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Conference Venue Certificate of Liability of Insurance

Convention Facility Event Planning Guide

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ACORD

CERTIFICATE OF LIABILITY INSURANCE

DATE: 6/4/99

PRODUCER

XYZ BROKERAGE INC.
123 PINE TREE DRIVE
FT. LAUDERDALE, FL 33316

THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.

COMPANIES AFFORDING COVERAGE

INSURED

TENANT'S NAME
MAILING ADDRESS

Company A	Insurance Company
Company B
Company C
Company D

COVERAGES
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.

TYPE OF INSURANCE

POLICY NUMBER

POLICY EFFECTIVE DATE

POLICE EXTERMINATION ON DATE

LIMITS

GENERAL LIABILITY

X	Commercial General Liability
	Claims made	Occur
X	Owner's & Contractor's Protection

XXX

MM/DD/YY

General Aggregate	1,000,000
Products Comp/OP AGG	1,000,000
Personal & Adv Injury	1,000,000
Each Occurence	1,000,000
Fire Damage(1 Fire)	50,000
Med Exp(1 person)	5,000

AUTOMOBILE LIABILITY

X	Any Auto
	All Owned Autos
	Scheduled Autos
	Hired Autos
	Non-Owned Autos

XXX

GARAGE LIABILITY

X	Any Auto

Auto Only (EA Accident)	$
Other Than Auto Only	$
Each Accident	$
Aggregate	$

EXCESSABILITY

X	Any Auto

Each Occurence	$
Aggregate	$

WORKER'S COMPENSATION AND EMPLOYER'S LIABILITY

The Proprietor
Partner/ Executive		Incl.
Officers		Excl.

XXX

WC Statutory Limits
El Each Accident	100,000
El Disease Policy Limit	500,000
El Disease Each Employee	100,000

Other

DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS
Additional Insured Include: SMG, Greater Ft. Lauderdale/Broward County Convention Center and the County of Broward, Florida. Their Officers, Directors, Agents and Employees. Event Name, Dates (Move-in, Show & Move-out)

CERTIFICATE HOLDER

SMG
BROWARD COUNTY CONVENTION CENTER
1950 EISENHOWER BLVD
FT. LAUDERDALE, FL 33316

CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION OF 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES

AUTHORIZED REPRESENTATIVE OR AON RISK SERVICES, INC. OF ILLINOIS