The URL can be used to link to this page

SGN-06-22-1433Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Issue Date: 07/13/2022 Location Address Parcel Number Permit NO.: SGN-06-22-1433 Permit Type: Sign Work CfossiJication: Repair Permit Status: Approved Expiration: 01/03/2022 9537 NE 2ND AVE, Miami Shores, FL 33138 1132060133910 Contacts DVS LLC Owner DAW ELECTRIC INC Contractor 201 NE 95 ST, MIAMI SHORES, FL 33138 DERRICK ANTHONY WILLIAMS Mobile: 7864235959 THERESA@ PREFERREDHOMEMORTGA 20421 NW 22ND AVE, MIAMI , FL 33056 GE.COM Business: 7868773500 dawelectricjob@gmail.com I Description: INSTALLATION OF WALL SIGN /REPLACE Valuation: $ 1,900.00 Inspection 49 nests: 305-762-4949 Total Sq Feet: 0.00 Fees Amount Application Fee - Other $50.00 CCF $1.20 DBPR Fee $2.00 DCA Fee $2.00 Education Surcharge $0.40 Permit Fee $50.00 Planning and Zoning Review Fee $100.00 Scanning Fee $9.00 Structural Review ($60) $60.00 Technology Fee $2.50 Total: $277.10 Payments Date Paid Amt Paid Total Fees $277.10 Credit Card 07/13/2022 $227.10 Credit Card 06/06/2022 $50.00 Amount Due: $0.00 Building Department Copy In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws :onstructjorrand zoning. Futhermore, I authorize the above named contractor to do the work stated. Signature: Owner / Applicant / Contractor / Agent Date July 13, 2022 Page 2 of 2 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 BUILDING PERMIT APPLICATION ®BUILDING ❑ ELECTRIC ❑ ROOFING .JUN 7 6 2022 BY: FBC20 Master Permit No-1Q(��'U�fifi((—� 44 Sub Permit No."%W—VW 2z—�� ❑ REVISION ❑ EXTENSION [—]RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: q �� NF aZ� A.-e— '� Folio/Parcels: I I — Occupancy Type: y OWNER: Name (Fee Simple / Address: ZC% t N% t N City: Tenant/Lessee Name: Email: Is the Building Historically Designated: Yes Load: Construction Type: Flood Zone: BFE: _ dder): 1Jy . u�c -CC S _ State: CONTRACTOR: Company Name:. AW e t e efiiL I L Z4,, C Phone#: Addr City: Qual State Certification or Registration #: fC 1 JUb SSAS<3 Certificate of Competency #: DESIGNER: Architect/Engineer: Phone Address: City: St g 0do Value of Work for this Permit: $ 1cl Im Square/Linear Footage of Work: _ Type of Work: ❑ Addition ❑ Alteration ❑ New repair/Replace Description of Work: gf� l �Ta o n LU A-L S T- ji.J A Specify color of color thru Submittal Fee $ Permit Fee $ Scanning Fee $ Radon Fee $ Technology Fee $ Training/Education Fee $ Structural Reviews $ `Z NO FFE: 33L'7 f Zip: ❑ Demolition CCF$ CO/CC$ DBPR $ Notary: Double Fee $. Bond $ TOTAL FEE NOW DUE $ I -0 (Revised02/24/2014) Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lenders Address City State Zip 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 on 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 inspectiy which occurs se 7) days after the building permit is issued. In the absence of such posted notice, the inspection wytndfbe approved and a reinspe "on fee will be charged. or AGENT The foregoing instru ent was acknowledged before me this �C/l day of 20 27 • by Iyl eYICA-[I QAP a w 1 fJ ,who i�ersonally known to me or who has produced identification and who did take an oath. NOTARY PUBLIC: Print: Seal: f„er Notary Pub1iq Stale of Flonoa Elizabeth Elomaga My Canmiumn GO 937192 yip^gyp EXPIMS 01125rz024 Signatur��03'////6,N� CONTRACTOR The foregoing instrument was acknowledged before me this -S day of 1-114"1 202Z- by 'DDXRS-� 6VS -L LA-4 f who is personally known to as me or who has produced identification and who did take an oath. NOTARY PUBLIC: Print: yc�t�ryZla:T-n_'vi- : Seal: :acs��v2.zF+o'•.� Z z '• 2 MGG 955201 ' APPROVED BY "4— 6110 2Z' Plans Examiner U Structural Review as Zoning 110 Clerk (Revised02/24/2014) Property Search Application - Miami -Dade County Page I of I k' � J OFFICE OF THE PROPERTY APPRAISER Summary Report Property Information Folio: 11-3206-013-3910 Property Address: 9537 NE 2 AVE Miami Shores, FL 33138-2704 Owner DVS LLC Mailing Address 201 NE 95 ST MIAMI SHORES, FL 33138 USA PA Primary Zone 6400 COMMERCIAL - CENTRAL Primary Land Use 1111 STORE: RETAIL OUTLET Beds / Baths I Half 0/0/0 Floors 1 Living Units 0 Actual Area 4,900 Sq.Ft Living Area 4,900 Sq.Ft Adjusted Area 4.900 Sq.Ft Lot Size 13,000 Sq. Ft Year Built 1926 Assessment Information Year 2021 2020 2019 Land Value $338,000 $304,200 $338,000 Building Value $382,600 $364,044 $323,500 XF Value $0 $0 $0 Market Value $720,600 $668,244 $661,500 Assessed Value $720,600 $6682441 $661,500 Benefits Information Benefit I Type 2021 2020 2019 Note: Not all benefits are applicable to all Taxable Values (i.e. County, School Board, City, Regional). Short Legal Description 1534165342 MIAMI SHORES SEC 1 AMD PB 10-70 LOTS 10 8 11 BLK 29 LOT SIZE 13000 SQUARE FEET OR 16249-1695 0294 5 Generated On: 6/6/2022 Taxable Value Information 2021 2020 2019 County Exemption Value $0 SO $0 Taxable Value $720,6001 $668,2441 $661,500 School Board Exemption Value $0 $0 $0 Taxable Value $720,600 $668.2441 $661,500 City Exemption Value So $0 $0 Taxable Value 1 $720,6001 $668,2441 $661,500 Regional Exemption Value $0 $0 $0 Taxable Value 1 $720,600 $668.244 $661,500 Sales Information Previous OR Book- Price Qualification Description Sale Page 27542 12/23/2010 $1,600,000 Qual on DOS, multi -parcel sale 4900 27394- Corrective, tax or QCD; min 08/06/2010 $100 3799 consideration 22525- Sales which are disqualified as a result 07/01/2004 $0 4025 of examination of the deed 16249- Sales which are disqualified as a result 02/01/1994 F $0 1695 of examination of the deed The Office of the Property Appraiser is continually editing and updating the tax roll. This website may not reflect the most current information on record. The Property Appraiser and Miami -Dade County assumes no liability, see full disclaimer and User Agreement at http:// w .miamidade.gov/info/disclaimer.asp Version: https://www.miamidade.gov/Apps/PA/propertysearch/ 6/6/2022 168" 24" I: C L U P I LAT E SIGN LAYOUT ELEUI-kiL;AL HEV Ic__: d Tom` I APPROVFn, "DATE CEIVEIC+ JUN 0 6 2022 STRUCTURAL REVIE i APPROVED DATE4b,�j Speciflcati ns: individually illuminated reverse channel letters SIGNS 540 South Park Rd.#9-11 Hollywood, FL 33021 DAW Electric Inc. _ 20200 NW 2" Ave. #301 Miami, FL 33169 13005443 CLUMORRAMES 9537 NE 2nd Ave. Miami Shores, FI DATE: 06.17.21 REVISIONS: Juan 0. Gon:alei Florida P.E. #18937 7516 N.W. 55th St. Miami, FI. 33166 STRUCTURAL MEMBERS, CLADDING, FASTENERS, ATTACHMENTS OF SIGN CABINET COMPONENTS ELECTRICAL DETAIL: LE0..om s 2 bOW Power Su I.I Am each 110 Am Circuit Re aired. energy coder wires combination of ph and/or ashonamicAl timer as r(4051.4 emit number affix to the sin r 1 as a 3108.1.4 All electrical components ore L listed ia,alAmps22(I P 9 Y e9 4 U P I I PPM Ps 9 P per ,Pe pe r W 1RUCTURALGENERALNOTES:Structuraldesinisinaccordancewiththebld.codenotedbelowaswellasAC1318-11AISC360-10ADM1.108NDS-12aso licable.Steelcom components ointed.orotherwiseS g g pp W ,P protected against corrosion per Sec Ill( 1201112222.6. Aluminum components incontact with steel orembedded in concrete shall painted or protected as prescribe in the 2010 Aluminum Design manual, Pool. Mlernate option: provide plastic of neoprene spacers. -AtI exposed fasteners shall have a protective cooling for corrosion protection. • Unless otherwise specified all steel to be A-36 all bolts to be A-307 all welding to be 118" min_ and be done under the direct supervision of a ced&d welder • Use bituminous mating for any steel in contact with conaele of aluminum, SIGN COMPANY DOES NOT PROVIDE PRIMARY ELECTRIC TO SIGN Pdmary photocell or timer by others. Locking or adding a lock to the disconnecting means shall be installed on or at the switch or breaker usedd as the disconneding means and shall remain in place with or without the lack installed. NEC600..6 WITHIN SIGHT OF SIGN: The disconnect must be within of the sign or outline lighting system D controls. If disconnect is out of the line of sight from any section of the sign or outline lighting able to be emigized, the disconnect must be lock-ahlewith provisions for lading to remain in place weather the laths installed or Trot (110.25)+ A permanent fold -applied waird Lhaving sufBtient durability to withstand the environment involved and complying with 110.21(B), that idenl'dies the location of the dkmonedis required on the sign at a location visible during servidna NEC 600..6 disconnects This sign h to be installed in accordance with the requirements of: NE(.2017 A FBC - 2020, 7th EDITION 1. Grounded and bonded per NEC 600.7/NEC 250 2. Existing branch circuit In compliance with NEC 600.5, not to exceed 20 amps 3. Sign is to he UL or MET per NEC 6003 4. UL disconnect switch pet 600.6 required per sign component leaving manufacturer *For multiple signs, a disconnect is permitted not required for each section. As per NEC 600. Exception: Remote metal parts of a sign or outline lighting system only supplied by a remote (loss 2 power supply shall not be required to be bonded to an equipotent grounding condudoc This sign is intended to be installed in accordance with the requirements of article 600 of the notional electoral code and/or applicable local miles. This includes proper grounding And bonding of the sign. The location of the disconnect switch after installation shall comply with Article 600.6(A)(I) of the 2017 National Eledrical (ode. .063 ALUMINUM SIDES (welded) SEE ANCHOR SCHEDULE (anchor type) R FASTENER LOCATION 3100'K WHITE LED MODULES , I 3/8' HOLE PIN 9841B114L(OISTRIPGE RIP NDUNN TREOUIIRED UIL APPROVED CLASS It IL LED POWER SUPPLY LOW VOLTAGE WIRING. (inside metal casing) 110 VOLT .090 ALUMINUM FACES (welded) 0 318' O.O. TRUEXONEX PVCTUBE 3/16' CLEAR LEXAN backs L(2) 3/16" DIA. X I- L. TAPCON ALUM. CLIPS 290 x 314' x 2" couched w/ #5 sms 9" LC perimeter of so. 01/4' HOLE w/ LIGHT -BLOCKING — COVER. 1.20 AMP DISCONNECT SWITCH — ENCLOSED IN A WEATHER PROOF JUNCTION BOX W/ LOCK -ABLE COVER BEFORE ENTERING TO SIGN SEE ANCHOR SCHEDULE (wall material) REVERSE CHANNEL LETTER - SECTION DETAIL SCALE: NTS —1-20 AMP DISCONNECT SWITCH ENCLOSED IN AWEATHER PROOF JUNCTION BOX W/ LOCK -ABLE OVER BEFORE ENTERING TO SIGN 1/2' FLEX CONDUITTO EXISTING PRIMARY LINE N---* L Flo, Lz� VE FASTENER LOCATION Note: All wall penetrations will be sealed w/ RTV silicone sealant. tLt( Tk1P,L KEVIEW17 APPROVED"DATE . STRUCTURAL REVIE (APPROVED DAT6� 1_ - -t&k? SIGNS 540 South Park Rd. #9-11 Hollywood, FL 33021 DAW Electric Inc. _ 20200 N W 2n° Ave. #301 Miami, FL 33169 13005443 CLUB s [PORAC4� 9537 NE 2nd Ave. Miami Shores, FI DATE: 06.17.21 REVISIONS: Juan 0. Gonzalez Florida P.E. #18937 7516 N.W. 55th St. Miami, FI. 33166 STRUCTURAL MEMBERS, CLADDING, FASTENERS, ATTACHMENTS OF SIGN CABINET COMPONENTS WITH WINDLOAD REQUIREMENTS PER ED( 71h EDITION, 2020, CH. 1605,16D7, 1611 AND HWLZ 1616.1626 WIND LOADS PER ASCE 7.16 175 MPH DADE COUNTY 3 SECOND GUST CAE D 68.4 `�a F Do E AI df `9 /ice i . !m k No 18937 N v ;APR 0 of i O !t� ORIO Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Issue Date: 07/13/2022 Permit NO.: ELC-06-22-1431 Permit Type: Electrical - Commercial Work Classification: Repair Permit Status: Approved Expiration: 01/13/2022 Location Address Parcel Number 9537 NE 2ND AVE, Miami Shores, FL 33138 1132060133910 Contacts DVS LLC Owner DAW ELECTRIC INC Contractor 201 NE 95 ST, MIAMI SHORES, FL 33138 DERRICK ANTHONY WILLIAMS Mobile: 7864235959 THERESA@PREFERREDHOMEMORTGA 20421 NW 22ND AVE, MIAMI , FL 33056 GE.COM Business: 7868773500 dawelectricjob@gmail.com Description: ELECTRICAL HOOKUP OR WALL SIGN Valuation: $ 2,100.00 Insection Reuests: - TotalSgFeet: 0.00 Fees Amount Application Fee - Other $50.00 CCF $1.80 DBPR Fee $2.00 DCA Fee $2.00 Education Surcharge $0.60 Permit Fee $50.00 Scanning Fee $9.00 Technology Fee $2.50 Total: $117.90 Building Department Copy Payments Date Paid Amt Paid Total Fees $117.90 Credit Card 07/13/2022 $117.90 Amount Due: $0.00 In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws :onstruction and zonina./Futhermore. I authorize the above named contractor to do the work stated. Authorized Signature: OwAr / Applicant / Contractor / Agent July 13, 2022 Page 2 of 2 Miami Shores Village pECEIVEll Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 BUILDING PERMIT APPLICATION ❑BUILDING .'ELECTRIC ❑ ROOFING ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS JUN 1) o 2 BY: FBC 20 Master Permit No. f,,. `/t Sub Permit No alY I�TJL ❑ REVISION ❑ EXTENSION DRENEWAL ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: A S✓ N (i ��O & Citv: Miami Shores_. - County: Miami Dade zip: Folio/Parcel#: I ( 3Z0(O-�13 I O Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): pp � i �C Phone#:7 &o 42-3 • Addrecc- Zo ( 't I F City: MLR.Nti �Y YC's. n State: E; . 1� zip: 33 I,JO . Tenant/Lessee Name: l�l-�l-� \•' LCt,'I'•!✓`S "-CP-L� -L Sr7c-rPS Phone#: Email: CONTRACTOR: Company Name: 'lamAU C-CCU[ /-C7C- Phone#:,, - l State Certification or Registration M ep 134) 0 -5 i` 93 Certificate of Competency #: DESIGNER: Architect/Engineer: Address: ^A City: ' Value of Work for this Permit: $ ��.!/!! Od Square/Linear Footage of Work: Type of Work: ❑ Addition %❑ Alteration ❑L'New '^ epalirr//Replace Description of Work: L''=ee 'L A( C4(, L-UG!} � r° 'V t^ Specify color of color thru Submittal Fee $ Permit Fee $ Scanning Fee $ Radon Fee $ Technology Fee $ Training/Education Fee $ Structural Reviews $ CCF $_ DBPR $ Zip: ❑ Demolition CO/CC $ Notary Double Fee $ Bond $ TOTAL FEE NOW DUE$ (Revised02/24/2014) Bonding Company's Name (if applicable) Bonding Company's Address City state 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 w "occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspectipvwv�ifl�nqopprovedan reinspectionfee will be charged. Signa SignatureW ER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this ! _ day of 1 ~I414 20 2 2 . , by -� day of M `� 20 2-7, by ilnerecA e itta navel 4D . who is personally known to ilr ws/ f-LTA MSwho is personally known to me 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: Sign: Y ��i (&1,4ZO L.< a✓ Sign: 1 Ip Print: —L ' — Print: Seal: ""VF NoterY Public Slate of Flonds Elizabeth Eloniaga Seal: a : �y°° �112,zF+e'.Fc Qu a '•pn M Commnean GG 937192 Y _ $. E>tptres 07/25/2014 _ �i• MGG *� _ 2 968191 ;ffiiii iiffi;tiikfiiif;iiti;itiiiiiiii;ifffiiiif;iifiii;f;fffiiififi�i;k;ififi�Y;�>�i�t;;fiii;f;;;;i• y o hoed mN �•: O APPROVED BY Plans Examiner i0 �c erPOZoning Structural Review Clerk (RevisedD2/24/2014) Ron De5antls, Governor Halsey Beshears, Secretary florida STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ELECTRICAL CONTRACTORS LICENSING BOARD THE ELECTRICAL CONTRACTOR HEREIN IS CERTIFIED UNDER THE PROVISIONS OF CHAPTER 489, FLORIDA STATUTES WILLIAMS, DERRICK ANTHONY DAW ELECTRIC INC 1098 NW 155TH TERRACE PEMBROKE PINES FL 33028 LICENSE NUMBER: EC13005443 EXPIRATION DATE: AUGUST 31, 2022 Always verify licenses online at MyFloridaLicense.com Do not alter this document In any form. This is your license. It is unlawful for anyone other than the licensee to use this document. Local Business Tax Receipt Miami —Dade County, State of Florida -THIS IS NOT A BILL -DO NOT PAY 5460787 BUSINESS NAMF(LOCATION D A W ELECTRIC INC 20200 NW 2ND AVE # C1 MIAMI GARDENS FL 33169-2558 RECEIPT No. EXPIRES RENEWAL SEPTEMBER 30, 2022 5700704 Must be displayed at place of business Pursuant to County Code Chapter 8A - Art 9 & 10 OWNER SEC. TYPE OF BUSINESS PAYMENT RECEIVED D A W ELEC(RIC INC 196 ELECTRICAL CONTRACTOR BYTAX COLLECTOR EC13005443 $45.00 07/13/2021 Worker(s) 4 CHECK21-21-051262 This Local Business Tax Receipt only confirms payment of the Local Business Tax. The Receipt is nota license, permit, or a certification of the holders qualifications, to do business. Holdermust comply with any governmental or nongovernmental regulatory laws and requirements which apply to the business. The RECEIPT NO. above must be displayed on all commercial vehicles- Miami -Dade Code Sec Ba-276. For more information, visit vwvw.jai amidade. ov xcollector ,a►co� i��v4° CERTIFICATE OF LIABILITY INSURANCE TE D 05/03/20221n 05/03/2022 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 SUBROGATIONIS 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 NORTHEAST AGENCIES INC/PHS 01210204 PHONE (866) 467-8730 (A/C, No, Ext): FAX (888) 443-6112 (AfC, No): The Hartford Business Service Center E-MAIL 3600 Wiseman Blvd San Antonio, TX 78251 ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC# INSURED INSURER A : Hartford Casualty Insurance Company 29424 D.A.W. ELECTRIC INC., DERRICK A WILLIAMS, D LIGHTING INSURER B : MANAGEMENT AND INSTALLATION, CO. INC 20200 NW 2ND AVE STE 301 INSURER C : INSURER D MIAMI FL 33169-2562 INSURER E : INSURER F : CnVFRACES 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 TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1,000,000 CLAIMS -MADE OCCUR DAMAGE TO RENTED PREMISES (Ea occurrence) $300,000 MED EXP (Any one person) $10,000 X General Liability A 01 SBM AM8606 06/01/2022 06/01/2023 PERSONAL & ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY PRO ❑ LOC PRODUCTS - COMP/OP AGG $2,000,000 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO BODILY INJURY (Per person) ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) PROPERTY DAMAGE HIRED NON -OWNED AUTOS AUTOS (Per accident) UMBRELLA UAB X OCCUR EACH OCCURRENCE $3,000,000 AGGREGATE $3,Q00,QOO A EXCESS LIAB CLAIMS- MADE 01 SBM AM8606 06/01/2022 06/01/2023 ED X I RETENTION $ 10,000 WORKERS COMPENSATION PER I OTH- AND EMPLOYERS' LIABILITY STATUTE ER EL. EACH ACCIDENT ANY YIN PROPRIETOR/PARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED? NU A EL. DISEASE -EA EMPLOYEE (Mandatory in NH) If yes, describe under EL. DISEASE - POLICY LIMIT DESCRIPTION OF OPERATIONS below A EMPLOYMENT PRACTICES LIABILITY 01 SBM AM8606 06/01/2022 I 06/01/2023 I Each Claim Limit Aggregate Limit $5,000 $5,000 DESCRIPTION OF OPERATIONS / LOCA77ONS/ VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached [f more Waco Is required) Those usual to the Insured's Operations. RE: Electrical Work License# EC1305443 r_=p,nt=rreT= r.rnt n=p nimnm I A nnN MIAMI SHORES VILLAGE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED 10050 NE 2ND AVE BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED MIAMI FL 33138-2304 IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 01988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD a ACC>RV CERTIFICATE OF LIABILITY INSURANCE `� DATE 04/10/IM/DDlYY1fY) 4/10/2022 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 have ADDITIONAL INSURED provisions or 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 AUTOMATIC DATA PROCESSING INSURANCE AGCY INC 1 ADP BLVD MS 625 ROSELAND, NJ 07068 (877) 677-0428 a CCNao. Ext : 877 677-0428 FAX No): sn 677-0430 E-MAIL D • s blcad mvelem.com INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: THE TRAVELERS INDEMNITY COMPANY OF AMERICA INSURED D.A.W. ELECTRIC INC D LIGHTING MANAGEMENT & INSTALLATION, INC. INSURER B : INSURER C INSURERD: 20200 N.W. 2ND AVENUE UNIT 301 INSURER E : MIAMI GARDENS, FL 33169 INSURER F : CnVERAGES CERTIFICATE NUMBER: 034486920411790 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 LTR TYPE OF INSURANCE ADD INSD SUBR WVD POLICY NUMBER POLICY EFF IMMIDDIYYYYJ POLICY EXP (MMIDDIYYYY)LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS -MADE F-IOCCUIR EACH O NCE $ TURRE PREMISES a occurrence $ MED EXP (Any oneperson) $ PERSONAL & ADV INJURY $ GEN1- AGGREGATE LIMIT APPLIES PER: POLICY JECT LOC OTHER: GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ $ AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY (Ea BacCOMcident) SINGLE LIMIT $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ UMBRELLA LIAR EXCESS LIAR OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTION $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNERIEXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA UB-5N477179-22 04/04/2022 04/04/2023 X STATUTE ERTM' E.L. EACH ACCIDENT $19000 000 E.L. DISEASE - EA EMPLOYEE $1,000,000 E.L. DISEASE - POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) l r-K I Irll:A 1 G r1ULUCK Miami Shores Village 10050 NE 2nd Ave. Miami Shores,Fl. 33138 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 pZ�Mt LL� . 01988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD