Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
MC-14-2283
Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-221755 Permit Number: MC -10-14-2283 Scheduled Inspection Date: November 10, 2014 Inspector: Perez, JanPierre Owner: RODRIGUEZ, MIQUEL Job Address: 149 NW 105 Street Miami Shores, FL Project: <NONE> Contractor: CENTRAL AIR CONTROL INC Building Department Comments 4 TON AIR CONDITIONING UNIT REPLACEMENT Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: A/C Replacement Phone Number Parcel Number INSPECTOR COMMENTS False 1121360080120 Phone: 305-822-1551 November 07, 2014 For Inspections please call: (305)762-4949 Page 16 of 35 Inspector Comments Passed Failed Correction Needed ❑ Re -Inspection ❑ Fee No Additional Inspections can be scheduled until re -inspection fee is paid. November 07, 2014 For Inspections please call: (305)762-4949 Page 16 of 35 �\ t7A\V );�_700 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: (30S) 762-4949 BUILDING PERMIT APPLICATION ❑BUILDING ❑ ELECTRIC ❑ ROOFING FBC 20) D Master Permit No. Sub Permit No. ❑ REVISION ❑ EXTENSION ❑ RENEWAL F-1 PLUMBING ❑M MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF CONTRACTOR JOB ADDRESS: 149 NW 105 ST ❑ CANCELLATION ❑ SHOP DRAWINGS City: Miami Shores County: Miami Dade Zip: Folio/Parcel#:11-2136-008-0120 Is the Building Historically Designated: Yes NO X Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): MIQUEL RODRIGUEZ & W. ELSA Phone#:9542058509 Address: 149 NW 105 ST City: MIAMI SHORES State: FL Zip: 33150 Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: CENTRAL AIR CONTROL INC Phone#: 3058221551 Address: 2651 W 79 ST City: HIALEAH State: FL Zip: 33016 Qualifier Name: RENE ALVAREZ Phone#: 3055580499 State Certification or Registration #: RA0022078 DESIGNER: Architect/Engineer: Value of Work for this Permit: Certificate of Competency #: 000009831 Square/Linear Footage of Work: e#: State: Zip: Type of Work: ❑ Addition ❑ Alteration ❑ New 0 Repair/Replace ❑ Demolition Description of Work: 4 TON AIR CONDITIONING UNIT REPLACEMENT Specify color of color thhrr�uj tile: / Submittal Fee $ Permit Fee $ L�CCF $ CO/CC $ Scanning Fee $ Radon Fee $ G DBPR $ Notary $ Technology Fee $ "'if Training/Education Fee $ Double Fee $ 90 Structural Reviews $ Bond $ TOTAL FEE NOW DUE $ �� (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 is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Signature l/ OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of O lI/�L —ub� 20� by n� 6 day of J�� 20 \ by who is personally known to IW Il { I( ?/ ►'� to is personally k wn to me or who has produced �Rl n as me or who has produced as identification and who did take an oath. NOTARY PUBLIC: identification and who did take an oath. NOTARY PUBLIC: Print: -., Print: Seal: %° : COMMISSION #FF132523 Seal .,<""....:e''. ' �' `°MY `' ANN FESSER L(40 EXPIRES June 23.2C1SMYCOMMISSION #FF132523oieP'`orAd°' Fb,ridallotaryService.com EXPIRE S June 23, 2018 -t)p153 X407) 398-0153 Florfdallot �**a�w�x*+r*�*se+r+k*aw�+x**����+x*�xe�x�+x �� 1 APPROVED BY �Pkns Examiner Zoning Structural Review Clerk (Revised02/24/2014) i AIR CONDITIONING REPLACEMENT DATA Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax:(305) 756.8972 PERMIT NUMBER: MC This form must accompany ALL air conditioning replacement permit applications. Each unit change -out must be on its own data sheet. Multiple urits on single sheets are not acceptable. Job Address (where the work Is being donej:149 NW 105 ST City. Miami Shores Village County: Miami Dade zip code: 33150 ALL CONDENSING UNIj S MUST BE ON A 4 INCH SOLID CONCRETE SLAB ALL UNITS MUST�COMPLY WITH F.E.M.A MINIMUM FLOOD ELEVATION A COPY OF �HE CONTRACT IS REQUIRED WITH ALL SUBMITALS AHRI DATA SHEET REQUIRED Change disconnecting means: YES❑ NO Q ARHI Sheet Attached: YES 0 NO ❑ Contract Attached: YES Q 1. Minimum Circuit Ampacity (Wire Size): 6 2. Maximum Civercurrent 3. Voltage of Circuit 4. Size Disconnecting Means: (Fuse/Breaker Size): 240 60/40 Contractor's Company Name: CENTRAL AIR CONTROL INC Phone: State Certificate or Regis;77tion No. 0022078 Certificate of Competency No. 000009831 Signature Date: 10-15-2014 (Qual "- s signature) (Revised02/24/2014) UNIT BEING REPLACED DATA NEW UNIT CARRIER MANUFACTURER CARRIER FA4CNC048 AHU or PKG. UNIT MODEL # FV4CNF005 38BRGO48 COND. UNIT MODEL # 24ABC648 10 KW HEAT 10 4 NOM TONS 4 AHU Cu PKG 1) M.C.A AH US CU `2 KG AHU CU PKG 2) M.O.P AHU58.tcu qD PKG AHU CU PKG 3)VOLTS AH CU PKG PKG UNIT / / PKG UNIT EER/SEER YES NO REPLACING DUCTS Yf.$ NO) YES NO REPLACING THERMOSTAT YES NO NEW 4"CONCRETE SLAB YES NO NEW ROOF STAND YES VO YES NO NEW RETURN PLENUM BOX YES 1. Minimum Circuit Ampacity (Wire Size): 6 2. Maximum Civercurrent 3. Voltage of Circuit 4. Size Disconnecting Means: (Fuse/Breaker Size): 240 60/40 Contractor's Company Name: CENTRAL AIR CONTROL INC Phone: State Certificate or Regis;77tion No. 0022078 Certificate of Competency No. 000009831 Signature Date: 10-15-2014 (Qual "- s signature) (Revised02/24/2014) i TECHNICIAN _ CERT. # SIGNATURE ) DAT SCHEDULED CHECK 41S" • -7777 • I — , L /_ A 0, t lJ T © COMPRESSOR O 4 SUCTION PSI M HEADPSl XE MODEL 1 9 i Q VOLT3 AMPS - - 0 ELECTRICAL CONNECTIONS�' ©CONTACTS TIGHT & CLEANA9 O WARRANTY MADE AS AGREED, THE SELLER SHALL HAVE THE RIGHT TO TAX 1 ( O 't`LT. �V li,• V i 0OIL LEVEL & CONDITION CI CONDENSER COIL' E ' M CLEAN COIL & CHECK FIN CON D. CI ENT °F LG of "� ` 3 %4 r, C -D --S�S REFRIGERANT LEAK [:1 CHARGE nRO DES # J RI€ ED SERVICE CONTRACT Q FAN AND MOTOR 3114E21716 ����j _ �N11�III�llllil�lll11 L © VOLTS AMPS I] ELECTRICAL CONNECTIONS 11',1 I =- _ LJCONTACTSTIGHT&CLAN 0 PAN PULLEYS (ADJUST S€RIJ L � I N�li�lERQ DE StRIE I OOH LUSE BEARINGS & MOTOR '4AWiz Qom`` 1. Q EYAF�ORATORV-1 f.011 . Q CLEAN COIL & CHECK FIN f 1j - CENT DB .'F LVG DB ©ENT WS -'F ILVG We --_`F Q CONDENSATE AREAS f rI INSPECT & CLEAN ORAIN PAN y INSPECT&CLEAN DRAIN. .1-+..��.%,,,m,.�..m,,, Q AIR FILTERS I QCLEANED ❑ REPLACO) FILTER SIZE - .., EHEATING ASSY We wish to provide the highest level of professionalism and quality service along with the best customer assurance $ , CM BURNER & HEAT EXCHANGER. policy in the Industry. Our service repair warranty policy is: ! -- -]FLUPPLYB PRESSURE----- - 1. All pads replaced by us will be warranted to be free of defects for a period Of QPILOTOTASSEMBLv Many service companies provide 30, 60 or 90 day warranfies. We feel that the parts we install have been carefully FLAME ADJUSTMENT selected and meet or exceed manufacturer specifications. For this reason we feel comfortable offering this excellent 55 I - © PRIMARY RELAY&, PLUE warranty. The labor to Install the warranted pan(s) Is discussed In Rem #2 below. f Q PAN &, LIMA BwiTCH OPER. + BLOWER ASSEMBLY 2. Our repair labor IS warranted for a pericd"of ! © RY VALVE This is the labor to repair or replace the part we installed in the initial repair, end not to correct other problems thai E3 STRIP HEAT may have arisen In the Interim. {� DEFROST CYCLE 3. In the case of refrigerant (freon) leak repairs, our parts and labor warranty is as stated above with the following 'ELECTRICAL COMP'tS. clarifications: M RELAYS 0 CONTACTORS a. You are strongly u" ed to let the technician show you the location of the leak prior to and after the Q OVERLOAD 0 PRESS. SWITCH repair. If this is not pose! IS due to attic or other Inconvenient location, be sure the technician accurately THERMOSTAT = . describes the leak location on his service ticket. Our warranty is for the specific leak repaired. G -0 O.K Q` REPLACE b. Unfortunately, many times there can be more than one leak in a system. We may only local¢ one and ® RELOCATE complete an effective repair only to be called out again later and another one. Our warrabity on the previous leak repair would not cover the new one. However, If within 90 days of the first leak Iocall n, we iwill provide a no charge di noetic and leak search. You will then only pay for the repair of the leak, feat as you TRAVEL TIME would have done if we hadocated it on the first trip. ' TIME ENVIRONMENT CHECK L15t ARRIVED C" TYPE SYSTEM >? E CHANGED ❑ C TIMEQ OUT (OR DEPARTED R CODE REFRIG. OTY U REPLACED,. YES NO TRAVEL f I TIME (DF RECOVERED? YES 0 QTY M MANTLED? � C MILEAGE E REFRIGERANT DISPOSAL ENDING R RECYCLED? S N QTY IN I OUR PERSONNEL START- Q (2) RECLAIMED? QTY. m RECOMMEND: E RETURNED TO NO 'TOTALMILES R THIS SYSTEM? YES NO O7Y A DISPOSAL N NON USEABLE X /HR.= � F-1 YES INMALS" !� X /AAIB NO OTY. ACCEPTED LINED ® T © DISPOSAL 4-. CENTRAL I . 2651 WEST 79TH STRUT �ppt���I��t gA,,®LEE�A,�Hy . FLORIDA 33016 BRO 1I�1 SSR® 524-7256 1-883.648'-0638 i� Q�� TECHNICIAN _ CERT. # SIGNATURE ) DAT SCHEDULED TERIVI-S.�'DUE UPON. . 5T cP" .1 S J CC ST TE n ZIP WK. PHONE OR CELL XE MODEL �ERIAL NUMBER _ + FINAL & COMPLETE PAYMENT IS MADE, AND IF SETTLEMENT IS NOT O WARRANTY MADE AS AGREED, THE SELLER SHALL HAVE THE RIGHT TO TAX REMOVE SAME AND THE SELLER WILL BE HELD HARMLESS FOR O CONTRACT " ED SERVICE CONTRACT ED NORMAL f� RES O COMM. 0 I PRICE -- - LINE 1b DESCRIPTION t(C e—T Joe Oat TRAINED PERSONNEL we d CUSTOMER REQUEST: AUTHORIZED SIGNATURE ABOVE ORDERED WORK HAS BEEN COMPLETED AND I ACKNOWLEDGE RECEIPT OF ® t DATE TECHNICIAN _ CERT. # SIGNATURE ) TOTi{C CygRGES TERIVI-S.�'DUE UPON. . SUEi- TOTAL I HAVE THE AUTHORITY TO ORDER THE ABOVE WORK AND DO SO ORDER AS OUTLINED ABOVE. IT IS AGREED THATTHE SELLER WILL DIAL. RETAIN TITLE TO ANY EQUIPMENT OR MATERIAL FURNISHED UNTIL CHARGE FINAL & COMPLETE PAYMENT IS MADE, AND IF SETTLEMENT IS NOT MADE AS AGREED, THE SELLER SHALL HAVE THE RIGHT TO TAX REMOVE SAME AND THE SELLER WILL BE HELD HARMLESS FOR ANY DAMAGES RESULTING FROM THE REMOVAL THEREOF. AUTHORIZED SIGNATURE ABOVE ORDERED WORK HAS BEEN COMPLETED AND I ACKNOWLEDGE RECEIPT OF ® t DATE lk This combination qualifies for a Federal Energy Efficiency Tax Credit when placed In service between Feb 17, 2009 and Dec 31, 2013. AHRI Certified Reference Number: 6937498 Date: 10/16/2014 Product: Split System: Air -Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: 24ABC648A**31 Indoor Unit Model Number: FV4CN(B,F)005L Manufacturer: CARRIER AIR CONDITIONING TradeBrand name: CARRIER Series name: COMFORT SERIES PURON AC Manufacturer responsible for the rating of this system combination Is CARRIER AIR CONDITIONING ` Ratings followed by an asterisk (') indicate a voluntary rerate of previously published data, unless accompanied with a WAS, which Indicates an involuntary rerate DISCLAIMER AHRI does not endorse the product(s) listed on this Certificate and makes no representations, warranties or guarantees as to, and assumes no responsibility for, the product(s) listed on this Certificate. AHRI expressly disclaims all liability for damages of any kind arising out of the use or performance of the product(s), or the unauthorized alteration of data listed on this Certificate. Certified ratings are valid only for models and configurations listed in the directory at www.ahridirectory.org. TERMS AND CONDITIONS This Certificate and Its contents are proprietary products of AHRI. This Certificate shall only be used for individual, personal and q 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 form or manner or by any means, except for the user's individual, personal and confidential reference. AIR-CONDITIONING, HEATING, CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE The information for the model cited on this certificate can be verified at www.ahrldlrectory.org, click on "Verify Certificate" link we make life better", and enter the AHRI Certified Reference Number and the date on which the certificate was issued, which Is listed above, and the Certificate No., which Is listed at bottom right. __ _______._....._...______.... ....... ___... ....................... _. 1305794559891504: ©2014 Air -Conditioning, Heating, and Refrigeration Institute , . CERTIFICATE NO.: 000404 Local Business Tax Receipt Miami -Dade County, State of Florida THIS IS NOT A BILL - DO NOT PAY 540659 1 BUSINESS NAMEMOCATION RECEIPT NO. EXPIRES CENTRAL AIR CONTROL INC RENEWAL SEPTEMBER 30, 2015 2651 W 79 ST 640669 Must be displayed at place of business HIALEAH FL 33016 Pursuant to County Code Chapter 8A — Art. 9 & 10 OWNER SEC. TYPE OF BUSINESS PAYMENT RECEIVED CENTRAL AIR CONTROL INC 196 SPEC MECHANICAL CONTRACTOR BY TAX COLLECTOR Worker(s) 10 000009831 $45.00 07/28/20T4 CHECK21-14-036594 This Local Business Tax Receipt only confirms payment of the Local Business Tax. The Receipt is not a license, permit, ora cart iication of the holder's qualifications, to do business. Hold ermust comply with any governmental or nongovernmental regulatory laws ead requirements which apply to the business. The RECEIPT NO. above must be displayed on all commercial vehicles — Miami—Dade Code Sec 80-276. For more information, visit www.miamidade.goy/taxcollector EXPIRES SEPT. 30, 2015 STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION cnNSTRUCTION INDUSTRY LICENSING BOARD LICENSE NUMBER The CLASS AAIB GONUI I IL)I INU LUN I MIALo I Ur% Named below HAS REGISTERED Under the provisions of Chapter 489 FS. Expiration date: AUG 31, 2015 (INDIVIDUAL MUST MEETALL LOCAL LICENSING REQUIREMENTS PRIOR TO CONTRACTING IN ANY AREA) ALVAREZ, RENE A CENTRAL AIR CONTROL INC 9241 SW 101 STREET MIAMI FL 33176 RICK SCOTT ISSUED: 06/12/2013 SEQ # L1306120000625 GOVERNOR DISPLAY AS REQUIRED BY LAW 004799 Local Business Tax Receipt Miami—Dade County, State of Florida THIS IS NOTA BILL — DO NOT PAY RM VIVA KEN LAWSON SECRETARY 4753316 e— BUSINESS NAME/LOCATI RE NO. EXPIRES R & A DEV INC VEINAL SEP'T'EMBER 30, 2015 MUNICIPALITIES LOC <4962750 Must be displayed at place of business COMMERCIAL LESSORS FL 33888 Pursuant to County Code Chapter 8A — Art. 9 & 10 OWNER SEC. TYPE OF B Be PAYMENT RECEIVED R & A'DEV INC 192 COMMERCUIND FICE SPACE BY TAX COLLECTOR Aggregate s . 6760 $75.00 07/23/2014 CHECK21-14-033252 This Local Business Tax Receipt Only confirms payment of the Local Business Tax. The Recin of a license, pormk or a certification of the holder's qualifications, to do business. Holder must comply with a mmental or nongovernmental regulatory lays and requirements which. apply to the business. The RECEIPT NO. above must be displayed on all commercial vehicles — Miumi—Bade Code Sec 6a-276. For more information,"www miemidade 90YAoxcoilector CENT1176 OP ID: oRv9 CERTIFICATE OF LIABILITY INSURANCE D 1 011 612 01A � � D�1s/2014 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 13Y 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 cer6fiCate holder I5 an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not conf8r rights to the certificate holder in lieu of Such endorsement(s). "ER Phone: 30536 N 8, BROWN OF FLORIDA INC Fax: 305-71 NW 79th Court Suftd200 Lakes, FL 330165869 L Leona, Sr Trust INSURED Central Air Control, Inc. 2651 West 79th Street Hialeah, FI_ 33016 COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 101 THIS IS TO CERTIFY THAT THE POUC15S 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 PEOFINSURNCE ADDL BUSH UCYNUM6R UMCTY GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 A X COMMERCIAL GENERAL GLOO1032305 05/14!2014 05/1412015 PREMISES o«�errFAfL g 100,00 CLAIMS-MADEFR OCCUR MED EXP An one parson $ 6,00 X Contractual L(ab PERSONAL s ADV INAIRY $ 1,000,00 GENERAL AGGREGATE $ 2,000,04 GERL AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG $ 2,000,00 POLICY X PRO- 7 LOC I Emp Ben. $ 1,000,0 AUTOMOBILE LWALTY NQem ' g 1,000,00 B X ANYAUTO CADC15NSOS 05114/2014 0514/2015 BODILY INJURY (Per person) $ AM NED SCHEDULED BODILY INJURY FW KWXWQ 3 it NNNED IIIREDALrrOS AUTOSLX POEA �aat $ $ X UMBRELLALIAB X OCCUR EACH OCCURRENCE S PING, AGGREflATE S 2,000,00 A E mEssLUIB CLAIM8,MADE UMBOOD415M 05/1412014 05/14/2015 CED I X I RETMON S 10000 $ wORKERSCOMPENSATION X WCFATIJ• o - LIMEM B AND EMPLOYERS•uABIUTYTORY ANY PROPNETORIPARTNERDaMUTIVH YIN 001WC14A62011 07/0112014 07/01/2015 ILL. EACH ACCIDENT $ 500100 OFACBRAIEMBER EXCLUDED9FNI In NM N / A 5110,E (Ma amw If Ym desafe under DESCRIPTION OF OPE TIONS below E.L. DISEASE - EA EMP. $ E.L. DISEASE - POLICY LIMIT I $ 500,00 DESCRIPTION OFOPFdiA7MNS 1 LOCATIONS/ VEHICLES (A#u h ACORD 7G1, Addltlon*l Remarks Sahadula U more oom is ragUftq Central Air Control State license # RA0022078 MIAMI SHORES VILLAGE 10050 NE 2 AVE. MIAMI SHORES, FL 33`138 ACORD 26 (2010/05) MIAMSH8 SHOULD ANY OF THE AS= DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHuNMDD REPRESENTATIVE 1988-2010 The ACORD name and logo are registered marks of ACORD rlahts