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IlClient#: 13599 CESCONS3 <br /> ACORDT. CERTIFICATE OF LIABILITY INSURANCE D119I0D2"Y) <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(5),AUTHORIZED <br /> I REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. <br /> IMPORTANT:If the certificate holder 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 CONTACP <br /> ASU Suncoast Insurance Assoc NAME: <br /> PHONE (FAX <br /> P.O. Box 22668 DD,No,ES ER):813 289-5200 1Ns.NPI: 8132894561 <br /> E-MAIL <br /> Tampa,FL 33622-2668 -PRODUCER <br /> CUSTOMER ID I: <br /> 813 289-5200 INSURER(S)AFFORDING COVERAGE I NAIL <br /> INSURED INSURER A:Endurance American Specialty In 41718 <br /> CES Consultants,Inc. Surety Travelers Casualty8 Co 31194 <br /> INSURER B: <br /> 14361 Commerce Way Suite 103 INSURER c:Phoenix Insurance Company 125623 <br /> I Miami Lakes, FL 33016 <br /> INSURER D: <br /> INSURER E: <br /> INSURER F <br /> COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <br /> I 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 /> INSR rypE OF INSURANCE ADDL SUER POLICY EFF POLICY EXP <br /> LTR INSR L'Am I POLICY NUMBER (MMJDDJYYYYI (MMmOlYYYY)I LIMITS <br /> A �GEENERALUABlurr ECC10101186201 01/31/2012 01/31/2013 EACH OCCURRENCE NTED s2,000,000 <br /> A COMMERCIAL GENERAL LIABILITY PREMISESDGE O(EaEoccxren¢t 5100,000 <br /> ICLAIMS-MADE I XI OCCUR MED EXP Wry one persOM 55,000 <br /> I X BI/PD Ded:5,000 PERSONAL SADV INJURY s2,000,000 <br /> GENERAL AGGREGATE s2,000,000 <br /> GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG 52,000,000 <br /> —1 POLIOY I 78-; LOC $ <br /> C AUTOMOBILE UABILITY <br /> ANY AUTO BA7480X896 05/15/2011 05/1512012 COMBINED SINGLE LIMIT <br /> I(Ea accident) I$1,000,000 <br /> I BODILY INJURY(Per pesos) 1 3 <br /> ALL O'ANED AUTOS I BODILY INJURY(Per accident)I$ <br /> 1 SCHEDULED AUTOS PROPERTY DAMAGE <br /> X HIRED AUTOS I(Peramdern) 1$ <br /> X NON-0WNED AUTOS I S <br /> I I5 <br /> UMBRELLA UAB I I OCCUR I EACH OCCURRENCE I5 <br /> EXCESS LIAR I I CLAIMS-MADE I S <br /> AGGREGATE <br /> I DEDUCTIBLE I I s <br /> I RETENTION 5 I I S <br /> ' B WORKERS COMPENSATOR U83756T448 07/08/2011 0710812012 X 1 <br /> AND EMPLOYERS'LIABILITY YIN TORYLIVTSI �RµI <br /> ANY PROPRIE,ORJPARTNEWEXECUTI 151,000,000 <br /> OFFICERO.IEMBER EXCLUDEDT NIA EL EACH ACCIDENT <br /> (Mandatory in NH) I EL DISEASE-EA EMPLOYEE!$1,000,000 <br /> DSCaeaTImOb PONF OPERATIONS <br /> PERATIONS bebw I E.L.DISEASE-POLICY LIMIT I 51,000,000 <br /> A aility <br /> 'Probe Professional I I ECC101011862011/31/2012101/31/201 I $2,000,000 anpeer claiml . <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if mon apace is required) <br /> Professional Liability coverage is written on a claims-made and reported basis. <br /> 1 <br /> CERTIFICATE HOLDER CANCELLATION <br /> I For Proposal Purposes 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 /> IAUTHORIZED REPRESENTATIVE <br /> 0e3ce0 016—ece"jar/ <br /> ®1988-2009 ACORD CORPORATION.All rights reserved. <br /> I ACORD 25(2009/09) 1 of I The ACORD name and logo are registered marks of ACORD <br /> #S362436/M360970 MRL <br /> ICity of Sunny Isles Beach Continuing Professional Architectural&Engineering Services RFQ 12-04-02 <br />