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MC-10-1821REPALCE EXISTING AC UNIT 3 TON AND DUCT WORK Ti 1 [ 1 iio Inspector Comments t j, Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 i nspection Number: I NSP- 152322 Permit Number: MC -10 -10 -1821 I Inspection Date: November 18, 2010 Inspector: Perez, JanPierre Owner: HURTAK, JEROME Job Address: 533 GRAND CONCOURSE Miami Shores, FL 33138 -2464 Project: <NONE> Contractor: BLUE BREEZE AIR CONDITIONING Building Department Comments November 18, 2010 For Inspections please call: (305)762 -4949 Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: A/C Replacement Phone Number Parcel Number 1132060171350 Phone: 305 -865 -1220 Page 1 of 1 11111111111111111111111111111111111111111 1111 Permit No .MC-10-10-1821 Tax Folio No. 11-3206-017-1350 NOTICE OF COMMENCEMENT STATE OF FLORIDA COUNTY OF MIAMI DADE CFN 2010R0753236 DR 8k 27480 Pss 1945 •- 1946; (29ss) RECORDED 11/05/2010 08224:02 HARVEY RUVIHr CLERK OF COURT MIAMI-DADE COUNTY? FLORIDA THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property, and in accordance with F.S. Chapter 713, the following is provided in this Notice of Commencement. 1. Description of property (legal description of the property, and street address if available): Lots 23, 24, 25 and 26 in Block 96 of AMENDED PLAT OF MIAMI SHORES SECTION NO.4 according to the Plat thereof as recorded in plat Book 15 at Page 14 of the Public Records of Dade County, Florida. a/k/a 533 Grand Concourse, Miami Shores, Fl. 2. General Description of improvement. New air conditioning and duct system. 3. Owner information: a. Name and address: Jerome Hurtak 533 Grand Concourse, Miami Shores, Fl b. Interest in property: Fee simple owners c. Name and address of the fee simple titleholder: same 4. Contractor: Blue Breeze One Hour Air, 655 NW 118 St., Miami, Fl 33168 CAC1813298 5. Surety a. Name and address b. Amount of bond: 6. Lender: (name and address) 7. Persons within the State of Florida designated by Owner on whom notices or other documents may be served as provided by F.S. 713.13 (1) (a)7: Jerome Hurtak (name and address) 533 Grand Concourse, Miami Shores, Florida 33161 8. In addition to himself or herself, Owner designates Donna Hurtak of 10800 Biscayne Blvd. #520, Miami. Fl. 33161 to receive a copy of Lienor's Notice as provided in F.S. 713.13 (1)(b). 9. Expiration date of notice of commencement (the expiration date is 1 year from the date of recording unless a different date is specified): Book27480IPagel945 CFN #20100753236 Page 1 of 2 OR BK 27480 PG 1946 LAST PAGE i erome H , Owner The foregoing instrument was acknowledged before me by Jerome Hurtak who identified this instrument as instrument willingly. STATE OF FLORIDA COUNTY OF MIAMI DADE JUL1AtNN V HOUSTON MY COMMISSION 4 DD625985 EXPIRES January 02.2011 (407)39&(115 ‘ . wtalloterySemce.con This instrument was prepared by: Jerome Hurtak 533 Grand Concourse Miami Shores, Fl. 33138 , and who signed the Sworn to and subscribed before me this "day of Wel( , 2010 , by Who is personally known to me, produced -, , , as identification. Public, tate of Florida. Print Name- JIMmP+k V t • My Commission Expires: / — — Zoi ( Book27480 /Page1946 CFN #20100753236 Page 2 of 2 BUILDING PERMIT APPLICATION FBC 20 Permit Type: MECHANICAL Owner's Name (Fee Simple Titleholder) j VAS OA/V(_ 6171-!f,_ Phone # Owner's Address 533 Gctaod g‘.) City K 1 State �. Zip 5'3 4 Tenant/Lessee Name Phone # Email Job Address (where the work is being done) City FOLIO / PARCEL # Architect /Engineer's Name (if appli Value of Work For this Perm' Type of Work: ❑Addition Describe Work: Submittal Fee $ Notary $ Scanning $ Double Fee $ Structural Review. $ Miami Shores Village Radon $ Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 Permit No. MCI OHO a 1 Master Permit No. Permit Fee $ _5 1) k.�' ) Ik) ❑Alteration County Violation date: Miami -Dade Is Building Historically Designated YES NO Contractor's Company Name Contractor's Address 5 j9 ln)1, City M A , ,S State Qualifier Name Arc \ /a✓? -T Oi_ t State Certificate or Registration No. Contact Phone 3 9 S- S6 5- _`_O "/-4.20 Phone# 3d — 8G s — 12_1_0 C. L32_ct. s Certificate of Competency No. E -mail Square / Linear Footage Of Work: ❑New El Repair/Replace DPBR $ Zip Phone # Phone # CCF $ Training /Education Fee $ Total Fee Now Due $ MCnEIIN/FE111 OCT 1 5 BY. 34 ( ©G -5$ Zip 23A Flood Zone Ora. 305- SC. S &QQ See Reverse side —* ❑ Demolition CO /CC $ * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ** :r* ** ** * ** * * * * * * * * * * * * * * * * * * * * * * * * * *** Technology Fee $ Bond $ 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 ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and 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 ust be posted at the job site for the first inspection w urs seven (7) da after the building permit is issued. In the abse e of such posted notice, the inspection will �. 9 .,..roved and a ins." ction t•e will be charged. Owner or Agent The for going i strument was ackn ledged befo me this day of Vr, , 2010 , by NJ E? for."1/40 o ractor The fore oing ' strument was acknowledged before me this t day of , 20 L, by Kai Ca I0fr who is personally known to me or who has produced who is personally known to me or who has produced Fig NOTARY P : IC: As identification and who did take an oath. NOTARY P LIC: Sign: Print: JO Li, vkk. tkok3,Sict, My Commission Expires: ( T * * * * * * * * * * * * * * * * * * ** APPROVED BY (Revised 07 /10 /07)(Revised 06/10/2009) JULIANN V HOUSTON COMMISSION # DD625945 :yP! - ES January' ii 2011 * !/Plans Examiner Engineer Signature * * *4' * ** Sign: Print: My Commissi as identification and who did take an oath. v J.ILIANN V HOUSTON 'I ; ;nN # DD625985 i,ary 02, 2011 * * * * * * * * * * * * * * * * * * * * * * * * ** '.ermce.carr Zoning Clerk checked ADDRESS: AttU circuit Breaker AMP lAg • Size CB Circuit A reetrer # t k ( Ai, A Miami Shores Village AIR CONDITIONING EQUIPMENT EXACT CHANGE OUT AFFIDAVIT FORM ALL INFORMATION MUST BE FILLED IN ACCURATELY. THE FOLLOWING INFORMATION REPRESENTS THE EXISTING CONDITIONS: Circuit Br esker Panei THE FOLLOWING REPRESENTS THE NEW EQUIPMENT: NAME PLATE INFORMATION: NEW AIR HANDLER UNIT L.-. .- W NEW CONDENSER UNIT -- - MINIMUM CIRCUIT AMPACITY? Li 0 . MINIMUM CIRCUIT AMPACITY? 5 Z. MAMMUivf OVER CUREEINT SIZE? MAXIMUM OVER CURttElsrf SIa? 50. ELECTRIC HEATER KW SIZE? 4- S I as qualifying agent for the air conditioning equipment installation at the above address location hereby attest: The above information provided for the existing electrical conditions and the nameplate information provided for the new equipment is accurate and truthful. Coinpan ante Notary Required Branch Circuit eke Size AMP She N Branch Circuit thane Size X e Air Hands Dim Condenser una Disconnect Disconnect Mounting Location information: Mounted on AHU unit? Yes K No Above Base Flood Level? Yes No Clear workspace 30" wide & 36" front? Yes >L No Mounted on C/U unit? Yes No Above Base Flood Level? Yeses No Clear workspace 30" wide & 36" front? Yes it No Low voltage thermostat wiring is installed in a separate raceway from the power wWng? Yes L NO — Qualifier Name Qualifier S' � , • ITEM UNIT FEE ITEM UNIT FEE ITEM FEE T UNIT BATH TUB SWITCH OUTLETS SPACE HEATERS DISHWASHER LIGHT OUTLETS ' CENTRAL HEATING 1,S DISPOSAL RECEPTACLES NC (WIND) FLOOR DRAIN SERVICE TEMPORARY A/C (CENTRAL) GREASE TRAP SERVICE SIZE IN AMPS DUCT WORK 11 INTERCEPTOR SERVICE REPAIR/METER CHANGE REFRIGERATION LAVATORY APPLIANCE OUTLETS PROCESS AND PRESS PIPING LAUNDRY TRAY RANGE TOP UNDERGROUND TANKS CLOTHES WASHER OVEN ABOVEGROUND TANKS SHOWER WATER HEATER U.F. PRESSURE VESSELS SINK. POT/3 COMP. MOTORS 0-1 HP STEAM BOILERS SINK, RESIDENCE. MOTORS OVER 1 -3 HP HOT WATER BOILERS SINK, SLOP. • MOTORS OVER 3-5 HP MECHANICAL VENTILATION TEMPORARY WATER CLOSET MOTORS OVER 5-8 HP TRANSPORTING ASSEMBLIES URINAL MOTORS OVER 8-10 HP ELEVATORS/ESCALATORS WATER CLOSET - MOTORS OVER 10-25 HP FIRE SPRINKLER SYSTEMS INDIRECT WASTES MOTORS OVER 26 -100 HP COOLING TOWERS WATER SUPPLY TO: MOTORS OVER 100 HP VIOLATION NC UNIT NC WINDOW REINSPECTION FIRE SPRINKLER AIR CONDITIONERS HEATER -NEW INST. STRIP HEATER HEATER - REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER WELL GENERATORS TRANSFORMERS SWIMMING POOL GENERATORS TRANSFORMERS , WATER SERVICE SPECIAL PURPOSE SEWER CONNECTIONS OUTLETS COMMERCIAL UTILITY -SEWER , SIGN TUBES - UTILITY WATER SIGN TRANSFORMERS SEPTIC TANK SIGN TIME CLOCK RELAY FIXTURES FAIRFIELD, 4° TILEJRES. ANTENNA PUMP & ABANDON SEPTIC TANK TELEVISION OUTLETS - SOAKAGE PIT CU. FT. VIOLATION CATCH BASIN REINSPECTION DISCHARGE WELL DOMESTIC WELL AREA DRAIN ROOF INLET • • SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING LAWN SPRINKLER SYSTEM GAS RANGE - _ METER SET (GAS) GAS PIPING . - ADDENDUM TO BUILDING PERMIT APPLICATION AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS BEEN OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS. PLEASE CIRCLE 0 DISCIPLINE APPLIED FOR: PLUMBING ELECTRICAL PERMIT # eptember 29Th , 2010 Jerome Hurtak 533 Grand Miami Shores, FL 33138 Re: HVAC SYSTEM /2nd Floor c oon of t Pay A N TING AIR �„pyS On f°ne...Or You Dom' We are glad to submit our quote for the HVAC system for the mentioned project and propose to furnish all equipment, labor and material as described in our scope of work. SCOPE OF WORK Hi efficiency w/ Variable Speed Air Handler - 30% Cooling Savings 16:00 SEER • FURNISH AND INSTALL (1) OHAC AC SPLIT SYSTEM COOLING & HEATING • LIFE TIME COMPRESSOR LIMITED WARRANTY • 10 YEAR LIMITED WARRANTY ON INTERNAL FUNCTIONAL PARTS • 10 YEAR FUNCHONAL PARTS LIMITED WARRANTY EXTENDS TO THE INDOOR UNIT • 10 YEARS LABOR WARRANTY • RUBBER PADS ON CONDENSER (Sound Package) • NEW CONCRETE SLAB 4" • METAL STAND W /FILTER RACK FOR THE AIR HANDLER • HURRICANE TIED DOWN (Design to hold up to 175MP /H) • SIGHT GLASS (Refrigerant level /moisture control) • OVER FLOW SHUT-OFF SWITCH • EXISTING SET OF REFRIGERATION LINES • PROGRAMMABLE DIGITAL THERMOSTAT/ COMMUNICATION CONTROL CENTER • ALL SECURING OF EQUIPMENT TO SUPPORT • START UP AND SYSTEM OPERATION CHECK -UP • ALL LABOR, MATERIALS AND SUPERVISION • ALL SALES TAXES, FACTORY AND F.P.L REBATES • MECHANICAL PERMIT FEES "GREEN" DUCT WORK SYSTEM • REMOVE AND DISPOSE AT,T. EXISTING DUCT WORK • RE DESIGN DUCT WORK ACCORDING TO ROOM TO ROOM LOAD AS NERD IT • INSTALL NEW DUCT WORK WITH ALL MAIN DUCT SUPPLIES FIBER GLASS MAIN AND ALL BRANCHES FOR AIR DISTRIBUTION, (vsing flex & hard duct R -6) • ALL NEW GRILLS AND CANS • MANUAL VOLUME DUMPERS & METAL COLLARS • ALL SECURING & HANGING OF MAIN DUCT & BRANCHES • START UP AND SYSTEM OPERATION CHECK -UP • 2 YEARS WARRANTY ON INSTALLATION LABOR • ALL LABOR, MATERIALS AND SUPERVISION Customer Initials. 655 NW 118th Street / Miami, FL 33168 Phone: (305) 865 -1220 / Fax: (305) 865 -7779 -2— AC System Investment $ 9,361. - EEL Rebate -$ 585. - Factory Rebate Ends 09/30/2001 -$ 500. - Swap Condeser Units -$ Total AC System Investment $ 8,776. - ( *) System qualify for 30% Tax Credit Program up to $1 ,500. - EXCLUSIONS • CUTTING, PATCHING, PAINTING, SEALING AND DRY WALL • ANY ALL CARPENTRY WORK • ANY /ALL DEMOLITION NON RELATED TO HVAC • ANY / ALL ROOF WORK TERMS 50% DEPOSIT (TO SCHEDULE INSTALLATION) 50% BALANCE UPON COMPLETION All materials are guaranteed to be as specified. All work to be completed in a professional manner according to standard practices. Any alteration or deviation from the above specifications involving extra costs will be executed only upon written orders, and will become an extra charge over and above the estimate. All agreements are contingent on strikes, accidents or delays beyond our control. Homeowner must carry fire, flood and any other necessary insurance. In the event that it shall became necessary to enforce any of our rights under this invoice to collect any sums due or to remedy a breach of any covenant of this agreement and the non - prevailing party shall pay for interest accrued, attorney's fees and all relevant cost incurred. Warranty's service covered by this agreement will be scheduled during the company's regular hours, 8:00 am to 5:00 pm., Monday through Friday, except holidays. After hours or weekend scheduling is available for an additional charge. The Company is not responsible for regular maintenance issues such as water leaks, plugged drains, dirty filters, blown fuses, electrical surges or acts of nature. Sincerely, Matias Torroija Project Manager — Blue Breeze Air Conditioning NOTE: This proposal may be withdrawn by us if not accepted within 30 days. ACCEPTANCE OF PROPOSAL The above prices, specifications, and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified above. Payment will be made as outlined and I understand that should I cancel this contract, a 15% cancellation fee will be imposed. Client's Signatur Client's Name (Print): Nj C..F`e c tliAfteik hc- LIEN eau an CERTiFIED, wwYi ahrilslrcctwy.r ] Certificate of Produ Ratings AHRI Certified Reference Number: 3586303 Date: 10/15/2010 This combination qualifies for a Federal Energy Efficiency Tax Credit when placed in service between Feb 17, 2009 and Dec 31, 2010. Product: Split System: Air - Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: SSX10030113* Indoor Unit Model Number: AEPF426016C * +TXV Manufacturer. GOODMAN MANUFACTURING CO., LP. Trade /Brand name: GOODMAN, JANITROL, AMANA DISTINCTIONS, EVERREST, ONE HOUR AIR CONDITIONING AND HEATING, ENERGI AIR Manufacturer responsible for the rating of this system combination is GOODMAN MANUFACTURING CO., LP. Rated as follows in accordance with AHRI Standard 210/240 - 2006 for Unitarryy Air Conditioning and Air - Source Heat Pump Equipment and subject to verification of rating accuracy by AHRI - sponsored, independent, third party testing: Cooling Capacity (Btuh): 34600 EER Rating (Cooling): 13.20 SEER Rating (Cooling): 16.00 • Ratings followed by an asterisk (1 Indicate a voluntary rerate of previously published data unless accompanied with a WAS. which Indicates an knveluntery rereto. DISCLAIMER AHRI does not endorse the product(s) fisted an this Cerlflcato and makes no representations, wanantleeS or guarantees ea to, and assumes no re eponsibietyy the product(a) listed an thie Certificate. AHRi expressly disclaims all liability for damages of any kind arising out of the use or performance of the product(a), or the unauthorized alteration of data listed on this Certificate. Certified ratings are valid only for models and canflguredons noted in the directory at www.ehrtdlrectory erg. TERMS AND CONDITIONS This Certificate and its contents are proprietary products of AHRL This Certificate shall only be used for individual, personal and confidential reference purposes. The contents of this Certificate may not, In whole or in part, be reproduced; copied; disseminated; entered Into a computer database; or otherwise utilized, in any tom, or modular or by any means. except for the user's Individual, personal and confidential reference. L Air - Conditioning, Heating, rail ■M tl' and Refrigeration Institute CERTIFICATE VERIFICATION The Information for the model cited on this certificate can be verified et www.ahridiro ctory •erg, click on °Verify Certificate" link and enter the AHRI Certified Reference Number and the date on which the =Mote was Issued, which 18 listed above, and the Oe,fifIcele No., which 14 Gated below. ©2010 Air - Conditioning, Heating, and Refrigeration institute CERTIFICATE NO.: 129316285727613472 APR-21-2010 11 : 39 AMER I CAN TRUST INSURANCE .. ,........1 N 305 270 2496 P . 02 "ex:ma' k......--- CERTIFICATE OF LIABILITY INSURANCE I - 347275 -1 1 PRODUCER American Trust Insurance THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ! 9360 Sunset Drive Suite 240 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Miami, FL 33173 40Rialip BrEHMLIC.1.1 , Phone (305)270-2220 , . Fax (305)270-2495 INSURERS AFFORDING COVERAGE 4's INSURED E.C.A. Air Conditioning,inc. dibla Blue Breeze Air Conditioning 655 NW 118 Street 'Miami, FL 33168- COVERAGES see B B THE POLICIES OF INSURANCE LISTED HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ----- --- i ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE IssuEo OR I MAY PERTAIN. THE INSURANCE AFFORDED SY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH ? POUCIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. -- Pe DPcmantHRADmiTion LIMITS . _ TYPE OF INSURANCE poucy NUMBER Met 0 0 OTHER GENERAL LIABILITY tia COMMERCIAL GENERAL LIABILITY 0 00 CLAIMS MADE 0 OCCUR 0 0 GENt AGGREGATE UNIT APPLIES PER:, 0 POLICY 0 PROJECT 0 LOC AUTOMOBILE UABILI1Y O ANY AUTO CD ALL OWNED AUTOS o SCHEDULED Amos O HIRED AUTOS 0 NON OWNED Amos GARAGE LIABILITY O ANY AUTO EXCESS/UMI3RELIA LIABILITY 0 OCCUR 0 CLAIMS MADE 0 DEDUCTIBLE 1:1 RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABIUTV ANY PROPRIETOR I PARTNER I EXECUTIVE OFFICER /MEMBER EXCLUDED? Byes, describe under SPECIAL PROVISIONS below CERTIFICATE HOLDER City of Miami Shores Village 10050 NE 2nd Avenue Miami Shams, FL 33138 1Fax 305-756-8972 AGORD 25 (2001/09) OF OL34681 • arafalak -Ascendant Commercial Insurance Co B: Ascendant Commercial Insurance Co T I ± i • INSURER C: IINSURER INSURER E ft INSURER F: 0325/10 09/23/09 I 09/23/10 DESCRIFITON OF OPERATIONS / LOCATIONS / VEHICIES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Air Conditioning EACH OCCURREN • CE i AO_ ,(10 1 03/25111 -.- ns L-- ooertc__4 100,000 MED EXP (Any one pemon) : 5,000• . PERSONAL BA INJURY 1,00006 GENERAL AGGREGATE 2,0007074 PRODUCTS - COMP/OP AGG 1 6 000 —.. 1 ---- COMBINED SINGLE MIT - 11.a.P.SI ..._ ._......_.... BODILY INJURY person) BODILY INJURY (Per wooldent) PROPERTY DAMAGE er ccIden AUTO ONLY- EA ACCIDENT 1 (P aA OTHER THAN Eft. AUTO ONLY: AGG r _ EACH OCCURRENCE AGGREGATE g_mtert OI EL EACH ACCIDENT EL DISEASE-BA EMPLOYEE" 160,00V DISEASETkimiiii • . _•• CANCELLATION T SHOULD ANY OF THE ABOVE DESCRIBED POLICIES DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO stAiL LICIES BE CANCELLED BEFORE HE 10 DAYS MITER NOTICE TO THE CERTIFICATE HOLDER NAM TO TIE LEFT, BUT FAILURE TO 00 SO SHALL IMPOSE NO OELHIATIoN OR LIABLITY AUTHORIZED REPRESENTATIVE OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. ACORD CORPORATION 1925 TOTAL P.02