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<br /> Ft ' Calvin, Giordano S Associates. Inc.
<br /> [ E I C E P I O N A L SOLUTIONS
<br /> ® T
<br /> 0 Proof of Insurance
<br /> Q /1 CALVI-2 OP ID:El
<br /> Q A1✓R0 CERTIFICATE OF LIABILITY INSURANCE D 01111tlaxyrrro
<br /> 1/12
<br /> Q 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 /> Q 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 policylies)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 endorsementis).
<br /> PRODUCER 954-776-2222 N nTACT
<br /> Brown&Brown of Florida,Inc. vroNc
<br /> Lc
<br /> ® 1201 W Cypress Creek Rd 0 130
<br /> P.O.Box 5727 954-7761446 TE i
<br /> ADDRESS: �fA^UK,SPI
<br /> :
<br /> FL Lauderdale,FL 33310-5727
<br /> S
<br /> ADDRESS:
<br /> Stephen E.Patton,MI INSURERIS)AFFORDING COVERAGE NAC F
<br /> POURER A:Hartford Casualty Ins.Co 129424
<br /> • NsuREo Calvin,Giordano 8 N P R Hartford Ins Co of Midwest 37478
<br /> Associates,Inc. INSURER c:American Guar 8 Liab Ins Co 26247
<br /> • Attn:Dennis Giordano
<br /> 1800 Eller Drive#600 POWER D:Hartford Fire Insurance Co. 19682
<br /> Ft.Lauderdale,FL 33316 INSURER Continental Casualty Company ___20443 _ _
<br /> • INSURER F'
<br /> COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
<br /> ®
<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 /> ® R I TYPE OF INSURANCE yDl Yryp, MLCY NUMBER I POLICY EFF 1 I OOIYYYYI ley y1�
<br /> LOUTS
<br /> �GE�IEMLLSA ITYI EACH OCCURRENCE s 1,000,000
<br /> o ruud,E TO RENTED----
<br /> A I�L ICO I CLADALGENEPAI LIAanm 21UUNLK3545 01/01/12 01/01113 PREMISES RENTS -- 15 300,000
<br /> I cIAMSAMOE PI NEDEM'IAn/Nv sewn s 10,000
<br /> • J 08/27/11 08/27/12 I PERSONAL lADy INJURY I s 1,000,000
<br /> J I GENERAL AGGREGATE i5 2,000,000
<br /> S
<br /> GENU AGGREGATE LIMIT APPLIES PER I PRODUCTS-COMP/OP AGG I s 2,000,000
<br /> TPOECYIAI jCT 71LOc is
<br /> 111/ AUTOMOBILE IIAeIY I (EA✓ i SINGLE LIMIT i5 1,000 ,000
<br /> ® B X ANY AUTO
<br /> ALL OWNED I _I SCHEDULEDU21UENJB7000 01/01/12 01/01/13 scourINRV IPU pence, 15
<br /> __BOGGY INJURY(Pie Nitlerillls
<br /> AUTOS
<br /> —I
<br /> PROPERTY DAMAGE
<br /> • I fHIRED AUTOS I AUTOS I PAUTOSw�D q 15
<br /> 1 Is
<br /> • I X I{IAaVELLA LAe I X I OCCUR
<br /> EACH OCCURRENCE Is 10,000,000
<br /> C I I EXDFaa LAB I I CLAIMS-MADEAUC594612803 01101112 01101/13 Ar,r roATT I s 10,000,000
<br /> • 11 ow X I RETENTION s 01 I I I s
<br /> WORKERS COMPENSATION I \YC STATU OTH�
<br /> A EMPLOYERS'LIABILITY X ITORY UNITS I_ ,LN l_ _
<br /> • D PROPRIETOPPARTNER,E.ECUTIVE Yr1 21WBNO3209 01/01/12 01/01/13 EL.FUHAGcOENr is 1,000,000
<br /> CWFCEftMELBER EXCLUDED' f NIA
<br /> IMaIIdaNNY In NH) I EL DISEASE-EA EMPLOYEE $ 1,000,000
<br /> S
<br /> nDESyrs dote OFU
<br /> CRIPT ON OF OPERATIONS below E L.DYEAcF-POLICY LIMIT I 5 1,000,000
<br /> E Professional Liab 'AEH288358005 08127111 08/27/12 Per Claim s,000.DDD
<br /> • /Claim Made (RETENTION: 5200,000 Aggregate 5.000.000
<br /> I. RiRDTIDN OF OPERATIONS N LOCATIONS I VEHICLES(MORN ICGRDSDI,AW,mnaI RAeaM1S SrJrWNt II won cats n rewind)
<br /> •
<br /> •
<br /> e
<br /> • CERTIFICATE HOLDER CANCELLATION
<br /> CALVING
<br /> •
<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 /> S ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> Inc
<br /> 1800 Eller Drive#600• AUTHORIZED REPRESENTATIVE
<br /> Ft Lauderdale,FL 33316 (/ 'L. , ' e
<br /> ® @1988-20100AACOORD CORPORATION. All rights reserved.
<br /> • ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD
<br /> •
<br /> 0 RFQ#12-04-02,Planning and Urban Design Page 11 3
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