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FORMS & ATTACHMENTS INSURANCE CERTIFICATE '4` °R°® CERTIFICATE OF LIABILITY INSURANCE 5126/20l15 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 Corporate Insurance Advisors 100 NE 3rd Avenue Slate 1000 Ft. Lauderdale FL 33301 CONTACT Jud Pinkne NAME: Y y 1AIG N (954)315 -5000 FAX No): 1 9541 3 15 -5050 p-MpAgL _jpinkney @ciafl.net INSURERS AFFORDING COVERAGE NAICN INsuRrRA.Transportation Insurance Co 20494 INSURED Acai Associates, Inc., 2937 West Cypress Creek Road Slate #200 Ft Lauderdale FL 33309 INSURERB:COntinental Ins Co of Hartford INSURERC:Ironshore Specialty Insurance 25445 INSURER D: INSURER E: 1 INSURER F: $ 1,000,000 COVERAGES CERTIFICATE NUMBER:14 -15 Liability 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 POLICY NUMBER POLICY EFF MM IODNYYY POLICY EXP MM1DD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 NTED PREMISES Ea occurrence S 100,000 A R COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ® OCCUR 084967977 /18/2014 9/18/2115 MED EXP(Any one pe n) $ 5,000 PERSONAL B ADV INJURY $ 1,000,000 X Contractual Liability GENERAL AGGREGATE S 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMPIOP AGG S 2,000,000 X POLICY PRO - JFCT F-1 S AUTOMOBILE AUTOMOBILE LIABILITY OMBINEDISINGLE LIMIT S 1,000,0 0 BODILY INJURY (Per person) $ B X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS 088541457 /18/2014 9/18/2015 BODILY INJURY (per accident) S PROPERTY DAMAGE Per accident $ HIRED AUTOS NON -OWNED AUTOS PIP -Basic S 10,000 X UMBRELLA LIAB R OCCUR EACH OCCURRENCE $ 4,000,000 AGGREGATE $ 4,000,000 A EXCESS LIAB CLAIMS -MADE DEC) I X I RETENTIONS 0 S 088541474 /18/2014 9/18/2015 WORKERS COMPENSATION WC STATU- OTH- ER AND EMPLOYERS'LIABILITY YIN ANY PROPRIEfORIPARTNERIEXECUTIVE E. L. EACH ACCIDENT $ OFFICERJMEMBER EXCLUDED? O NIA E. L. DISEASE - EA EMPLOYE $ IMandatory In NH) If yes, describe under E L. DISEASE - POLICY LIMIT S DESCRIPTION OF OPERATIONS below C P 001389102 /13/2014 6/13/2015 $2,000,D00/525,000 ded ea cl Each clai Claims Made Form etro Date 1/22/1985 53,0011,000 Aggregate DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, H more space Is required) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE ACAI Associates, Inc. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 2937 W Cypress Creek Road ACCORDANCE WITH THE POLICY PROVISIONS. Suite 200 Fort Lauderdale, FL 33309 AUTHORIZED REPRESENTATIVE Mark Schwartz /JUDY ACORD 25 (2010105) ©1988 -2010 ACORD CORPORATION. All rights reserved. INS076 romn —ni Th. Arnion n.n.n .nd Inns — m ie+._A. b. of Arnion RFQ No. 15 -04 -01 1 ARCHITECTURAL DESIGN SERVICES FOR A NEW FACILITY AT 18080 COLLINS AVE.