TO AND FROM THE EVENT?
CERTIFICATE OF Miami LIABILITY Beach Convention Center INSURANCE
PRODUCER
OF CONTENTS
CLAIMS-MADE
GEN ' L AGGREGATE LIMIT APPLIES PER: PRO- POLICY JECT LOC
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED AUTOS
HIRED AUTOS
UMBRELLA LIAB EXCESS LIAB
SHIPPING
TO AND FROM THE EVENT?
CERTIFICATE OF Miami LIABILITY Beach Convention Center INSURANCE
- Halls A-D
OCCUR
SCHEDULED AUTOS NON-OWNED AUTOS
OCCUR CLAIMS-MADE
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES( Attach ACORD 101, Additional Remarks Schedule, if more space is required)
MED EXP( Any one person) |
$ |
PERSONAL & ADV INJURY |
$ |
GENERAL AGGREGATE |
$ |
PRODUCTS- COMP / OP AGG |
$ |
$ |
COMBINED SINGLE LIMIT |
( Ea accident) |
$ |
BODILY INJURY( Per person) |
$ |
BODILY INJURY( Per accident) |
$ |
|
PROPERTY DAMAGE
( Per accident)
|
$ |
$ |
EACH OCCURRENCE $ AGGREGATE $
WC STATU- TORY LIMITS
E. L. EACH ACCIDENT
OTH- ER
$ E. L. DISEASE- EA EMPLOYEE $ E. L. DISEASE- POLICY LIMIT $
$
DATE( MM / DD / YYYY)
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).
INSURED
SAMPLE
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 ADDL SUBR
POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSR WVD
POLICY NUMBER( MM / DD / YYYY)( MM / DD / YYYY) LIMITS
GENERAL LIABILITY
EACH OCCURRENCE $ 1,000,000.00 DAMAGE TO RENTED
COMMERCIAL GENERAL LIABILITY PREMISES( Ea occurrence) $ 1,000,000.00
DED |
RETENTION $ |
|
WORKERS COMPENSATION
AND EMPLOYERS ' LIABILITY
ANY PROPRIETOR /
NEED PARTNER / EXECUTIVE
OFFICER / MEMBER EXCLUDED?
|
Y / N |
N / A |
( Mandatory in NH) |
|
|
If yes, describe under |
|
|
DESCRIPTION OF OPERATIONS below |
|
|
CONTACT NAME: PHONE( A / C, No, Ext): E-MAIL ADDRESS:
INSURER A: INSURER B: INSURER C: INSURER D: INSURER E:
INSURER( S) AFFORDING COVERAGE
FAX( A / C, No):
10,000.00
NAIC #
1,000,000.00 1,000,000.00 1,000,000.00
1,000,000.00
1,000,000.00 1,000,000.00
1,000,000.00
Additionally Insured: EXPO Convention Contractors, Inc., Informa Markets, Miami Beach Convention Center, City of Miami Beach and Spectra
Exhibiting Company Name and Booth #.
Need
CERTIFICATE assistance
HOLDERor
Expo Convention Contractors, Inc. 15959 NW 15th Avenue Miami, Florida 33169
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
ACORD 25( 2010 / 05)
© 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD
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