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.------"" SHIFF-1 OP ID:DL A�E- CERTIFICATE OF LIABILITY INSURANCE DATE(MMND/YYYY) 03/07/2019 11 0 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 1 10 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(ies) must have ADDITIONAL INSURED provisions or 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 954-825-0424 NO O,acT Diana Lanza Schott Lanza Insurance Agency Inc. PHONEH954-825-0424FAX 9900 W Sample Road-Ste 300 (AIC,No,Exty. I(A/C,No): 1 Coral Springs,FL 33065oass:Diana@Lanzatns.com 1 Diana Lanza Schott INSURER(S1 AFFORDING COVERAGE NAIC A • INSURER A:James River Insurance Co 12203 s INSURER B:Progressive Express Ins.Co. 10193 iturFonstruGtion& Starstone National ev I ��nt Intc INSURER C om�pann Beach,FL 33060 INSURER D:Travelers Ins Co 19046 .INSURER E:Zurich Ins Company I 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. 1NSR TYPE OF INSURANCE ADOL SUSR POLICY NUMBER POLICY EFF POLICY EXP O LTR MED VIVO fMMIDD/YYYY),IMMIDDIYYYY) LIM • A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 • • CLAIMS-MADE X OCCUR X X 000710754 04/04/2018 04/04/2019 PRMMI FR/n xr,Em nrol $ 100,000 • A Contractural MED EXP(Anv one person) s 1,000 • PERSONAL&ADV INJURY J 1,000,000 GEN'-AGGRFAKI,E LIMITAPPLIES PER: GENERAL AGGREGATE S 2,000,000 POLICY j f 1 LOG PRODUCTS-COMP/0P AGG $ 2,000,000 O OTHER' _ _ _S AUTOMOBILE LIABILITY (COMa�eDnOSINGLE LIMIT S 1,000,000 X ANY AUTO X X 06427311-6 05/07/2018 05/07/2019 BODILY INJURY(Por person) S — OWNED X SCHEDULED BODILY INJURY(Per accident) S _ AUTOSRE� ONLY AUTOSBODILYRR X ATOS ONLY X AUTO ONLY (Pe�amdent GE f , S —C `UMBRELLA UAB 'X OCCUR EACH OCCURRENCE f 5,000,000 X EXCESS LIAR CLAIMS-MADE X X 74031 N183ALI 04/04/2018 04/04/2019 AGGREGATE $ , DED RETENTIONS _ j D WORKERS COMPENSATION 'X STATUTE X I ERH- AND EMPLOYERS'LABILITY 8H232494 07/24/2018 07/24/2019 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE YIN x E.L.EACH ACCIDENT S OqFFFICER/MEM BER EXCLUDED? N/A 1,000,000 (Mandatory In NH) E.L.DISEASE•EA EMPLOYEE $ K yes.desuwe under DESCRIPTION OF OPERATIONS t»low E.L.DISEASE-P9LICY LIMIT I 1,000,000 E Pollution Liab POL9987443-00 03/01/2019 03/01/2020 Pollution 500,000 E Builders Risk EC4453320-00 03/01/2019 03/01/2020 Buidlers 4,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Romarks Schedule,may be attached I1 more space Is required) PROJECT-Sunny Isles Gateway Park-Bid No 19-01-01 City of Sunny Isles Beach is listed as additional insured as per written contract. Waiver of Subrogation is favor of the additional insured. CERTIFICATE HOLDER _CANCELLATION SUNNYIS - 11)::) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Sunny Isles Beach ACCORDANCE WITH THE POLICY PROVISIONS. 18070 Collins Ave Sunny Isles Beach,FL 33160 AUTHORIZED REPRESENTATIVE ) • ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo al •eglstered marks of ACORD