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•
<br /> •• p i, Calvin. Giordano 8 Asssociates,OInc.
<br /> • Proof of Insurance
<br /> • /� CALVI-2 OP ID:El
<br /> • a`ORO CERTIFICATE OF LIABILITY INSURANCE "nposcc""I
<br /> /11/12
<br /> ® OL
<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: II the certificate[older Is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to
<br /> the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the
<br /> • certificate holder in lieu of such endorsement(s).
<br /> PRODUCER 954-776-2222 FCautCT
<br /> • Brown&Brown of Florida,Inc. FAX
<br /> 7301 W Cypress Creek Rtl I/130 PHONE
<br /> P.O.Box 5727 954-7764446 Ewe BN: [wc_, el:
<br /> ADDRESS:• Ft Lauderdale,FL 33310-5727
<br /> Stephen E.Patton,AAI MSURERIs)AFFOROIG COVERAGE I NACF
<br /> INSURER.:Hartford Casualty Ins.Co !29424
<br /> ®
<br /> MsIR¢o Calvin,Giordano 8 INSURER e:Hartford Ins Co of Midwest 137478
<br /> Associates,Inc. INSURER C:American Guar 8 Liab Ins Co 126247
<br /> • Attn:Dennis Giordano
<br /> 1800 Eller Drive#600 INSURER D:Hartford Fire Insurance Co. 19682
<br /> • FL Lauderdale,FL 33316 .CORER E:Continental Casualty Company 20443
<br /> MSURER F:
<br /> • COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
<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 LS SUBJECT TO ALL THE TERMS.
<br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PND CLAIMS.
<br /> ® LER I TYeE OF WSUI/,NCE 1A,1;11:1, NYO BURR, POLICY NUMBER I PoIYYEFF](POLICY EZP I L 15
<br /> IMM'W IYYYYI IM W pOIYYYYj
<br /> GEIERALLEAf/TV' I EACH occUnaENCE I s 1,000,000
<br /> • -
<br /> A %ic—a7ea:Rcw GENERAL LMBNMMAGE TO RENTED 21UUNLK3645 01/01/12 01/01/13 PREMISES LEa_ _ ) Is 300,000
<br /> • ;J CLIALSMADE I I OCCUR /a:D CAP(Am epam,/ I s 10,000
<br /> !I 08127111 08/27/12 PERSONAL&AIN INJURY Is 1,000,000
<br /> • 1—'I
<br /> GENERAL AGGREGATE S 2,000,000
<br /> GENT AGGREGATE LOOT APPLIES PER maa/crs.coLP,OP AUG I s 2,000,000
<br /> • IPOLCNAI*DPT YI-1 LOC IF
<br /> `4l AUTOMOIM E LaBelleI (EALa Ba SINGLE LIMIT ! 1,000,000
<br /> • B IXI Asir AUTO 21UENJB7000 01101/12 01/01/13 poets ear(PI,Terme) Is
<br /> FALL OWNED nSCHEDaEO BOOBY BOURN PIN emdenl>
<br /> AUTOS AUTOS
<br /> • I NONOWNED PROPERTY 0NNGE
<br /> IPI�NJ F
<br /> HIRED AUTOS AUTOS
<br /> is
<br /> 40 I XI UMBRELLA UAS I X i OCCUR EACH OCCURRENCE I 5 10,000,000
<br /> CI EXCESS LIED I !CLAIMS-MACE 'AUG5944121103 01/01/12 01/01/13 AGGREGATE I s 10,000,000
<br /> • I I DED IXI RETENTION s 0 1 I s
<br /> WORKERS COMPENSATION I vIC STAT4 ORI
<br /> • MC EMPLOYERS LIABILITY X!TDRY.LDATsI�EF_!_
<br /> rNN
<br /> D ANY gmPRETDLYARTNEJLEIFcuTNE(Mandatory NH2IWBNO3209 01/01/12 01/01/13 EL EACH ACCIDENT Is 1,000,000
<br /> 40 CFFCER-tEVBER EXCLUDED, N/A
<br /> IManda ,y ) I NEL DISEA.sE-EA EMPLOYEE s 1,000,000
<br /> n
<br /> yes ascribe co
<br /> tN w
<br /> OPERATIONSDESLN OF tawELDISE,\sE-POLCrLIwT is 1,000,000
<br /> • E Professional Liab 'A611288358005RETENTION: $200,000 08/27/11 08/27/12 Per Claim 8,000.000
<br /> /Claim Made Aggregate 6000.000
<br /> I I
<br /> • DESCRIPTION OF OPERATORS/LOCATIONS/VENCLES{Allah ACORD IM,Addoon lRenate Set,. .A eve p..S Neared)
<br /> 40
<br /> •
<br /> 48
<br /> • CERTIFICATE HOLDER CANCELLATION
<br /> • CALVING
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> • Calvin,Giordano 8 Associates THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> IncACCORDANCE WITH THE PODGY PROVISIONS.
<br /> • 1800 Eller Drive#600 AUTNORT>Eo REPRESErrtATME
<br /> Ft Lauderdale,FL 33316 -1/11404/a2444-4
<br /> ® ®1988.2010 ACORD CORPORATION. All rights reserved.
<br /> • ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD
<br /> •
<br /> ® RFQ#12-04-02,Construction Management Services Page 11 3
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