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RC-14-2634Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-231725 Permit Number: RC -12-14-2634 Scheduled Inspection Date: April 13, 2015 Permit Type: Residential Construction Inspector: Rodriguez, Jorge Inspection Type: Final Building Owner: MCHALE, EDWARD Job Address: 9500 NE 12 Avenue Miami Shores, FL 33138 - Project: <NONE> Work Classification: Alteration Phone Number Parcel Number 1132060143640 Contractor: GLOBAL LINK SYSTEMS INC Phone: (954)753-2665 uepanment comments BATHROOM REMODEL, REPLACE PLYWOOD FLOOR, ' ' • False __......_.._ TILE SHOWER AND FLOOR. INSPECTOR COMMENTS False Passed Failed Correction ❑ Needed Re -Inspection ❑ Fee No Additional Inspections can be scheduled until re -inspection fee is paid. Inspector Comments CREATED AS REINSPECTION FOR INSP-231638. Missing safety glass stamp on shower enclosure April 10, 2015 For Inspections please call: (305)762-4949 Page 14 of 25 its ��� ��1�: � ■L� Administrative Office 100 West Main Street, P.O. Box 730 Sackets Harbor, NY 13685 Phone: (315)848-2234 safety glazing certification council Fax (315)648-2297 E-mail: staff@amscert.com ACKNOWLEDGEMENT OF CERTIFICATION THIS IS TO ACKNOWLEDGE THAT AS OF THIS DATE The Original Frameless Shower Door Coral Springs, FL IS A CURRENT LICENSEE AND HAS MET ALL GUIDELINES AND REQUIREMENTS FOR THE SGCC® CERTIFICATION PROGRAM AND AS SUCH IS ELIGIBLE TO LABEL THE BELOW INDICATED PRODUCT(S) AS SGCC® CERTIFIED. THE FOLLOWING ARE IN COMPLIANCE WITH ANSI 297.1-2009, CPSC 16 CFR 1201 STANDARDS, OR BOTH STANDARDS, KNOWN AS COMPOSITE CERTIFICATION. SGCC# IN MM JjR@Code MamSize AMI Class Test SW 4661 1/4 6 TTG U A COMPOSITE 4662 3/8 10 TTG U A COMPOSITE 4663 1/2 12 TTG U A COMPOSITE THIS SGCC® PROGRAM CERTIFICATION IS CURRENT AND IN FULL EFFECT AS OF THIS ISSUE DATE. CERTIFICATION IN THE SGCC® PROGRAM IS SUBJECT TO SEMI-ANNUAL RENEWAL. PLEASE CHECK THE CURRENT CERTIFIED PRODUCTS DIRECTORY OR THIS OFFICE FOR MOST CURRENT INFORMATION. Wednesday, Febnmry 26, 2014 F14 DATE OF ISSUE CERTIFICATION PERIOD ADNUN3M VE. A-= 06%,01f safety glazing certification council P.O. BOX 730 SACKETS HARBOR, N. Y. 13685 PHONE 315-646-2234 FAX 315-646-2297 Record of SGCC Compliance Testing The information contained herein is viewed to be accurate by SGCC, a third party certification agency, as of the indicated date of issue. 1) Identification of the Product: 4661; 1/4" (6mm) TTG U 2) Citation or Standard to Which the Product CPSC 16 CFR 1201 II & ANSI Z97.1-2009 is Being Certified: CLASS A 3) Identification of the Importer or Domestic The Original Frameless Shower Door Manufacturer: 3591 NW 120th Ave. Coral Springs, FL 33065 Phone:9547572114 4) Contact Information for Individual See 5) below Maintaining Records of Testing: 5) Date and Place of Manufacture: Date Available from Manufacturer The Original Frameless Shower Door Michael High 3591 NW 120th Ave. Coral Springs, FL 33065 Phone:9547572114 6) Date and Place Product was Tested for 7/13/2014 Compliance: Fenestration Testing Laboratory Inc. 8148 NW 74 Avenue Medley, FL 33166 Phone: (305) 819-7877 7) Identification of Third Party Laboratory: See 6) above For additional information, contact the manufacturer or US 7/16/2014 DATE OF ISSUE Importer directly John G. Kent SGCC ADMINISTRATIVE MANAGER BUILDING PERMIT APPLICATION 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 OBUILDING ❑ ELECTRIC ❑ ROOFING A1C �IL114 717',�� FBC 20(0 Master Permit No. - H- S� Sub Permit No. ❑ REVISION ❑ EXTENSION F1 RENEWAL ❑PLUMBING ❑ MECHANICAL [:]PUBLICWORKS ❑ CHANGE OF ❑ CANCELLATION [:]SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 9500 NE 12 Avenue City: Miami Shores County: Miami Dade Zip: Folio/Parcel#:11-3206-014-3640 Is the Building Historically Designated: Yes NO X Occupancy Type: Res Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): Edward McHale Phone#: 305-758-9823 Address: 9500 NE 12 Avenue city. Miami Shores State: FL Zip: 33138 Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: Global Link Systems Inc. Phone#: 954-753-2665 Address: 11065 NW 21 Place City: Coral Springs State: FL Zip. 33071 Qualifier Name: Keith T. Sorensen Phone#: 954-448-8847 State Certification or Registration #. CBC1251040 Certificate of Competency #: DESIGNER: Architect/Engineer: Address: City: State: Value of Work for this Permit: $ 7500.00 Square/Linear Footage of Work: MrJ Type of Work: ❑ Addition ❑ Alteration ❑ New N Repair/Replace Description of Work: Bathroom remodel, replace plywood floor, tile shower and floor Specify color of color thru tile: Submittal Fee $ E Permit Fee $ r Scanning Fee $ Radon Fee $ Technology Fee $ Training/Education Fee $ _ Structural Reviews $ (Revised02/24/2014) CCF $_ DBPR $ Zip: ❑ Demolition CO/CC $ 0//? Notary Double Fee $ Bond $ TOTAL FEE NOW DUE $ 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 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 Z=C ING, CO T WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTI E CEME Notice to Ap' t: As a condition o the issuance of °p building permit with an estimated value exceeding $2500, the applicant must promise . g ad fa► at a the notice of commencement and construction lien law brochure will be delivered to the person whose rope is sub. att �h Also, a certl ft1 °copy of the recorded notice of commencement must be posted at the job site for the rst inspection rs seven days afteX the building permit is issued. In the absence of such posted notice, the inspectio ill no, be appy ve an a reinspect► ee will b� charged. Signature ASignature OWNER or A CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this c7` q day of �OQVm' e r , 20)9by "i .\ day of V�'I�?Q ech\-,z-ek 20 1` _ by Lam' fa Mct %k 4E-- , who is personally known to Ce� ®\ tiro who is personally known to me 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: Sign•0.�J9riaJ Sign: �61L Print: DDRB Mwe Seal: fth" Sim �of rFlorrda ' � = K" ROMANO 2' YD17 a ; e WCOMMISM8EE184416 WIRES. mom 8i 2018 l� 6 APPROVED BY Plans Examiner Zoning Structural Review Clerk (Rev1sed02/24/2014) isbftgt pb S' $04 20ts ot kpuQq 001 j)g Z Miami shores Village Building Department CONTRACTORS' REGISTRATION IF CONTRACTOR IS A FLORIDA STATE CERTIFIED CONTRACTOR: A. X COPY OF QUALIFIER'S STATE LICENCES B. X COPY OF LOCAL BUSINESS TAX RECEIPT 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 C. X COPY OF LIABILITY INSURANCE* D. X COPY OF WORKERS COMPENSATION INSURANCE* (Workers Compensation EXEMPTION must have NOTICE TO OWNER Affidavit) IF CONTRACTOR HAS A MIAMI DADE COUNTY CERTIFICATE OF COMPETENCY: A. COPY OF CERTIFICE OF COMPETENCY OF QUALIFIER B. COPY OF LOCAL BUSINESS TAX RECEIPT C. COPY OF STATE REGISTERED CONTRACTOR LICENSE OR MIAMI DADE COUNTY MUNICIPAL CONTRACTOR'S TAX RECEIPT. D. COPY OF LIABILITY INSURACE* E. COPY OF WORKERS COMPENSATION INSURANCE* (Workers Compensation EXEMPTION must have NOTICE TO OWNER Affidavit) *YOUR INSURANCE COMPANY MUST ISSUE A CERTIFICATE AS FOLLOW: Certificate Holder: MIAMI SHORES VILLAGE BLDG DEPT 10050 NE 2ND AVE MIAMI SHORES, FL 33138 Certificate must specify the description of operations or contractor license number. ......................................................................................... BUSINESS NAME: Global Link Systems Inc. BUSINESS ADDRESS: 11065 NW 21 Place BUSINESS PHONE: ( 954 ) 753-2665 Coral Springs STATE FL Zip 33071 FAX NUMBER9( 54 ) 753-2645 CELL PHONE9( 54 ) 448-8847 QUALIFIER'S NAME: Keith T. Sorensen QUALIFIER'S LIC NUMBER: C13C1251040 RICK SCOTT, GOVERNOR. KEN LAWSON, SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD CBC1251040 The BUILDING CONTRACTOR Named below IS CERTIFIED Under the provisions of Chapter 489 FS. Expiration date: AUG 31, 2016 SORENSEN, KEITH T GLOBAL LINK SYSTEMS INC 11065 NW 21ST PLACE CORAL SPRINGS FL 33071 ISSUED: 05/28/2014 DISPLAY AS REQUIRED BY LAW SEG # L1405280000933 -BROWARD COUNTY LOCAL BUSINESS TAX RECEIPT 115 S. Andrews Ave., Rm. A-100, Ft. Lauderdale, FL 33301-1895 — 954-831-4000 VALID OCTOBER 1, 2014 THROUGH SEPTEMBER 30, 2015 DBA: Business Name: GLOBAL LINK SYSTEMS INC Owner Name: KEITH SORENSEN Business Location: 11065 NW 21 PL CORAL SPRINGS Business Phone: 954-753-2665 Rooms Seats Employees 1 Ry 3 Business Tpa*GENERALCONTRACTOR (BUILDING:CONTRACTOR) Business Opened: 0 8 / 2 1 / 2 0 0 0 State/Cou nty/Cert/Reg: CB C 12 5104 0 / QB2 5 817 Exemption Code: Machines Professionals THIS RECEIPT MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSINESS THIS BECOMES A TAX RECEIPT This tax is levied for the privilege of doing business within Broward County and is non -regulatory in nature. You must meet all County and/or Municipality planning WHEN VALIDATED and zoning requirements. This Business Tax Receipt must be transferred when the business is sold, business name has changed or you have moved the business location. This receipt does not indicate that the business is legal or that it is in compliance with State or local laws and regulations. Mailing Address: KEITH SORENSEN Receipt #OlA-13-00005210 11065 NW 21 PL Paid 07/10/2014 27.00 CORAL SPRINGS, FL 33071 2014 -2015 rvr vunwing ousule88 only Number of Machines: Vending Type: Tax Amount Transfer Fee NSF Fee Penalty Prior Years Collection Cost Total Paid 27.00 0.00 0.00 0.00 0.00 0.00 27.00 THIS RECEIPT MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSINESS THIS BECOMES A TAX RECEIPT This tax is levied for the privilege of doing business within Broward County and is non -regulatory in nature. You must meet all County and/or Municipality planning WHEN VALIDATED and zoning requirements. This Business Tax Receipt must be transferred when the business is sold, business name has changed or you have moved the business location. This receipt does not indicate that the business is legal or that it is in compliance with State or local laws and regulations. Mailing Address: KEITH SORENSEN Receipt #OlA-13-00005210 11065 NW 21 PL Paid 07/10/2014 27.00 CORAL SPRINGS, FL 33071 2014 -2015 GLOBI -C OP ID: DE CERTIFICATE OF LIABILITY INSURANCE °A1�11142014 11!1412014 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(Sh AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the pollcy(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 confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER Bobby Mascarella, Agent Sena & Whitney, I.I.C. NAME: Bobby A. Mascarella PHONE c No E,0:561-391-4661 No : 561-338-6551 n SSS: bmascarella thesena rou .com 190 Glades Road, Suite C Boca Raton, FL 33432 Bobby A. Mascarella INSURER($) AFFORDING COVERAGE NAIC INSURERA: Mid -Continent Casualty Com pany 23418 EACH OCCURRENCE $ tow'ooq INSURED Global Link Systems, Inc. 11065 NW 21st Place Coral Springs, FL 33071 INSURER B: INSURER C: GENERAL AGGREGATE $ 2,000, INSURER D: INSURER E : $ INSURER F : AUTOMOBILE LIABILITY ANY AUTO ALL OWNEDSCHEDULED AUTOS AUTOS HIRED AUTOS NON -OWNED AUTOS COVERAGES r'FRTIFIr_ATF NIIMRFR• RFVICInN h111MRF0• 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. IN TYPE OF INSURANCE AUDL 12MM OUB WVD POLICY NUMBER POLICY EFF MMIDDNYYY) POLICY EXP (MMIDDfYYYYI LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X❑ OCCUR 10050 NE 2ND AVE MIAMI SHORES, FL 33138 04GL000891590 12/17/2013 12/17/2014 EACH OCCURRENCE $ tow'ooq PREMISES Ea occurrence $ 100+0 MED EXP (Any one person) $ Excluded PERSONAL & ADV INJURY $ 1,000, GENERAL AGGREGATE $ 2,000, GEN'L AGGREGATE LIMIT APPLIES PER: PRO- LOC X POLICY JECT PRODUCTS- COMP/OP AGG $ 2,0W, $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNEDSCHEDULED AUTOS AUTOS HIRED AUTOS NON -OWNED AUTOS COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ PER ACCIDEN UMBRELLA LIAR EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ _ AGGREGATE $ DPS I I RETENTION $ $ WORKERS COMPENSATIONWCSTATU- AND EMPLOYERS' LIABILITY Y f NLIMI ANY PROPRIETORIPARTNERfE>ECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below N I A OTH- E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (ARach ACORD 101, Additional Remarks Schedule, If more space Is required) GENERAL CONTRACTOR CERTIFICATE HOLDER CANCELLATION MIAMIS4 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN MIAMI SHORES VILLAGE ACCORDANCE WITH THE POLICY PROVISIONS. BLDG DEPT. AUTHORIZED REPRESENTATIVE 10050 NE 2ND AVE MIAMI SHORES, FL 33138 O 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD ACORO®CERTIFICATE OF LIABILITY INSURANCE DA'�13/°014 CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECTTO ALL THE TERMS, 11/13/2tl14 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 ALTERTHE COVERAGE AFFORDED BYTHE 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(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 confer rights to the certificate holder In lieu of such endorsement($). PRODUCER Risk Transfer Programs, LLCTFAX 219 East Livingston Street Orlando, FL 32801 CONTACT NAME: PNC N Ext): 866-481-9363 1 A/ NO). E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC # INSURER A.Technology Insurance Company, Inc. 42376 INSURED Stafflink Outsourcing, 11, III, IV, V & VI Inc. INSURER B INSURER C: 1776 N. Pine Island Road Suite 108 Plantation, FL 33322 INSURER 0: INSURER E: INSURER F PERSONAL & ADV INJURY $ COVERAGES CERTIFICATE NUMBER:S2GYNQDN 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 MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECTTO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSSR LTR TYPE OF INSURANCE ADL INSR BR POLICY NUMBER POLICY EFF M1DD POLICY EXP MID LIMITS GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTED PREMISES Ea occurrence $ COMMERCIAL GENERAL LIABILITY CLAIMS -MADE E-1 OCCUR MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ POLICY PRO- LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Fa accident BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ NON -OWNED HIREDAUTOS AUTOS PROPERTY DAMAGE Peraccldent $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS UAB CLAIMS -MADE DED RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNEWEXECUTIVE Y/N OFFICER/MEMBER EXCLUDED? (Mandatory in NMI N/A TWC3404060 03/01/2014 03/01/2015 XWC 3TATU- OTH- E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 Ifyesdescribe under DESGARIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS /VEHICLES (Attach ACORD 101, Additional Remarks Schedule, H more space Is required) Coverage is extended to the leased employees of alternate employer in all states except in monopolistic states (ND, OH, WA, WY) and other states (AK, HI, ID, OK): Global Link Systems, Inc #1187 (Effective 6/2/03) This certificate only applies to License #CBC1251040. leidel"aaa_uLai c_ SHOULD ANY OFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. MIAMI SHORES VILLAGE BLDG DEPT I AUTHORRED REPRESENTATIVE 10050 NE 2ND AVE MIAMI SHORES, FL 33138 Page 1 of 1 m 1988-2010 ACORO CORPORATION. All ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD GLOBI -C OP ID: KM AC6JRL7" CERTIFICATE OF LIABILITY INSURANCE D 1YYI'Y) 1 ?J17121712014 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(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 confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Bobby Mascarella, Agent Sena& Whitney, LLC. 190 Glades Road, Suite C Boca Raton, FL 33432 NAME: Bobby A. Mascarella PHONE No •561-391-4661 ,vc No: 561-338-6551 nMm uRkss; bmascarella@thesenagroup.com 04GL000918961 Bobby A. Mascarella INSURERS) AFFORDING COVERAGE NAIL 9 INSURER A: Mid -Continent Casualty Company 23418 PREMISES Eeoccurrence $ 100,00 INSURED Global Link Systems, Inc. 11065 NW 21 st Place Coral Springs, FL 33071 INSURER B: INSURER C: GEN'L AGGREGATE LIMIT APPLIES PER: X POIJCY PRO- JECT LOC OTHER: GENERAL AGGREGATE $ 2,000,00 INSURER D : INSURER E : INSURER F: COVERAGES 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. IL R TYPE OF INSURANCE AVOL INSO BUD POLICY NUMBER POLICY EFF MMIDD MMIDDIYY YY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FKI OCCUR 10050 NE 2ND AVE MIAMI SHORES, FL 33138 04GL000918961 12/17/2014 12117/2015 EACH OCCURRENCE $ 1,000,00 PREMISES Eeoccurrence $ 100,00 MED EXP (Any one person) $ Excluded PERSONAL & ADV INJURY $ 1,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: X POIJCY PRO- JECT LOC OTHER: GENERAL AGGREGATE $ 2,000,00 PRODUCTS -COMPIOPAGO $ 2,000,00 $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED H RTED AUTOS OS AUTOS AUTOS COMBINED SINGLE LIMIT $ Me accident BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ Per accident UMBRELLA LIAB EXCESS LIAR HCLAIMS-MADE OCCUR EACH OCCURRENCE $ AGGREGATE $ DED I I RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERM EMBER EXCLUDED? � (Mandatory In NH) It yes, describe under DESCRIPTION OF OPERATIONS below N I A STATUTE EORTH E.L. EACH ACCIDENT $ E.L. DISEASE- EA EMPLOYEE $ E.L. DISEASE- POLICY LIMIT $ DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more apace Is required) GENERAL CONTRACTOR CFRTIFIC9TF NnI nr:R ramrm 1 ATInN MIAMIS4 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN MIAMI SHORES VILLAGE ACCORDANCE WITH THE POLICY PROVISIONS. BLDG DEPT. AUTHORIZED REPRESENTATIVE 10050 NE 2ND AVE MIAMI SHORES, FL 33138 O 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD