PW-14-1310 14**15 10
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Miami Shores Village
Building Department
10050 NE 2 Ave, Miami Shores, FI 33138
Tel: (305)795-2204 • Fax; (305)756-8972
1/20/2016
FPL FIBERNET LLC
9260 W FLAGLER ST
Miami, FL 33174
Permit: PW-6-14-1310
INSTALL 4-1.5" HDPE CONDUITS & PULL 1-216 CT FOC
Address: 9099 BISCAYNE Boulevard Miami Shores FI-33138-
Dear Sir or Madam,
Our records indicate that the above referenced permit has expired without obtaining the
proper final inspection. In order to serve you better, we need to keep our files up to date.
As per section 105.4.1 of the Florida Building Code, "Every permit issued shall become invalid
(expired) unless the work authorized by such permit is commenced within six months after its
issuance, or if the work authorized by such permit is suspended or abandoned for a period of
six months after the work is commenced, or completed without obtaining the final inspection
of the work performed.."
Please contact the Building Department, within 15 days of receipt of this letter in order to take
care of this matter.
Sincerely,
Ismael Naranjo (CBO)
Building Director
Miami Shores Village
Building Department
10050 NE 2 Ave, Miami Shores, FI 33138
Tel: (305)795-2204 • Fax; (305)756-8972
10/21/2016
To: Current Owner
9099 BISCAYNE Boulevard
Miami Shores, FL 33138-
Permit: PW-6-14-1310
Address: 9099 BISCAYNE Boulevard Miami Shores FI-33138-
Dear Sir or Madam,
Our records indicate that the above referenced permit has expired without obtaining the
proper final inspection. In order to serve you better, we need to keep our files up to date.
As per section 105.4.1 of the Florida Building Code, "Every permit issued shall become invalid
(expired) unless the work authorized by such permit is commenced within six months after its
issuance, or if the work authorized by such permit is suspended or abandoned for a period of
six months after the work is commenced, or completed without obtaining the final inspection
of the work performed.."
Please be advised that open permits will hinder your ability to obtain new permits, refinance or
sell this property.
Please contact the Building Department, within 15 days of receipt of this letter in order to take
care of this matter.
Sincerely,
'-/� lo l jo
Ismael Naranjo Cv )
Building Director
Miami Shores Village 7JU
�vF
Building Department 9 14
1 10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel:(305)795-2204 Fax:(305)756-8972
INSPECTION LINE PHONE NUMBER:(305)762-4949
`1 a ��►- '►H`� FBCi20
BUILDING Master Permit No� tq ._ ) 3 (0
PERMIT APPLICATION Sub Permit No.
❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION [—]RENEWAL
❑PLUMBING ❑ MECHANICAL VPUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 9099 Biscayne Blvd
City: Miami Miami Shores County: Miami Dade Zip: 33138
Folio/Parcel#: 11-3206-011-0040 Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name(Fee Simple Titleholder): FPL FIBERNET. LLC Phone#: (305)552-4329
Address: 9260 W FL AGLER STREET
City: Miami State: Florida Zip: 33174
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR:Company Name: Cable Wiring Specialist Inc Phone#: (954)893-0501
Address: 5900 Mayo Street
City: Hollywood State: Florida Zip: 33023
Qualifier Name: Nicholas Karl Phone#: (954)893-0501
State Certification or Registration#: ES0000274 Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$ $1550.00 Square/Linear Footage of Work: Lf-1551:
Type of Work: ❑ Addition ❑ Alteration gNew ❑ Repair/Replace ❑ Demolition
Description of Work: INSTA1 1 4-1 5^ HDRE GOND!11TS A PULL 1-216CT Mr.
Specify color of color thru tile:
Submittal Fee$ Permit Fee$ CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Notary$
Technology Fee$ Training/Education Fee$ Double Fee$
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$ 1,2n.ci o
(Revised02/24/2014)
Bonding Company's Name(if applicable)
Bonding Company's Address _
City State Zip
Mortgage Lender's Name(if applicable)
Mortgage Lender's Address
City State Zip
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRIC, PLUMBING, SIGNS, POOLS,
FURNACES, BOILERS, HEATERS,TANKS,AIR CONDITIONERS, ETC.....
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all
applicable laws regulating construction and zoning.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING
YOUR NOTICE OF COMMENCEMENT."
Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding$2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit isch posted notice, the
inspection wil not be approved and a reinspection fee will be charged.
"COi
Signature4� Sig
NE or AGENT RACTOR�
The foregoing instrumen was acknowledged before me this Thehorygoing instrument was acknowledged before m this
da of 20 by day of 20 by
who is personally known to elAA&t personally known to
�r a or who has produced as me or who has produced as
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
ipOw Notary Public State of Florida
Nota Public State of Florida Mark Barr
Sign: Notary Sign•
a an a a Expires 08/07/2017
Print. My Commission FF 008570 Print:
oraxpi
Seal: Seal:
APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
Arlenis Silvera
From: Arlenis Silvera
Sent: Monday, June 05, 2017 2:56 PM
To: 'JULIANR@CWSIFL.COM'
Subject: Permit PW14-1310
Attachments: 2649_OO1.pdf
Julian,
Please let me know if you are ready to request inspection for this project.
Thank you!l
Best Regards,
Arlenis Silvera
Permit Clerk Supervisor
15
RLS
r
ZORTD
Miami Shores Village
10050 NE 2 AVE
Miami Shores, FI 33138
305-795-2204
www.miamishoresvillage.com
From: CannonCityHall@miamishoresvillage.com [mailto:CannonCityHall@miamishoresvillage.com]
Sent: Monday,June 05, 2017 3:55 PM
To:Arlenis Silvera <SilveraA@msvfl.gov>
Subject:Attached Image
i
AERIAL SECTION FOR --Q
SINGLE FOC LATERAL TO: ALPINE REVIEW
BK— STORE 3711 DIRECTION G
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INFORMATION ON THS DOCUMEM
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DIRECTION OF
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INSm m Z w I
TALL 1-1.5" HDPE
CONDUIT k PULL 1-12CT •
FOC (36" MINIMUM COVER) +++. L 4 • . +ease
• ••+ ••
/ / • • •
RSC 7 / ,,�•-^ • • • •
hT O• S / nro�—` •••••• •• • ••• •a
` � ••••yWT •
OUAKITY •
•
•• • •• •••••
ADDC-0 1 2–LT–1 2–AO–1 4–OFNG as
"
""" •
TOTAL UNDERGROUND FOOTAGE STA. 18+36 '
THIS SHEET: 118' IN ••.••• •
END • . •
DIRECTIONAL BORE = 60' SLACK COIL 25' •• RE;SIONS/APPR@%M- i•' i
I •
PL. 1-1.5" HDPE I I DATE DESCR INITIAL
E/W PULL ROPE
060214 FIRST SUBMITTAL OT
EMT CONDUIT = 8'
PL. 1-2" EMT
E/W PULL ROPE
PLENUM INNERDUCT = 50' TOTAL AERIAL FOOTAGE
PL. 1-1.25" PLENUM INNERDUCT THIS SHEET : 134
E/W PULL ROPES
CONDUIT NOTE: CONSTRUCTION NOTES: NOTES:
MAINTAIN A MIN BENDING RADIUS -MAINTAIN POLE ATTACHMENTS 40"BELOW NEUTRAL.
OF 5'ON ALL DUCT CONFIGURATIONS - CONDOREONALL SURFACES TO EQUAL OR BETTER -MAINTAIN MINIMUM 18'GROUND CLEARANCE. c
-REFER TO ALPINE WINDLOAD CALCULATION SHEETS. MIAMI-DADE
MAINTAIN MINIMUM 12"SEPARATION — VERIFY ALL MEASUREMENTS AND DISTANCES.
