide any goods or services to the City, may not submit a bid on a contract with the City for the construction or repair of a public building or public work, may not submit bids on leases of real property to the City, may not be awarded or perform work as a contractor, supplier, subcontractor, or consultant under a contract with the City, and may not transact any business with the City in excess of the threshold amount provided in Section 287.017, Florida Statutes,for category two purchases for a period of 36 months from the date of being placed on the convicted vendor list. Violation of this section by Contractor shall result in cancellation of the Contract and may result in Contractor debarment. I. INDEPENDENT CONTRACTOR - Contractor is an independent contractor under this Contract. Supplies, work, and/or services, provided by Contractor pursuant to the Contract Documents shall be subject to the supervision of Contractor. In providing such supplies, work, and/or services, neither Contractor nor its agents shall act as officers, employees, or agents of the City. This Contract shall not constitute or make the parties a partnership or joint venture. J. THIRD PARTY BENEFICIARIES - Neither Contractor nor City intends to directly or substantially benefit a third party by this Contract and/or the Contract Documents. Therefore, the parties agree that there are no third party beneficiaries to this Contract and that no third party shall be entitled to assert a claim against either of them based upon this Contract and/or the Contract Documents. The parties expressly acknowledge that It is not their intent to create any rights or obligations in any third person or entity under this Contract and/or the Contract Documents. 2 Certification of Contract K. NOTICES - Whenever either party desires to give notice to the other, such notice must be in writing, sent by certified United States Mail, postage prepaid, return receipt requested, or by hand-delivery with a request for a written receipt of acknowledgment of delivery, addressed to the party for whom it is intended at the place last specified. The place for giving notice shall remain the same as set forth herein until changed in writing in the manner provided in this section. For the present, the parties designate the following: For City Alex Denis, Procurement Director City of Miami Beach Procurement Division 1700 Convention Center Drive Miami Beach, Florida 33139 With copies to: City Clerk City Clerk Office 1700 Convention Center Drive Miami Beach, Florida 33139 For Contractor: A Quick Board Up Service, Inc. 3730 W. B rowa rd Blvd Fort Lauderdale, FL 33312 Attn: Dan Kaleky, President Phone: 954-764-4282 Fax: 954-456-2049 E-mail: board upAguickboai-dup.com L. MATERIALITY AND WAIVER OF BREACH - City and Contractor agree that each requirement, duty, and obligation set forth in the Contract Documents is substantial and important to the formation of this Contract and, therefore, is a material term hereof. City's failure to enforce any provision of the Contract Documents shall not be deemed a waiver of such provision or modification of this Contract. A waiver of any breach of a provision of this Contract shall not be deemed a waiver of any subsequent breach and shall not be construed to be a modification of the terms of this Contract. M. SEVERANCE - In the event a portion of this Contract and/or the Contract Documents is found b a court of competent jurisdiction to be invalid, the remaining provisions shall Y p J 9P continue to be effective unless City or Contractor elects to terminate this Contract. An election to terminate this Contract based upon this provision shall be made within seven (7)days after the finding by the court becomes final. 3 Certification of Contract N. APPLICABLE LAW AND VENUE - This Contract and/or the Contract Documents shall be enforceable in Miami-Dade County, Florida, and if legal action is necessary by either party with respect to the enforcement of any or all of the terms or conditions herein exclusive venue for the enforcement of same shall lie in Miami-Dade County, Florida. By entering into this Contract, Contractor and City hereby expressly waive any rights either party may have to a trial by jury of any civil litigation related to, or arising out of the Contract and/or the Contract Documents. Contractor, shall specifically bind all subcontractors to the provisions of this Contract and the Contract Documents. 0. AMENDMENTS - No modification, amendment, or alteration in the terms or conditions contained herein, or in the Contract Documents, shall be effective unless contained in a written document prepared with the same or similar formality as this Contract and executed by the City and Contractor. P. This Contract shall not be effective until all bonds and insurance(s) required under the Contract Documents have been submitted to, and approved by, the City's Risk Manager. Q. The ITB and Contractor's bid in response thereto, are attached to this Contract and are hereby adopted by reference and incorporated herein as if fully set forth in this Contract. Accordingly, Contractor agrees to abide by and be bound by any and all of the documents incorporated by the Contract Documents. Where there is a conflict between any provision set forth within (i) this Contract; (ii)the ITB; and /or (iii) Contractor's bid in response thereto, the more stringent provision (as enforced by the City)shall prevail. 4 Certification of Contract IN WITNESS WHEREOF the City and Contractor have caused this Certification of Contract to be signed and attested on this i Z day of 201-3, by their respective duly authorized representatives. CONTRACTOR CITY OF MIAMI BEACH By By Press ent/Signature mayor .4 --s-i3 Print N me Date Date ATTEST: INCORP ORATED• �a id� EST: � ,� Secretary/16nature City Clerk Print Name Date Date APPROVED AS TO FORM & LANGUAGE &FOR EXE UTION F:I PURCI$ALLISHIRLEY Icohtracts\ITB-43-11-11-12 GRAINGER.doc. it a I Dat i i 5 ® CERTIFICATE LIABILITY INSURANCE D 02/12/2013� 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 beta.of such endorsement(s). PRODUCER A B CARBALLOSA_INS AGCY INC NAME: PRONE 4620 HOLLYWOOD BLVD AIC o I_954,-987--1-00 T i AfC,No):954-981-5700 ,.,..., HOLLYWOOD, FL 33021 E'P�fAll -- _ADDRESS: _ INSURER(S)AFFORDING COVERAGE i NAIC# ..............__......_ _ _ _INSURER A:State Farm Mutual Automobile Insurance Company 25178 INSURED A.QUICK BOARD UP SERVICE INC INSURER B: 373.0 W BROWARD BLVD INSURER FT LAUDERDALE FL 33312-1016 INSURER Q: 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. NOTIMTHSTANDING 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 — _*_____'___T_1_'_ 1 UBRI LTR TYPE OF INSURANCE POLICY EFF POLICY EXP 3 POLICY NUMBER MMIDQ MMIDDNYYY LIMITS GENERAL LIABILnY EACH OCCURRENCE $ }COMMERCIAL GENERAL LIABILITY I I-•—, 'PREMISES_(Ea nccimence) CLAIMS-MADE L_— OCCUR h9E0 EXP(Any one person) is I PERSONAL S ADV INJURY is _GENERAL AGGREGATE is GEN'L AGGREGATE LIMIT APPLIES PER, ' PRODUCTS-COMPIOP AGG $ ..POLICY PRO- : -- JECT LOG A. s AUTOMOBILE LIABILITY I 1 I COMBINED.SINGLE LIMIT Y 944 3136-C10-59 i 09/1012012 ;0311012013 Ea accident S •oaf ANY AUTD ! BODILY INJURY(Per•person) _ $ 1 1000,000 ALL OWNED AUTOS, AUTOS: , I I BODILY INJURY(Per,accident) $ 1_,000,000 HIRED AUTOS is 500,000 NON-OWNED 1 PROPERTY DAMAGE-�- - AUTOS 1 {Pet accident I � is UMBRELLALIAB OCCUR i EXCESS�LIAB CLAIMS-MADE!❑ ------._.--....._.._ S { EACH OCCURRENCE AGGREGAT.......... DED. I RETENTION$ ? I ; $ s WORKERS COMPENSATION ( I WC STATU- OTH- I AND EMPLOYERS'UAMUTY Y N i I i TORY L E ANY PROPRIETORIPARTNERIEXECUTIVE I € E.L.E. EACH ACCIDENT $ OFFICEI MEMBER EXCLUDED? N 1 A C❑ — (Mandatory in NH) ! E.L_DISEASE-EA EMPLOYEE $If yes.yes.describe under. - i 1 E.L.DISEASE-POLICY LIMM $ f 'F]E1 i DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space Is required) 1999 FORD F350 VIN: 1 FTV11U1i32FXXEE19463 CERTIFICATE HOLDER CANCELLATION CITY OF MIAMI BEACH SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE�-- HEREOF, NOTICE .WILL BE DELIVERED IN 1700 CONVENTION CENTER }RIVE ACCORDANCE WITH.THE,•POLIfY PROVISIONS. MIAMI BEACH, FL 33139 'f AUTHORIZ, hES TATIVE 1 j �r©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD 1001.486 132849.7 03-01-2012 DATE(MMIDDIYYYY) CERTIFICATE OF LIABILITY E 02/12/2013 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 CONTACT A B CARBALLOSA INS AGCY INC _____ 4620 HOLLYWOOD BLVD _cAICCC,N Ext:954-987-0100 ac Noy 954-981-5700 E-MAIL HOLLYWOOD, FL 33021 ADDRESS:_..__._..__.......................__._.- INSURER(S)AFFORDING COVERAGE NAIC It INSURER A:State Farm Mutual Automobile Insurance.Company 255178 __._..._ INSURED A QUICK BOARD UP SERVICE INC INSURER B: i 3730:W BROWARD BLVD __rwsuRE►zc_—__ _ FT LAUDERDALE FL 33312-1016 INSURERD: 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. 1NSR -...___.__............ADDL SUER ----- —- POLICY EFF POLICY EXP -- —-- L TYPE OF INSURANCE POLICY NUMBER MMIDDlYYYY MMIDDIYYYY 1 LIMITS GENERAL LIABILITY ' EACH OCCURRENCE $ .COMMERCIAL GENERAL LIABILITY ❑'❑ ANTA�iE T- RENTED PREMISES(Ea occurrence) — S CLAIMS-MADE F OCCUR j i I MED EXP(Any orie person) PERSONAL&ADV INJURY $ GENERAL AGGREGATE S ....._____._....-._------- --......---._._......._ GEN'LAGGREGATE LIMIT APPLIES PER: ; PRODUCTS-COMP/OP AGG $ POLICY PRO ,--?LOC __...__..... - --- S A AUTOMOBILE LIABILITY Y 984 3205-E25-59 1 11/2512012 05125/2013 COMBINED SINGLE LIMIT I El (Ea accident) ANY AUTO ' ? INJURY NJURY(Per person) -__.__.._.___.__..-..__..._...._. BODILY --...__......__.,..._.._._..._-�._ .�.... _ 1,0001000.... 1 ALL OWNED - SCHEDULED _ AUTOS I X AUTOS. i BODILY INJURY(Per accident):S 1,000,000- !_- NON-OWNED 1 HIRED AUTOS _ AUTOS Per accident_ _� $ --500,000 UMBRELLA LIAB I OCCUR i EACH OCCURRENCE. i$ EXCESSLtAB € CLAIMS-MADE! AGGREGATE !$ DIED RETENTION S ! $ WORKERS COMPENSATION j VIRr STi 1 OTH AND EMPLOYERS'LIABILITY ± TDRY LIMIT$ ER __ YIN i EL.EACH ACCIDENT $ ANY PROPRIET601PA4TNERIEXECUTIVE; OFFICEIMEMBER,EXCLUDED7 4 1 I❑ {IUlandatory in Nli} ! E.L.DISEASE-EA EMPLOYE S I If yes.,describe under. ; I -..._-._.............. ..__.. ___ _ _.._._..._...._—_ __.._..._... 1 DESCRIPTION below I E.L.DISEASE-POLICY LIMIT S FIE]i E DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space is required) 1997 FORD F150 VIN: 1 FTDF1726VNC72644 CERTIFICATE HOLDER. CANCELLATION CITY OF MIAMI BEACH SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE EREOF, NOTICE WILL BE DELIVERED IN 1700 CONVENTION CENTER DRIVE ACCORDANCE WITH THE P LI PROVISIONS. MIAMI BEACH, FL 33139 AL►TwoR¢Er�a�E�� rATi '--V1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010105) The ACORD dame and logo are registered marks of ACORD 1001486 132849.7 03-01-2012 I CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDfYY") 1 02/1212013 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). PROOUt:ER .A B CARBALLOSA INS AGCY.INC NAME ?cT PHONE FAX 4620 HOLLYWOOD BLVD .(atc,.Ho.Extr 954-987-0100,._ Lac,IVo)-954-981-5700 E-MAIL -- ..� HOLLYWOOD, FL 33021 ADDRESS: ._......-- _tNSURER AFFORDING COVERAGE ? NAIC# INSURER A:State Farm Mutual.Automobile Insurance Company 25178 INSURED A QUICK-BOARD UP SERVICE INC INSURER B. - 3730 W BROWARa BLVD INSURER C: -- FT LAUDERDALE FL 33312-1016 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 -AbU I,UBR ......._........._ --.... I LTR TYPE flF INSURANCE i POLICY NUMBER MPIO�CDY EFF MDQ LIMITS GENERAL LIABILITY E.....__. EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY PREMISES EQ occurrence 5 _ L CLAIMS-MADE PJiED EXP OCCUR s --..__....... _ _ i (Any one person) - ' PERSONAL&ADV INJURY ;S # GENERAL AGGREGATE S GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG 3$ € POLICY ' E O LOC I — [$ d F AUTOMOBILE LIABILITY ! COMBINED SINGLE LIMIT Y I (Ea accident.......... ..._ $ ANY AUTO + j �BODILY INJURY(Per person) $ ALL OWNED — SCHEDULED __�... AUTOS AUTOS ! BODILY INJURY(Per accident) S NON-OWNED PROPERTY DAMAGE HIRED AUTOS AUTOS (Per accidentZ—__ 5 E COMP/COLL s so L UI'dHRELLA LIAR OCCUR EACH OCCURRENCE $ 1........._.1 _ ___ EXCESS UAB I�❑I CLAIMS-MADE —L.._._ AGGREGATE $ DED RETENTION$ WORKERS COMPENSATION AND EMPLOYERS'LIABILITY Y/N � I � Wes OTFI ANY PROPRIETORIPARTNERIEXECUTIVE I �--___2RY�.I.MITS i ER OFFICEIMEMBEREXCLUOED? N/A: i E.L.EACH,ACCIDENT 3 _ Mandato In,NH !❑I E.L.DISEASE EA EMPLOYE S i If yes,descnbe under I OF OPERATIONS b6aw I ; E.L.DISEASE-POLICY LIMIT $ '4 I y 598 3651-C12-59 09/12/2012 ' 0311212013 Comprehensive and Collision: $5{.0�7 DESCRIPTION OF OPERATIONS t LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space is required) 88 AUSTINTOWN FLATBED VIN: 16UTCH8028 CERTIFICATE HOLDER CANCELLATION CITY OF MIAMI BEACH SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 1700 CONVENTION CENTER DRIVE ACCORDANCE WIT HC POLICY PROVISIONS. MIAMI BEACH,FL 33139 -r-� AtIIORiZED,f2 RESFi+ITAT1Vtj.' S ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD 1001486 1328497 03-01-2012 CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 02/12/2013 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, TERESA SHEPHERD TERESA SHEPHERD INSURANCE LLC PHONE FAX A/C No A/C No:561-249-5406 2101 VISTA PKWY STE 112 E-MAIL ADDRESS: WEST PALM BEACH FL 33411 PRODUCER CUSTO ER ID# INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A:GRANADA INSURANCE COMPANY 5425 A QUICK BOARD UP SERVICE INC INSURER B: 3730 W BROWARD BLVD INSURER C: FT LAUDERDALE FL 33312 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. �S TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP POLICY NUMBER M/DD MM D/YYYY LIMITS A GENERAL LIABILITY 07/11/2012 07/1112013 EACH OCCURRENCE $ 0185FL00037533 DAMAGE X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ X �r :L CLAIMS-MADE F ]OCCUR MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ X POLICY jEo- LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO _ BODILY INJURY(Per person) $ ALL OWNED AUTOS BODILY INJURY(Per accident) $ SCHEDULED AUTOS PROPERTY DAMAGE HIRED AUTOS (Per accident) $ NON-OWNED AUTOS $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION WC STATU- I OTH- AND EMPLOYERS'LIABILITY Y/N TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE a OFFICERIMEMBER EXCLUDED! E.L.EACH ACCIDENT $ N/A _ (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ If yes.describe under E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) CERTIFICATE HOLDER CANCELLATION CITY OF MIAMI BEACH SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE 1700 CONVENTION CENTER DRIVE POLICY PROVISIONS. MIAMI BEACH FL 33139 AU ORIZED REPRE TATIVE ©1988-2009 C D CORPORATION. All rights reserved. ACORD 25(2009109) The ACORD name and logo are registered marks of ACORD i ACO® LIABILITY L I T INSURANCE DATE(MM/DD/YYYY) CERTIFICATE ®F LIA Y 2/12/2013 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 AUTO INS PLUS INC DBA AL NAME�T BARBARA SABOTKA PHONE FAX 6795 STIRLING RD A/C No Ext: - A/C No E-MAIL ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# DAVIE FL 33314 INSURER A:FWCJUA INSURED QUICK BOARD UP SERVICES INC A INSURER B: 3730 W.BROWARD BLVD INSURER C: INSURER D: FORT LAUDERDALE FL 33312 INSURER E: FEIN:650089445 INSURER F: COVERAGES CERTIFICATE NUMBER:130212010 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 TYPE OF INSURANCE ADDL SU D POLICY NUMBER MM/DDY LTR /YYYY MM/DD//YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTED COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ CLAIMS-MADE 1-1 OCCUR MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ POLICY PRO- LOC $ A COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY Ea accident $ ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $HIRED AUTOS AUTOS Per accident $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WO RKERS'COMIDENSATION X WC STATU- OTH- AND EMPLOYERS'LIABILITY YIN 2848C607 TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE N/A 6/16/2012 6/16/2013 E.L.EACH ACCIDENT $1 000.00 A OFFICE/MEMBER EXCLUDED? [�J(Mandatory in NH) � E.L.DISEASE-EA EMPLOYEE $500 006,06 If yes,describe under DFSCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $100,000.00 F F7 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) CERTIFICATE HOLDER CANCELLATION CITY OF MIAMI BEACH SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 1700 CONVENTION CENTER DRIVE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. MIAMI BEACH FL 33139 AUTHORIZED REPRESENTATIVE Phone Number 305-673-7028 ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD