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MC-09-22-2233•�. Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 .= 305-795-2204 Location Address 636 NE 105TH 5T Miami Shores, FL 33138 Contacts Permit NO. MC-09-22-2233 Permit Type: Mechanical - Residential Work Classification: Alteration Permit Status: Approved Issue Date: 12/02/2022 Expiration: 06/02/2023 Parcel Number 1122310120150 CESAR BOR1A Owner ORONI INC Applicant 636 NE 105 ST, MIAMI SHORES, FL 33138 ORLANDO IGLESIAS 14040 NW 6 COURT, MIAMI, FL 33168 Business: 3056850412 ORONI4545@GMAIL.COM ALL AIR SOLUTIONS INC Contractor SERGIO SANCHEZ 20429 NE 10 CT, MIAMI, FL 33179 Ins ection Requests: Description: BATHROOM AND KITCHEN REMODEL Valuation: $ 2,500.00 305-762-4949 Total Sq Feet: 0.00 Amount .I.;'c.lion Fee -Other $50.00 CCF $1.80 DBPR Fee $2.00 DCA Fee $2.00 Education Surcharge $0.90 Permit Fee $50.00 Scanning Fee $9.00 Technology Fee $10.00 Total: $125.70 Payments Date Paid Amt Paid Total Fees $125.70 Credit Card 12/02/2022 $75.70 Credit Card 09/01/2022 $50.00 Amount Due: $0.00 :)LAIding Department Copy i 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. OWNERS 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. Futhermore, I authorize the above named contractor to do the work stated. Authorized Signature: Owner / Applicant / Contractor / Agent Date December 02, 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 ❑PLUMBING *MECHANICAL ❑ CHANGE OF CONTRACTOR JOB ADDRESS: 636 NE 105 STREET ENTERED SLP 0 12022 BY: - -- FBC 20 Master Permit No.)?C - 0q -ZZ -ZZ3o Sub Permit No. MC-ill-zz-2233 ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑ CANCELLATION ❑ SHOP DRAWINGS City: Miami Shores County: Miami Dade Zip: Folio/Parcel11:11-2231-012-0150 Is the Building Historically Designated: Yes NO X Occupancy Type: Load: Construction Type: OWNER: Name (Fee Simple Titleholder): CESAR & KENDRA BORJA ,,, 4--636 NE 105 STREET City: MIAMI SHORES Zone: BFE: FFE: oti.,.,ea 703-945-3172 State: FLORIDA Zip: 33138 Tenant/Lessee Name: Phone#: Email: kendra.boda@gmail.com CONTRACTOR: Company Name: ALL AIR SOLUTIONS Phone#: 305-685-0412 Address: 1101 NE 191 STREET Email: ORONIOFFICE@GMAIL.COM Qualifier Name: SERGIO SANCHEZ Phone#: 305-685-0412 State Certification or Registration #: CAC1815118 Certificate of Competency #: _ DESIGNER: Architect/Engineer: N/A Phone#: Address: City: State: _Zip: Value of Work for this Permit: $ 7, :57> d Square/Linear Footage of Work: to-W.J Type of Work: ❑ Addition ■❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: BATHROOM AND KITCHEN REMODEL Specify color of color thru tile: Submittal Fee $ Permit Fee $ CCF $_ Scanning Fee $ DCA Fee $ DBPR $ Technology Fee $ Training/Education Fee $ Structural Reviews $ P&Z Review $ CO/CC $ Notary Double Fee $ Bond!, TOTAL FEE NOW DUE $ iRevised04/05/2022) Bonding Company's Name (if applicable) Bonding Company's Address City Mortgage Lender's Name (if Mortgage Lender's Address City N/A State 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 is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. 14 Signature 9 OWNER or AGENT The foregoing instrument was acknowledged before me this day ooff��cS�S� 202Z ,by G�tf'c. 1�� who is personally known to me or who has produced `�t Lns Ct as identification and w FMMANUEL ORDAZ NOTARY PUBLIC: co`°"N,:r:ry Public -State of Flon c ,emission A HH 42811 my rommisaien Expirea Signature �— Y CONTRACTOR The foregoing instrument was acknowledged before me this day of �rC,vS'T ,20'Z2 by SSG c U 1r�2 . who is personally known to me or who has produced %L LYt as identification and who did take an oa . NOTARY PUBLIC: ,."a.'> ,,, EMMANUEL ORDAZ >g' Notary Public -State of Florida Commission a HH 42811 My Commission Expires 7� September 15, 2024 Print: Print: Seal: Seal: !Rt!!!!!!!Rl RRR!!!!RRlRlilkitRlRRRRRRRlk!!! !R!!! RRR RRkR!!lRRR!!tltt Ri RtRRRRi!!R!lRRRRRlttRRRittRRtltiti APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised04/05/2022) Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Issue Date:02/10/2023 Location Address Parcel Number 636 NE 10STH ST, Miami Shores, FL 33138 1122310120150 Contacts Permit NO.: REV-01-23-182 Permit Type: Revision Work Clossiificatlon: Mechanical Permit Status: Approved Expiration: 08/10/2023 CESAR BORIA Owner ORONI INC Applicant 636 NE 105 ST, MIAMI SHORES, FL 33138 ORLANDO IGLESIAS 14040 NW 6 COURT, MIAMI, FL 33168 Business: 3056850412 ORONI4545@GMAIL.COM Contractor SERGIO SANCHEZ 20429 NE 10 CT, MIAMI, FL 33179 Description: BATHROOM AND KITCHEN REMODEL- REVISON TO Valuation: $ 16,000.00 Ins ection Requests: ADD: REPLACE EXISTING PACKAGE UNITS (2) WITH NEW �05-762-4949 RHEEM SPLIT AIR CONDITIONING UNITS Total Sq Feet: 0.00,_. Fees Amount CCF (Manual) $9.60 DBPR Fee (Manual) $8.40 DCA Fee (Manual) $5.60 Education Surcharge (Manual) $4.80 Permit Fee (Manual) $560.00 Scanning Fee (Manual) $9,00 Technology Fee (Manual) $56.00 Total: $653.40 Building Department Copy Payments Date Paid Amt Paid Total Fees $653.40 Credit Card 02/10/2023 $653.40 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. OWNERS 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. Futhermore, I authorize the above named contractor to do the work stated. Authorized Signature: Owner / Applicant / Contractor / Agent Date February 10, 2023 Page 2 of 2 Miami Shores Village ENTERED 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 F-IBUILDING ELECTRIC Q ROOFING F-JPWMBING M MECHANICAL OCHANGEOF CONTRACTOR JIOB ADDRESS: 636 NE 105 STREET BY: %VW Master Permit Sub Permit No. MC-09-22-2233 ® REVISION ❑ EXTENSION RENEWAL CANCELLATION 0 SHOP DRAWINGS City: Miami Shores County: Miami Dade Zia: Folio/parcel# 11-2231 012-0150 is the Building Historically Designated: Yes NO X Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): CESAR & KENDRA BORJA Phonem 703-945-3172 Address:636 NE 105 STREET City, MIAMI SHORES State: FLORIDA zip: 33138 Tenant/Lessee Name: Phone#: Email: kendra.boga@gmal.com CONTRACTOR: Company Name: ALL AIR SOLUTIONS Phone#: 305-685-0412 Address: 1101 NE 191 STREET Email: ORON IOFFICEQGMAI L.COM Qualifier Name: SERGIO SANCHEZ Phonew. 305-685-0412 State Certification or Registration tt: CAC7815118 Certificate of Competency M DESIGNER: Architect/Engineer. N/A Phone#: Address: City: State: Zip: Value of Work for this Permiv I Square/Linear Footage of Work: — TypeaF Work: ❑ Addition ® Alteration ❑ New ❑ Repair/Replace Q Demolition Description of Work: BATHROOM AND KITCHEN REMODEL *** REVISION TO ADD: REPLACE EXISTING PACKAGE UNITS (2) WITH NEW RHEEM SPLIT AIR CONDITIONING UNITS Specify color of color thru tile: Submittal Fee $n�2 t�l� Permit Fee $ y":� 1V V Scanning Fee S \ DCA Fee $ - LP 0 TechmAo6y fee $ � L_ TretningMducadon fee $ Structural Reviews $ CCF $ $ WD —L Notar v $ fr/ DBPR $ Notar P&Z Review $ Double Fee Bond 6 TOTAL FEE NOW DUE $ (Revised04/05/20221 Bonding Company s Name (if applicable) N/A Bonding Company s Address R City State R4ortpge�endels Name (if applicable I Mort6ge Lende4Address 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 is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature( C' —7 2,✓ 4 �:: � OWNER or AGENT The foregoing instrument was acknowledged before me this day of �rgsr /92>/ 20 2-3 by IrENAZ4 /54!rx//4 who is personally known to me or who has roduce 4� as identification and who did take an oath. NOTARY PUBLIC: EMMANUEL ORDAZ Notary Public -State of Flork Commission p HH 42811 Print: Seal SignatureAl CONTRACTOR The foregoing instrument was acknowledged before me this day of 20 7-3 by S6/�6 /O �`�^��C`za✓ho is personally known to me or who has roduced P L- as identification and Seal: PUBLIC EMMANUEL ORDAZ Notary Public -State of Florh ' Commission p HH 42811 I My Commission Expires 7l September 15. 