BETWEEN PROPOSED FPL FIBERNET — NO PROPOSED RUNNING LINE CHANGES ARE TO •
MIAMI SHORES
DUCTS&EXISTING UTILITIES BE DONE WITHOUT FIBERNET OSPE APPROVAL. ALL POLES ARE EXISTING Towr 53S
JUAN GARZA (954) 205-8015
PAIwK
42E
Know what's below [sZgW
Call before you dig 06
p60 SINGLE FOC LATERAL TO
9099 BISCAYNE BLVD
F - - - - - - - 25- -
I FPL FIBERNET FDP ADDC-012–LT-06–AO-14–OFNG 10 ADDC-048–LT-12–AO-14–OFNG �o � dr. Bim,W.
Place ADDC-012 i
Place 4ct FOC c0 I F.L. 270' N O VP" orwAOI W•
Jumper:5' FPL FIBERNET NID + C.L.:290' + w r0 seaw
Total measurement I I 9099 OWYNE eLVD.ew
this print 9099 BISCAYNE BLVD 0 Total measurement LO Uj 0
L — — — — — —— — — J this print NEW FPL FIBERNET HANDHOLE 1"=50' 004 OF 005
DIRECTION OF
ENGINEERING
I. CORE DRILL WALL do INSTALL
1 ' NEW PULL BOX. °1F0T10N oN,HS
T IS reorree AW AND swu.wT
BE Lf=.Corm..17".Nxs
I OR DISCLOSED N WMBIE OR N
NID �.: - OF F L FOC WWff1EN Comm
� — �.- ..., of FPL reEw&M
FDP _ . ��" FPL
- - 9250 FIAGLBRT ST
VIA , FL 331
FPL
FiberNet NOC 1-866-553-4237
ATTACH 1-2' EMT CONDUIT TO
1 1�, WALL do PULL 1-12CT FOC
I'
I -
4
` . — y —
! _ INSTALL NEW PULL BOX
4 1 •o••
PICTURE - I.T. ROOM 60670
...... .. . •.
N.T.S. ...•••i QUIT • OUAWT Y .
ac
D: F U
J •• ••
Z X p •••• •••ii•
DIRECTIONAL BORE
�XZ
•i•••• • •
?O Z w O p INSTALL 1-1.5" HDPE CONDUIT
coo m U H do PULL 1-12CT FOC (36" • •
W , W J W MINIMUM COVER) ••••i• •
Z>m Zmcr • • • •••• •
Z 3 a w Z 0-0 •• RLIISIONS/APPIOZ-
WWDATE
• •
OZ WWZPICTURE - ENTRY POINT i DATEDESCRI I INITIAL
1 IAmZW OOWZW
INSTALL 1-1.25" PLENUM FLEX111 ��� mmm N.T.S. 060214 FIRST SUBMITTAL OT
INNERDUCT ABOVE DROP 000000 n n n
CEILING do PULL 1-12CT FOC +++ +++
nnn nnn
00� small Room name mine momm, DIRECTIONAL BORE
INSTALL 1-1.5' HDPE CONDUIT
do PULL 1-12CT FOC (36'
MINIMUM COVER)
I ' ce"mr.
I.T. ROOM MIAMI-DADE
I
MIAMI SHORES
18+36 END INNERDUCT ' ATTACH 1-2" EMT CONDUIT TO Tow-W.
18+36 NEW FPL FN FDP & NID WALL• PULL 1-12CT FOC & 42E
INSTALL NEW PULL BOX
42E
IRWIN 1111111 11111111100 Know what's below 5*dbm
Call before you dig 06
SINGLE FOC LATERAL TO
INSTALL NEW FPL FN FDP P1OJ"I`
9099 HISCAYNS BL
(LEAVE 25'COIL) do NID ON OSP- S ond�
EXISTING RACK JLAAN� (9")2w-wis
DETAIL W.
r""d�107�54 . SI
SCALE 1"=16'
$e"" 9099 BISCAYNE BLVD.dw
AS SHOWN 005 OF 005
� a �
ROAD
WORK
END AHEAD
ROAD WORK N
A
1
_ a NE 8th AVE a
LY 01 LF' ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ 0
/ //7/ th
8 Taper Length= KL Work Area 1`'
See Table 11 END Table 11
ROAD ROAD WORK Taper Length - Shoulder
WORK Device Spacing-Taper Device Spacing-Tangent 500'
AHEAD See Table I See Table I Speed U (ft)
SrEE01NG FINES Notes
DOUOLED (mph) 8' 10' 12'
NlE� Shldr. Shldr. Shidr. •• •••
h1ESENT
25 28 35 42 • • • •• 9600••
• • • •• 0
Table 1 30 40 50 60 __WS2 • • • •
Device Spacing 35 55 68 82 L 60 • 0668 • • •6 6
Max. Distance Between Devices (ft.) 40 72 90 107 0 0 0 •%
0 :6•••
Speed Cones or Type 1 or Type 11 45 120 150 180 • • •••
Barricades or Vertical 000
• •9•••
DISTANCE BETWEEN SIGNS (mph) Tubular Markers panels or Drums 50 133 167 200 0 6 0 0 6 0 00 09:600
55 147 183 220 • 6••6 0• 060 6.04•6
Spacing (ft.) TaperITangertit Taper Tangent L=WS •
q Speed A B 25 25 25 50 60 160 200 240 •o•: • •065 173 217 26040 mph or less 200 200 30 to 45 2530 500600045 mph 350 350 50 to 70 25 50 100 70 187 233 280
50 m h or teeter 500 500 ••• • ••• 000••
1 'Midway between signs. 8' minimum shoulder width
i
YjL- Length of shoulder taper in feet
SYMBOLS GENERAL NOTES DURATION NOTES W= Width of total shoulder In feet
(combined paved and unpaved width)
® Work Area 1. When four or more work vehicles enter the through traffic lanes in a one hour 1. Signs and channellzing devices may be omitted If all of the
period or less(excluding establishing and terminating the work area), the advanced following conditions are met: S- Posted speed limit(mph)
P Sign With 18"x 18"(Min.)Orange FLAGGER sign shall be substituted for the WORKERS sign. For location of flaggers a. Work operations are 60 minutes or less.
} Flag And Type 8 Light and FLAGGER signs, see Index No.603. b. Vehicles In the work area have high-intensity, rotating,
u flashing, oscillating,or strobe lights operating.
■ Channelizing Device(See Index No. 600) 2. SHOULDER WORK sign may be used as an alternate to the WORKER symbol sign only
on the side where the shoulder work is being performed.
g [p Work Zone Sign 3. When a side road intersects the highway within the TTC zone, additional TTC
6i devices shall be placed in accordance with other applicable TCZ Indexes.
b Lane Identification+Direction of Traffic CONDITIONS
4. For general TCZ requirements and additional information, refer to Index No.600. WHERE ANY VEHICLE, EQUIPMENT,
WORKERS OR THEIR ACTNiTIES
ENCROACH THE AREA CLOSER
THAN 15' BUT NOT CLOSER THAN
2' TO THE EDGE OF TRAVEL WAY.
h
LASE C DESCRIPTION: FDOT 20I4 INDEX SHEET
REVISION DESIGN STANDARDS Two-LANE, Two-WAY, WORK ON SHOULDER 602 1 of 1
07/01/12 10
A
SNORES
INC 1932
N.,. (� violet" Miami Shores Village
IyVF o Building Department
�LORiDp' 10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
CONTRACTORS' REGISTRATION FORM
ALL CONTRACTORS MUST PROVIDE COPIES OF LICENCES AND INSURANCES EACH TIME A PERMIT IS
SUBMITTED OR THE VILLAGE MAY MAINTAIN A FILE WITH YOUR INFORMATION FOR-A-$39:A9-F-E
IF CONTRACTOR IS A FLORIDA STATE CERTIFIED CONTRACTOR:
A. COPY OF QUALIFIER'S STATE LIC CARD
B. J COPY OF LOCAL BUSINESS TAX RECEIPT
C. COPY OF LIABILITY INSURANCE (CERTIFICATE HOLDER TO BE MIAMI SHORES VILLAGE BLDG DEPT)
D. V COPY OF WORKERS COMPENSATION (EITHER CERTIFICATE OR EXCEMPTION)
IF CONTRACTOR HAS A MIAMI DADE COUNTY CERTIFICATE OF COMPETENCY:
A. COPY OF CERTIFICE OF COMPETENCY OF QUALIFIER
B. COPY OF MIAMI DADE COUNTY MUNICIPAL CONTRACTOR'S TAX RECEIPT
C. COPY OF LIABILITY INSURACE (CERTIFICATE HOLDER MUST BE MIAMI SHORES VILLAGE BLDG DEPT)
D. COPY OF WORKER COMP INSURANCE(EITHER CERTIFICATE OR EXEMPTION)
YOUR INSURANCE COMPANY MUST ISSUE A CERTIFICATE HOLDER AS FOLLOW:
MIAMI SHORES VILLAGE BLDG DEPT
10050 NE 2ND AVE
MIAMI SHORES,FL 33138
COMPLETE CONTRACTOR'S INFORMATION
BUSINESS NAME: Cable Wiring Specialist INC
BUSINESS ADDRESS: 5900 Mayo Street CITY Hollywood
STATE Florida ZIP CODE 33023
BUSINESS PHONE: g( 54 ) 893 - 0501 FAX NUMBER(-954 893 - 0448
CELL PHONE (-954 ) 214 - 8019 QUALIFIER'S NAME: Nicholas Karl
QUALIFIER'S LIC NUMBER: K640-623-49-223-0
E-MAIL ADDRESS(IF APPLICABLE): sherellm@cwsifl.com
Created on 3119109 BY MLDV 1 RV 3126109 MLDV
'. DEPARTMENT C�7 FtI= E'`:v. A�'Li PRGF?�SSAC2AL � 1'C�`1,A 71 0a7,
ELECTRICAL CONTRACTORS LICENSING BOARD (850) 467 -1295
1940 NORTH M'ONROE S'T'REET
��•� r TALLAHASSEE FL -2399- 0783
KARL, NICHOLAS C
CABLE WIRING SPECIALIST INC
1420 S .W. 96TH AVENUE
PEMBROKE PINES FL 33025
STATE OFfLORIOA AC#G 2 2aAGO ?
Congratulations! With this license you become one of the nearly one million DEPPi-kTMENT: OF B.VSINESSA3dD
Floridians licensed by the Depariment of Business and Professional Regulation. j PROFESSIONAL REGULATION
professionals and businesses range from architects to yacht brokers,from
boxers to barbeque restaurants, and they keep Florida's economy strong. i
ES0000274 07/26/12 128018477
Every day we work to Improve the way we do business in order to serve you better.
For information about our services,please log onto www.myfloridalicense.com. CERT. SPECIALTY ELECTRICAL CONTR
There you can find more information about our divisions and the regulations that i KptRLL NICHOLXS C
impact you, subscribe to department newsletters and learn more about the CABLE WIRING SPECIALIST INC
Department's initiatives. I i CERTIFIED AS:
! LIMITED ENERGY SYSTEMS SPEC.
Our mission at the Department is: License Efficiently, P'egulate Fairly. We
constantly strive to serve you better so that you can Selye your customers. Is CERTIFIED under the p rovieione of Ch.989 PS
Thank you for doing business in Florida, and congratulations on your new license! i
I txp.iration date: AUG 31, 2014 L12072601538
L
DETACH HERE
�C># 622807 . .. - - -
STATE OF FLORIDA
I
DE-PARTME9T :O.F BUSINESS:. AND PROFESSIONAL REGULATION
ELECTRICAL .CONTRACTORS LICENSING BOARD SEQ#L12072601538
r; LICENSE NBR
07 26 20 2 . :1.2801;8; 7;7.. :: E•$0.00.02.74
The SPE CI ALT Y; ELECTRICAL CONTRACTOR j
Named below IS CERfiIFIEb. !
Under the provisions of- Chapter 489 FS. I
Expiration date: AUG 31, 2014
FSS A LIMITED ENERGY SYSTEMS SPECIALIST
KARL, NICHOLAS. 0 I
CABLE WIRING SPECIALIST INC
5900 MAYO ST j
HOLLYWOOD FL 33023 j
I
001432
1
Local Business Tax Receipt
Miami-Dade County, State of Florida
i
-THIS IS NOT ABILL-DO NOT PAY
4167813 °
BUSINESS NAME/LOCATION RECEIPT NO. EXPIRES I
CABLE WIRING SPECIALISTS INC RENEWAL SEPTEMBER 30, 20141
DOING BUS IN DADE CO 4352159 Must be displayed at place of business I
MIAMI FL 33000 Pursuant to County Code
Chapter 8A-Art.9&10
1 SEC. PE OF BUSINES `
OWNER ' j PAYMENT RECEIVIOD
BLE WIRING SPECIALISTS INC 196 SPEL'ELECTRICAL CONTRACTOR BY TA:k COLLECT6h
Worker(s) 30 ES000 274 �. $175.& 07/092013
TXHS1�r1'3-014 I
rj f
This local Business Tax Receip only confirms payment of the Local Business Tax.The Receipt is not a license,
permit,dr a certification of the Ider'i qualifications,lode business. Holier must comply with any gdvernmental or
nongoveinmental regulatory la v6s and iequire meths whicl?apply'to the b4iness. f
The RECEIPT N0.abovemiust beIdisplaya on all commercial vehiAes-Miami-Dade Code Sec r-276.
�Formore-Writ atio I,vi- It-www.mi8mik4ovAaxoo1lector�
001210
Local Business Tax Receipt
Miami-Dade County, State of Florida
-THIS IS NOT ABILL-DO NOT PAY I_1LBT_1/ .
3990349
BUSINESS NAME/LOCATION RECEIPT NO. EXPIRES
CABLE WIRING SPECIALIST INC RENEWAL SEPTEMBER 30, 2014
DOING BUS IN DADE CO 4164604 Must be displayed at place of business
MIAMI FL 33000 Pursuant to County Code
Chapter 8A—Art.9&10
OWNER SEC.TYPE OF BUSINESS
-.-.-.+ PAYMENT RECEtV D
CABLE WIRING SPECIALIST INC 196 SPEC ELECTRICAL CONTRACTOR BY TAf(COLLECTOR
ES0006274 11
Worker(s) 1 $75.00 07/09/2013
TXHS1;I'3-016262
is Local Business Tax Receipt only confirms payment oI the Local Business Tax.The Receipt is not a license,
1 permit,or a certification of the holder'§qualificaitions,-to-do business. Holder in A ccoom`ply with any governmental or
nongovernmental regulatory laws and requirements which apply,to the business.
The
h \ i 14 mter1
TheRECEIPT N0.above�must be'displayed on all comcial vehieles-Miami-Dade Code Sec Be 27& ,
I
-For more informatioi,visit www.miamidade govdaxcollector^� r
PG/12/2014 23:41 9548930448 CWSI PAGE 03/03
ACdR ' CERTIFICATE OF LIABILITY INSURANCE DATE(MM1DDnYYY)
6/19/20X4
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDEN. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED B'f THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE; ISSUING INSURER(!;), AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE:CERTIFICATE:HOLDER.
IMPORTANT; If the certificate hostler Is an ADDITIONAL INSURED,the poiicy(ies)must be endorsed, if SUBROGATION IS WIVED, subject to
the terms and conditions of the policy,certain policies may require in endorsement A Statement on this Certificate does not coi tfer rights to the
certificate holder In lieu of such endorsement(s).
PRODUCER CONTACT
Sai,tlin, A Morsh&McLea=an Agency LLC Co NAME:
1000 Corporate Drive PHPNE•'—" -'--- '""-"" FAX"__.__.. ,_„__ _•
Suite 400 (kc-NO.Ext);• (954) 938-8788 _—� L(AIC,No) (905) G40-9703
Fort Laudnrdals FL 33334e-MAIL .••
„/,1DDRE96;
—.... ._INSURERL)AFFORDING CDVERAGE—_ _ NAIC A
•• -' _INSURERA; Zurich Amprican Insurance Com
INSURED ....—._ 0959) 89 '— --- .._ _. _P___•., _ 165_35 _
Cable Wiring 8gecialint Inc. INBURERs:North River inguraneen Comparex 21105
5900 Maya Street INSURFRQ:Anlgrican Guarantee And Liabi],ity,— 26247
Hollywoodod FL 33023 INSURF,R D:- ._.—_. .._—..
INSURHq E; '”
COVERAGES
CERTIFICATE NUMBER:cert Xa 42788 REVISION NUMBER:
THIS IS TO CERTIFY THAT THE; POLICIES OF INSURANCE_LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED/MOVE 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, TI-IE INSUrRANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUSJECT TO ALL THE TERMS,
imsEXCI,US(ONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE_SEEN RBpUCED BY PAID CLAIMS,
_. o SiiR -- __._... __.�_..
LTR TYPO OF IN8t7RANCE POLICY NUMBER Pu''EFF PMILDIDIY •��_' """-__... __—___,,,
A 7{ COMMERCIAI GENERAL UA131LITY LIMITS
J CLAfMB MADE I X�OCR EACH OCCURRENCE $Y— 1,000,Q00
GL0594e993-00 3/1/207,4 3/1/zD15 6'A - -'
PREMISES(Es occurrnnre) _ b 300,000
MED EXP(Any ohn
_ --- ...P�rson)...._ $ 10,000
OENLL AGGRCGATE LIMB APPLIt;q PER' PERSONAL A APV INJURY $ 1,GOD,000
.... ._.. ---
_ POLICY XJJjCCOT F-_JLOCGENCRgLAGGREOATE__ .$ 2,000,o00
OTHER; PRODUCT3•COMPIOPgt;4p $ 2,000,000
AUTOM081L1?LIABILITY
COM8[NED St GLE LIMIT
A _� ANY AUTO BAP5948991�00 (EFIa Idanl _— S 1,000,000
ALL OWNED SCHEDULED 3/1/7014 3/1/2015 BODILYINJURY(Pap pnr-on) S
AUTOR AUTOS
X HIRIM AUTOS X NON-OWNED 0013ILY INJURY(Pep amichni) S
AUTOS PgOeaGdaYnt�MAGE
—
B 7E_ UMDRELLALIAB X OCCUR 5811026508 $ -
EXCESgtIAD 3/1/7.014 3/1/$015 EACH OCCURRENCE $
CLAIMS.MAbF .__--._. 5,000,000_
DED RETENTIONS AGGREGATE $ 10,000,ODO
C WORKERSCOMPENSATION
AND EMPLOYERS'LIAIULITy 97C5 9 4 8 9 94 0 Q 3
ANYpROPRIETOR/PARTNER/EXecUTIVE YIN /7'/2014 3/1/2015 X SUTH-
OrMPIWTATUTE ERT1,900,000
_
MEMOCR CXCLUPED7 NIA E.L.EACH ACCIDEN —
(Mandatoryln NH) S 1,000,000 _
Kye B,domrrlha uncOF O E.L DISEABF,_EA GMPI,pYE $ 1,000,000
DE9CRIPTIOM OF PERAT10N9 OgbW
E.L.DISEASE.POLICY LIMIT $ 1,000,000
f
DESCRIPTION OF OPERATIONS!LOCATIONS/VEHICLES ACORD
General aggregate 2 ( 101,Additional Rarnwka Sehodula,may bo nt4lohod If ntm aDaco Is
#360000274. S imSt applies Pnr project when required by written contract. Re- L cense
PrOOP Of Indurpnce only,
CERTIFICATE HOLIJER
CANCELLATION
SHOULD ANY OP THE ABOVE DESCRIBED POLICIES BS CANC tLLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL
Miami Shores Village ACCORDANCE W1B[ DELIVERED IN
TH THE POLICY PROVISIONS.
10050 NE 2nd Avnnue
AUTHORIZED REPRE$FNTATyyE
MAttmi FL 33138
ORD CORPORATION.
ACORD 25(2013/04) The ACORD name and logo are registered marks of ACORDAll I fights reserved.