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e e ® COMPANY INFORMATION Eh • • • PROOF OF INSURANCE • • Client*:31137 --- BERMEAJA • ACORD.. CERTIFICATE OF LIABILITY INSURANCE DAv+D12o11Wn • 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:N the certificate holler is an ADDITIONAL INSURED.the policy(ies)must be endorsed.M 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 conA rights to the certificate holder In lieu of such endorsements). • PROGU<ER CONTACT USI Insurance Services,LLC-CL f"PHONE IAC,Ne.EW:951 607-4000 IWm.): • 200 West Cypress Creek Rd#600 EJAMLADDRESS. • Fort Lauderdale,FL 33309 9546074000INSURERS)AFFORDING COVERAGE I SAC INSURER A:Hartford Casualty Insurance Com 129424 • INSURED INSURER B:Hartford Fire Insurance Company 119682 Bermello,Ajamil 8 Partners,Inc. • 2601 South Bayshore Drive INSURER<:Continental Casualty Company 120443 INSURER o:Hartford Ins Co of SE 136261 • Suite 1000 Miami,FL 33133 INSURER E: • DISURER F: I COVERAGES CERTIFICATE NUMBER: 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 CONTRACTOR 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. OMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. • �jq TYPE OF INSURANCE II GSI FOLLY NUMBER IPottri IWInfOk 1 LIMITS • A GENERAL LMSam 21UUNKK3709 11111/201111111/2012 EACH A GO�CC�UpRRENCE 111000,000 XI CCAaCRCUL GENERAL�LABILITY I FRFAMSES IEe�TEvm sml 11300,000 • I rI.n.•.,ADE I ^I OccUR I MED EXP tarry ae Paan, 1110 000 [PERSONAL&.nv INJURY Ii1,000,000 [PERS • I GENERALAGCREGATE 132,000,000 • GENL AGGREGATE LIE?APPLIES PER: I PRODUCTS-COMP/CP AGC 1.2,000 000 • I Pouts l l LOC I I 1 s A I AUTOMOSEELMaaml 21UUNKK3709 11/11/2011 11/11/2012 COMeSINEDNGLE LSAT IE..ze.al 151.000.000 • X ANY AunO Keay wwrt ainn) 13 41QTwED I SCIEOULED BOON NAINI(Ps axon) 3 MROS IRO ® XI NrtED AUTOS i�AUTOS Eo (Per � aIOMAAGE 3 • s A JXO'SRELLA LIAR I IOCCUR 21XHUKK3260 11/11/2011 11/11/2012 EACH OCCURRENCE 35000,000 I • EWE"LIAR I CAIN`V.vI I AGGREGATE 15,000,000 • I DED I XI RETENTION$10000 I I 1 B WORKERS COMPENSATION 21WBZS6321 11/11/201111/11/2012 X UgRYTivViIi,I 1°a • AND EMPLOYERS ' ANY PROPRI TOR'ARTNE ARTNEREXECUTNE rNI I E L EACH ACCIDENT 11,000,000 OFFICER/EMBER EXCLUDED, MIA • Mandatary MI) IEL DSFAcc-EA EMPLOYEE 11,000,000 ICfSCnPTCN OF OPERATIONS below E.L DISEASE-ILLY LING 11,000,000 • A Property 21UUNKK3709 11/11/201111/11/2012 Per Schedule on File • C Prof,Liability AEH288262231 11/11/2011 11/1112012 $IM Each CIaim/Agg. D Inland Marine 2IMSFKO7033 11/11/2011 11/11/2012 Per Schedule on File • DEScRFIION OF OPERADONS I LOCATIONS I VEHICLES Mar ACORD LN,AMTS.!Remarks BNWY.a mem Apo Is wired) S • • • • CERTIFICATE HOLDER CANCELLATION • SPECIMEN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. • , • AUTHORIZED REPRESENTSliVE • I /Lief a/P.14 Sc 196&2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD • OS6645068/M6644700 SRYZP_ • • • CIA CONTINUING PROFESSIONAL ARCHITECTURAL & ENGINEERING SERVICES FIRMS ONLY(CCNA) • RFQ No. 12-04-02