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COMPANY INFORMATION <br /> ,) <br /> • <br /> • <br /> • <br /> PROOF OF INSURANCE <br /> • <br /> • Client-it:31137 BERMEAJA <br /> ACORD-. " <br /> CERTIFICATE OF LIABILITY INSURANCE DATEADOMYYT <br /> • 11/10/2011 <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 /> ® <br /> IMPORTANT:If the certificate holder is en ADDITIONAL INSURED,the policybes)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 endorsementls). <br /> • PRODUCERL2NT1CT <br /> NAPE: <br /> USI Insurance Services,LLC-CL °°o"E956 607-4000 ( <br /> �ru <br /> (A/c No,Ear.. uc.Nol: <br /> • 200 West Cypress Creek Rd#600 <br /> ADDRESS: <br /> • Fort Lauderdale,FL 33309 _ <br /> 954607-4000INSURERil1 AFFORDING COVERAGE ,LAIC• <br /> INSURER A:Hartford Casualty Insurance Com 29424 <br /> ® <br /> INSURED INSURER e:Hartford Fire Insurance Company 19682 <br /> Bermello,Ajamil&Partners,Inc. R c:Continental Casualty Company 20443 <br /> • 2601 South Bayshore Drive mating <br /> INSURER o-Hartford Ins Co of SE 38261 <br /> • Suite 1000 <br /> INSURER E: <br /> Miami,FL 33133 <br /> • <br /> INSURER 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 CONTRACTOR 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 PMD CLAIMS. <br /> • dER oot BR GOUCT EFF POLICY E.IP <br /> LTR TYPE OF INSURANCE INSt IIWD' POLICY NUMBER IYWDOtO Y)JMWDDYYY'OI LIMITS <br /> • A GENERALLATLRY 21UUNKK3709 11/111201111/11/2012 EACH OCCURRENCE :1000,000 <br /> XI COMMERCIAL GENERA LIABILITY I$REIW$`Fs F"E"TE®..°QI :300,000 <br /> • —17 CLAIMS-MADE I XI OCCUR I MED EAP(Any one paso1) :10,000 <br /> • I 1 PERSONAL 8ADV Iw <br /> ur :1,000,000 <br /> J GENERA AGGREGATE :2,000,000 <br /> • GENA AGGREGATE LIMIT APPLIES PER. PRODUCTS-COMP/OR AGO 62,000,000 <br /> POLICY I IP"a 1 <br /> • A (AUTOMOBILE LDBLmT I�La 21UUNKK3709 11/11/201111/11/2012°EDMe%«EosuNCLE 141.11T11,000,000 <br /> • LI Aar AUTO I BODILY INJURY(Ps Rem.) : • <br /> IIXI ALONED SCHEDULED I OOLY V:NnRT IPs as eI 1 <br /> ' <br /> • AUTOS <br /> AF"UTOSwvED I pPTY DAMAGE 1 <br /> • ll I <br /> I 1 <br /> A XI ONTRELLALAB I IOCCUR 21XHUKK3260 11111/201111/11/2012 EACHoccu+RENcE s5,000,000 <br /> • I EXCESS LAT I I CLAIMS-MADE( I AGGREGATE s5,000,000 <br /> • IDEO I XI RETENTION 510000 I s <br /> B WORKERS COMPENSATION 21WBZS6321 11/11/2011 11/11/2012 X IWCSTAwuS I IEan` <br /> • AND EMPLOYERS'LIABILITY <br /> ANY moPRIETORPARTNEREXECUTMEYI" IEC EAOI EACH ACCIDENT 51,000,000 <br /> OFFKERVEMBER EXCIUDEET n NIA <br /> • (a!YyysaaawpY In MTIEC.DISEASE-EA EMPLOYEE 51,000,000 <br /> CESCRIFTM'Of OPERATIONS cap. I EL DISEASE.POLICY LIMIT 51,000,000 <br /> • A Property 21UUNKK3709 11/11/2011 11/11/2012 Per Schedule on File <br /> • C Prof!Liability AEH288262231 11/11/2011 11/11/2012 S1M Each Claim/Agg. <br /> D Inland Marine 21MSFKO7033 11/11/2011 11111/2012 Per Schedule on File <br /> • DESCRIPTOR OF OPERATIONS I LOCATIONS I VEHICLES(Amu,ACORD 101,Assmonal Renick•YHM,Y,11 mon specs la roguing) ' <br /> • <br /> • <br /> • <br /> • <br /> • CERTIFICATE HOLDER CANCELLATION , <br /> • SPECIMEN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> • ACCORDANCE WITH THE POLICY PROVISIONS. <br /> • AUTHOR/ZED REPRESENTATIVE <br /> • I (1147 <br /> • m 1988-2010 ACORD CORPORATION.All rights reserved. <br /> ACORD 25(2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD <br /> • 1/S6645068/M6644700 _ _ SRYZP <br /> • <br /> • <br /> • CbEi CONTINUING PROFESSIONAL ARCHITECTURAL& ENGINEERING SERVICES FIRMS ONLY(CCNA) <br /> • RFO No. 12-04-02 7 <br /> at <br />