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r L C 0 RECHISH -02 JAN CERTIFICATE OF LIABILITY INSURANCE DATE CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, 8fs2/ 0114 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(ies) 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 CONTACT NAME: Acrisure, LLC dlbla InSource PHONE (AIC. NO, EAU, (305) 670.6111 lac Not: (305) 670 -9699 9500 9500 South Dadeland Boulevard 4th Floor E-MAIL ADDRESS: Miami, FL 33156 -2867 EACH OCCURRENCE INSURER(5) AFFORDING COVERAGE I NAIL p INSURER A:UndervIriters at Lloyd's London I CLAIMS -MADE OCCUR INSURED INSURER B INSURER C: I R E Chisholm Architects Inc. Robert Chisholm PREMISESOE=' n. 4921 SW 74th Ct INSURER D: INSURER E: I Miami, FL 33155 INSURER F: i 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. INSR LTR TYPE OF INSURANCE ADD IN5 12 Sung 1 two 1 POLICY NUMBER POLICY EFF MMIDDIYYYY POLICY EXP MMIDD/YYYY I LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE I S CLAIMS -MADE OCCUR PREMISESOE=' n. 5 MED EXP (Any one person) 5 PERSONAL S ADV INJURY 5 GENT. AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE I$ PoUCY ❑ PE0. LOC PRODUCT S- COMPgPAGG S S OTHER: AUTOMOBILE LIABILITY ANY AUTO I EOM ; INGLE LIMI i 5 I BODILY INJURY (Per persm) 15 1I� ALL OMED I� AUTOS L AUTOS I BODILY INJURY (Per amaent) 15 _I NON-OWNED I HIRED AUTOS L AU O II I I FPReOP�,;;UAMAGE I S 15 UMBRELLA LIAB OCCUR I EACH OCCURRENCE I S EXCESS UAB I I CLAIMS -MADE AGGREGATE I S DED RETENTIONS 5 WORKERS COMPENSATION AND EMPLOYERS'LIASILITY YIN ANY PROPRIETORIPARTNERIEXECUTIVE OFFICERJMEMBER EXCLUDED � (Myyandatory In NH) NIA I I STATUTE I ER EL EACHACGI S E.L. DISEASE - EA EMPLOYEE S 0 SCRIIPPTTI ION O OF Sell. E.L. DISEASE - POLICY LIMIT I 5 A IArchitectslEngineers 14AE039917205 0111612014 01/16/2015 per claim/aggregate 1,000,00 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLE$ IALORD 101, Additional Remarks Schedule, may he anached U mom spats is r ui d) Architects 8 Engineers Professional Liability Claims Made Coverage Deductible: $10,000 per claim1530,000 Aggregate Retroactive Date: 1110/1992 CERTIFICATE HOLDER CANCELLATION ACORD 25 (2014101) © 1988 -2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE CI of Suns Isles Beach City y 18070 Collins Avenue THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Sunny Isles Beach, FL 33160 AUTH ORIZED REPRESENTATNE ACORD 25 (2014101) © 1988 -2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD