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<br /> Fni Calvin, Giordano & Associates, Inc.
<br /> Y \� E 1 C E P 1 I O N A l SOLUTIONS
<br /> _.\,,,
<br /> 4) Proof of Insurance
<br /> ® ----, CALVI-2 OP ID:El
<br /> ® `'I✓R0 CERTIFICATE OF LIABILITY INSURANCE °"'EPOAD°D`""
<br /> 01/11/12
<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 /> O 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 /> U IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the poliry(ies)must be endorsed. If SUBROGATION IS WANED,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 /> PRODUCE/2 954-776-2222 chrdt CI
<br /> O Brown&Brown of Florida,Inc. 954-776-4446 pry I FAX
<br /> re:_
<br /> 1201 W Cypress Creek Rd 4130 1AK,I ,E.e: 1 1
<br /> P.O.Box 5727 E. At
<br /> O FL Lauderdale,FL 33310-5727 ADO/MSS:
<br /> Stephen E.Patton,AAI INSURER(S)AFFORDING COVERAGE _ NAC•
<br /> ® INSURER A:Hartford Casualty Ins.Co SO29424
<br /> SOURED Calvin,Giordano 8. INSURER e:Hartford Ins Co of Midwest 1137478
<br /> Associates,InaINSURER c:American Guar 8 Liab Ins Co 1126247
<br /> O Attn:Dennis Giordano
<br /> 1800 Eller Drive#600 POURER o•:Hartford Fire Insurance Co. 19682
<br /> O Ft.Lauderdale,FL 33316 INSURER E:Continental Casualty Company_ 20443
<br /> SOURER F:
<br /> 0 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 /> 0
<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 /> ® LTR I TYPE Of INSURANCE I,�DSUILI, Potty NUMBER )Fp 'rICY YYnTiyrLgpn rEn
<br /> POLICY ESP I
<br /> LOOTS
<br /> GENERAL am I EACH OCCURRENCE I s 1,000,000
<br /> ® DAMAGE TO RENTED-
<br /> A 11�coMRERCML GENERAL((Aaiun 21UUNLK3645 01101112 01101/13 PREMISES RST- LIS 300,000
<br /> ® H1 CIADLSFMOE Lf OCCUR LED EAR(MN.",PenMq Is 10,000
<br /> 08/27/11 08/27/12 PERSONA'GAIN INJURY
<br /> - 11 s 1,000.000
<br /> in - -- GENERAL AGGREGATE I 5 2,000,000
<br /> ® IGENE AGGREGATE LIMIT PER PROOLCrs.f.OLPICP AGG Is 2,000,000
<br /> ® In PCOCY n°F a Ori LOC I s
<br /> AUTONOEME LIABILITY i l COLUMNED SINGLE UNIT I s 1.000.000
<br /> 1 Ira acvae.+)
<br /> ® B nI ANY AUTO (Psoenml �s— --
<br /> I-1 All OWNED I -1 SCHEDULED i
<br /> AUTOS nubs 21UENJB7000 01/01/12 01(01/13 ROOMY INJURYBOyLY WMivnor.s a t, s
<br /> ® I IHIRED I NON-OOWS I NED
<br /> � I r PROPERTY DAMAGEI
<br /> IPr++v. II_ 1
<br /> I AUT _
<br /> (X 11 uMBXELLA UAB I tan, EACH OCCURRENCE I s 10,000,000
<br /> C I I EXCESSLIAB I I CLAIMSMADEI AUC594612803 01101/12 01/01/13 I AGGREGATE I s 10,000,000
<br /> ® I IDED I X I RETENTION s 01 I I Is
<br /> WORKERS COMPENSATIONI _X 1.IORYTLLMIi$l l0T -I_ _ __
<br /> ® W
<br /> AND EMPLOYERS' aaITY
<br /> D Inv IEInv r/"l I NIA
<br /> 2IWBNO32OS 01/01/12 01/01/13 EL.EACH ACCIDENT Is 1,000,000
<br /> CfFCER.LELMER EXCLUDED
<br /> INraM.y M POOI
<br /> I
<br /> nEL DISEASE-EA EMPLOYEE:s 1,000,000
<br /> ye/Recce Ona
<br /> OEBCglprq"OF OPERATIONS!NNW EL d5FA5E-PoICT LIMIT1 1,000,000
<br /> ® E Professional Liab AEH288]58005 08/27/11 08/27/12 Per Claim 5.000.000
<br /> IClaim MadeRETENTION: $200.000 Aggregate $.000.000
<br /> ® I I I I
<br /> CEEC1aPT1ON OF OPERATIONS I LOCATIONS/VEHICLES Mash ACORO 101.AMgq,a1 Ramona Schedule.,I mora apma N rpr•dl
<br /> e CERTIFICATE HOLDER CANCELLATION
<br /> ® CALVING
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> O Calvin,Giordano&Associates THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> Inc
<br /> e 1800 Eller Drive 0600 AUTHORIZED REPRESENTATIVE
<br /> Ft Lauderdale,FL 33316
<br /> ® I / 44 , , C
<br /> �y�/
<br /> 01988-2010 ACORD CORPORATION. All rights reserved.
<br /> ® ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD
<br /> 41)
<br /> e RFQ#12-04-02,Civil/Environmental Engineering Page 113
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