2024 ,4MiNAiVc/E/ or Je4 Z •tt#ittif YYtkYitit�kti�kkkkttk k+i'ktkktRt4iktttRti}MiMkkMiYtitiiYkkktktfittfkkftYiti4iFlikittiYYtkikiYtttititRi APPROVED BY I 1 1�ans Examiner Zoning Structural Review Clerk (Revised04/0512022) E CAL REVDDATE 'J' MIN. CLEARANCE TO BE PROVIDED ALONG THE SIDES,BACK AND TOP OF AHU. THIS IS IN ADONIOIN TO REQUIREMENTS OF THE AHU CLOSET TO MEASURE AT LEATS 12 INCHES WIDER THAN THE AHU.2017 F8CR-MI3051.I MU SHALL BE MECHANICALLY ATTACHED TO THE SUPPLY AIR PLENUM DUCT FAN S FILTER 17 MI !I-phvu 1"r CEILING 7Tm LINES — PROVIDE CAP OFF WITH I,/I' PERFORATED FOR VENT MIN L`1T10771117I4 HOARY DRAIN LINE LOAT SWITCH ONTROL OVERFLOW BY TING DOWN THE UNIT I ACTIVATED. T:rM AHU CLOSET INSTALLATION Nis CITY Copy ENTERED JAN 2 4 2023 BY: (PIS RU ATTACHED NDA-I8-071807) i0 SEE NOW C.U. i[ ON COMPLY W/ IS Y-301.15, iBC 1670 AND THONTOlPREBTCN FROM THE BYRD b' YIN HN)I CONCRETE F k ABOVE FLOOD LEVEL CONDENSING UNIT INS TALLATION DETAIL x Ts - -RO CP ICCESS POIBS IDOOED SCNL DECA1 HLOOPNR WITH TYPE TAJ GO OR SNUCATICOMBE BE IS PESACCESS. SECTION EMITN' ZED CE WITH HE PBC.6E i0 PgEVE}If 111lV101OMZED ACCESS. t0 COMPLIANCE WRH THE Fl3C, R SECTION YIIII.S. ALL ONSSADMIED REFIOGEIM PIPING INSMATION TO BE AOR PAWED WITH AV PROIECTM PAW. NNE ON CONDENSING UNIT Y CEAL 405 i Y Two (2) new split units will replace existing package units with same tonnage. Fiberglass return dud will be removed and fiberglass supply ducts will remain the same as existing. Also new copper lines and cmdensate lines will be run. The electrical disconned switch for condenser units wit m_main existing and new fuse sae will match LIVING ROOM NEW UNrrS SPECS Rheem - Unit 1 & 2 Condenser unit: RA14AZ36AJ1 NA (3 tons) Air Handler unit RH2TZ3617STANNJ PRIMARY BEDROOM FAMILY ROOM GARAGE ACOREF CERTIFICATE OF LIABILITY INSURANCE °A'�`/' 09282022 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 III 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 terns 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 Dopazo & Associates Inc SW 104th ST Miami FL 33176 CAE: Alexander Dopazo PHONE(305A70-8500 AXFAX,No): (866)647-9673 Oak10723 ADDRESS: atex@dopazo.com INSURERIs AFFORDWO COVERAGE NAIL a I A r Nautilus Insurance Co 17370 INSURED Ali Air Solutions Inc 1970 NE 153 St Bay #t31 North Miami Beach FL 33162 VISUIZER 8 . Infinity Indemnity Ins CO 10061 INSURER C : United States Liability Ins Co 25895 INSURER D : NorGUARD Ins Co 31470 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: Tz9z339112 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 MiK;H 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. LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER Q MMD LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1'000'000 CLAWS -MADE OCCUR PREMISES occurience $ 100,000 LIED EXP one ) $ 5.000 A NN1381015 031272022 03/271Z023 PERSONAL& AMINAW $ 1,000.000 GENt AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2.000.000 POLICY ® �T Loc PRODUCTS - COMP/OP AGG $ 2'�'�0 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea SeWenf) $ 1,000,000 ANY AUTO BODILY WURY (Per person) $ B OWNED SCHEDULED AUTOS ONLY AUTOS 50965M1208002 0923/2M 09232023 BODILY fNxw Per am ) $ PAOPERTY BAMAW$ Per acddent HIRED NO"WNED AUTOS ONLY AUTOS ONLY UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 5,000.000 C EXCESS LWB CI AthffS4AAI3E XL 1613213A 03/27/2022 03/27/2023 X AGGREGATE $ 5.000.000 DED RETENTION $ $ D WOsaIMRs COMPENSATION AN'D EMPLOYEW LESAM iY Y 1 N ANY PROPRIETORIPARTNER/EXECU I IVE OFFICERIMEMBER EXCWDED9 (Manila" In NH) N /A ALWC341850 09l232022 09/23/2023 STATUTE Erg E.L. EACH ACCIDENT $ 500,000 E.L. DISEASE - EA EMPLOYEE $ ,�0 If yes, descrtbe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101. Additional Remarks Setrodule. may be attached If more space Is required) Air conditioning sales, installation and repair. Certificate Holder is Additional Insured where required by a written construction agreement with regards to General Liability as per endorsement L815 (01/17). Waiver of Subrogation applies where required by a written construction agreement with regards to General Liability as per endorsement L815 (01/17). The General Liability is Primary and Non Contributory where required by a written construction agreement as per endorsement L815 (01/17). Per Project aggregate applies to the General Liability if requested by written contract or agreement as per L404 (0=9) cFaTnFICATF Wni nFQ CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE V ALL BE DELIVERED IN Miami shores Vide Su&UM Department ACCORDANCE WITH THE POLICY PRQVOKIRS, 10050 NE 2nd Avenue AUTHORIZED REPRESENTATIVE Miami Shores FL 33138 01988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD ACORO® CERTIFICATE OF LIABILITY INSURANCE °��DI'I'�'r' 0928/2022 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 poticy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terns and conditions of the policy, certain policies may require an endorsemenL A statement on this cerficate does not confer rights to the certificate holder in lieu of such endomement(s). PRODUCER Dopazo 8 Associates Inc 10723 SW 104th ST Miami FL 33176 CCOONT C Alexander Dopazo PHONE(305)470-8500 FAX,No : (866)647-9673 ADDRESS: alex@dopazo.com INSURMS) A"ORDM COVERAGE Naas a INSURERA.- Nautba Insurance Co 17370 04SURED Ali Air Solutions Inc 1970 NE 153 St Bay #31 North Miami Beach FL 33162 DISURER g . Infinity Indemnity Ins Co 10061 INSURER C : United States Liability Ins Co 25895 INSURER D . NorGUARD Ins Co 31470 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: CL2292339112 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. NOTW THSTANDING ANY REOUiREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECTTO 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. LTR TYPE OF WSURANCE INSD WVD POLICY NUMBER MIDD LIMITS COMMERUALC WERALLW81UTY EACH OCCURRENCE $ 1,000,000 CLAAU "ADE ® OCCUR PREMISES occurrence) $ 100,000 MED EXP one ) $ 5.000 A NN1381015 03272022 03127/2023 PERSONALS ADV INJURY $ 1'000'000 GEN'L AGGREGATE LUff APPLIES PER. POLICY ® d� LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMPIOP AGG S 2'�'�0 $ OTHER: AUIV081081ILE L.lABLnY COMBINED SINGLE LIMIT $ 1,000,000 ANY AUTO BODILY I> A RY (Perpenwn) $ B AOWNED UTOS ONLY AU�H06� HIRED NON -OWNED I AUTOS ONLY AUTOS ONLY 509650591208 0%232022 09/23/2023 BODtLY ftRw (Per amidem) $ MOPERTY DAMAGEg Par accident UMBRELLA LIAB OCCUR EACH OCCURRENCE S 5,000,000 C EXCESS LIAR XL 1613213A 03/27/2022 03/27/2023 X AGGREGATE S 5.000.000 DED RETENTION $ S D WORKERS COMPENSATION AND EMPLOYEREr LIEABLITY Y / N ANY PROPRtETORIPARTNERIEXECU I IVE OFFICERIMSEM8ER EXCLUDED? N (Mandatory In NH) NIA ALWC341850 09/23/2022 09/23/2023 STATUTE ER E.L. EACH ACCIDENT $ '� E.L. DISEASE - EA EMPLOYEE $ 500'000 E.L. DISEASE - POLICY LIMIT $ 500,000 If yes, describe under DESCRIPTION OF OPERATIONS below I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attactsed N more space Is required) Air conditioning sales, installation and repair. Certificate Holder is Additional Insured where required by a written construction agreement with regards to General Liability as per endorsement L815 (01117). Waiver of Subrogation applies where requited by a written construction agreement with regards to General Liability as per endorsement L815 (01/17). The General Liability is Primary and Non Contributory where required by a written construction agreement as per endorsement L815 (01/17). Per Project aggregate applies to the General Liabii€ty If requested by written contract or agreement as per L404 (0S/09) r►GRTtcar•_ATr- WnI nFR CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Miami shores V&ge Building Deparbnent ACCORDANCE WITH THE POLICY PROVISIONS. 10050 NE 2nd Avenue AUTHORMED REPRESENTATIVE Miami Shores FL 33138 ®1988.2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD