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SAFFI I r.n1
<br />i NORT7
<br />ACORO' CERTIFICATE OF LIABILITY INSURANCE
<br />DAIE(MWDONYYY)
<br />09/12/2018
<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
<br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
<br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
<br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
<br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.
<br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
<br />this certificate does not confer rights to the certificate holder in lieu of such endorsements).
<br />PRODUCER
<br />C TACT
<br />REIN Insurance Services
<br />303 E Wacker Dr.
<br />Suite 650ADDRESS'
<br />Chicago, IL 60601
<br />PHONE, FAX
<br />(A/C, No, Extl: (312) 856-9400 A/C, Ne :(312) 856-9425
<br />E-MAIL
<br />INSURERS AFFORDING COVERAGE I
<br />NAIC N
<br />I INSURER A: Hartford Acc. & Indemnity Co.
<br />122357
<br />INSURED
<br />I INSURER 8: Hartford Fire Insurance Co.
<br />119682
<br />Calvin, Giordano & Associates, Inc.
<br />1800 Eller Drive
<br />Suite 600
<br />Fort Lauderdale, FL 33316
<br />INSURER c:NavigatorS Insurance Company
<br />142307
<br />INSURERD:Tvvin City Fire Insurance Co.
<br />129459
<br />I INSURER E: Great American E&S Ins. Co.
<br />137532
<br />I INSURER F :
<br />I
<br />COVERAGES CERTIFICATE NtIMRFR- RFVlslnM IJ IMRFR-
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
<br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />INSR I ITR
<br />TYPE OF INSURANCE
<br />ADDL
<br />SUER
<br />POLICY NUMBER
<br />POUCY EFF
<br />POUCY EXP
<br />LIMITS
<br />A
<br />GENERAL LIABILITY
<br />CLAIMS -MADE ❑X OCCUR
<br />83UENZV3951
<br />10/03/2017
<br />1010312018
<br />EACH OCCURRENCE
<br />S 1,000,000
<br />rpCOMMERCIAL
<br />DAMAGESTORE E
<br />E.ONTED
<br />s 300,000
<br />MED EXP An one rson
<br />S 10,000
<br />PERSONAL & ADV INJURY
<br />S 1,000,000
<br />L AGGREGATE LIMIT APPLIEIS PER:
<br />POLICY El Peef LOG
<br />M'OTHER:
<br />GENERAL AGGREGATE
<br />S 2,000,000
<br />PRODUCTS - COMP/OP AGG
<br />S 2,000,000
<br />S
<br />B
<br />AUTOMOBILE LIABILITY
<br />ANY AUTO
<br />OWNED SCHEDULED
<br />AU�T�OS ONLY AUTOSyyNBODILY
<br />AUTOS ONLY X AUTOS ONLY
<br />Ix
<br />83UENZV5565
<br />02/11/2018
<br />02/11/2019
<br />COMBINED derit,SINGLE LIMIT
<br />§ 1,000,000
<br />BODILY INJURY Per arson
<br />s
<br />INJURY Per accident
<br />PPe�acadenDAMAGE
<br />S
<br />IS
<br />C
<br />X
<br />UMBRELLA UAB
<br />EXCESSUA13
<br />N
<br />OCCUR
<br />CLAIMS -MADE
<br />CH17EXC8856001V
<br />10/0312017
<br />10/03/2018
<br />EACH OCCURRENCE
<br />S 10,000,000
<br />AGGREGATE
<br />is 10,000,000
<br />DED I X I RETENTIONS 0
<br />S
<br />D
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS LIABILITY
<br />FFF1ANY PROPRIETOR/PARTN ER/EXECUTIVE YIN
<br />ManER/M�MBER EXCLUDED?
<br />Manddatory n I )
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />NIA
<br />83WECE0623
<br />06/12/2018
<br />05/12/2019
<br />I OTH-
<br />X PERTUrfr
<br />E.L. EACH ACCIDENT
<br />1,000,000
<br />s
<br />E.L. DISEASE . EA EMPLOYE
<br />S 1,000,000
<br />E.L. DISEASE -POLICY LIMIT
<br />S 1,000,000
<br />E
<br />Professional Liab
<br />J
<br />TER 317-77-89
<br />1010312017
<br />10/03/2018
<br />Each Claim/Aggregate
<br />6,000,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required)
<br />Re: Contract No. 0312-147
<br />City of Sunny Isles is named as additional insured on a primary and non-contributory basis as respects the general liability if required by written contract.
<br />Waiver of subrogation applies to workers compensation, general liability, and auto liability when required by written contract 30 days notice of cancellation
<br />except 10 days for non payment
<br />City of Sunny Isles Beach
<br />18070 Collins Avenue
<br />Sunny Isles Beach, FL 33160
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />AUTHORIZED REPRESENTATIVE
<br />ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved.
<br />The ACORD name and logo are registered marks of ACORD
<br />
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