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I J Bonfill&Associates '� RFQ 612-0402 Page 96 UA�o® CERTIFICATE OF LIABILITY INSURANCE ATE15/2012 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 fl REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the pollcy(les)must be endorsed. If 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 confer rights to the • certificate holder in lieu of such endorsementts). _ PRODUCERCONTACT Mercedes Mark NAME: Insurance Source.com, Inc WC No.FAII: 813-902-8191 I ASC N p 813-902-7007 P.O. Box 270119 no""D Ess: mercedes@shopinsuranceonline.com •Tampa, FL 33688-0119 INSURER(S)AFFORDING COVERAGE 1 NAICN OINSURER A: American States Insurance Company INSURED Nifah and Partners ConsultingEngineers, Inc. INSURER B: Lloyds of London —- 'wsuRER C: I — 8785 SW 165 Avenue Suite 108 INSURERD: I Miami, Florida 33193 INSURER E: I INSURER 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 e INDICATED. NOTWITHSTANDING ANY REQUIREMENT.TERM OR CONDITION OF ANY CONTRACT OR 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.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR ADM SUM POLCYEFF POLICYExP TYPE OF INSR WVO POLICY NUMBER I(MJATNJITYYY1 I R,woon YYm LLYITS ill GENERAL LIAB1m- EACH OCCURRENCE I$ 1,000,000 X I COMMERCIAL GENERAL L'AEILRY DAMAGE TO RENTED _ PREMISES(Fa ccTEMcel $ 2,000,000 CLAIMS-MADE I X I rrn IR MED EXP LAM ore semen) I S 10,000 A 1 _ X 25-CC-202194-40 02/13/201202/13/2013 PERswrALaAwuuuRr $ 1,000,000 GENERAL AGGREGATE s 2,000,000 II GEN',AGGREGATE LOUAP'P�LIEIS PER: PRODUCTS-COMP/CPAGG $ 2,000,000 X I PODGY FR; I I LOC S AUTOMOBILE LIABILITY CEOMBINEEDDSINGLE LIMIT S 1,00.0,000 -- -- -ANY AUTO BODILY EI2URY(Per;era) $ A ASO MED I AUTOSJLEDO X 01-`l-312476-20 02/13/2012 02/13/2013 60DLY INJURY(Pe:=dart) S NONX I FIRED AUTOS I_,AUTO SCJ D I(Per (P r eceeenti :0.G/ $ - $ II XI UMBRELLA UA6X ,D IEALH OCCVRREI:CE �s 4,000,000 A I EXCESS LIAR I ICLALMS-MADE X 01-SU-402353-03 92/13/201202/13/2013 AGGREGATE IS i I ,UEu .Nei&MONS .3 — WORKERS COMPENSATOR V.0 STATU- tom-I AST EMPLOYERS'LIABILITY YIN TORYIIMITS ER ANY PROPRIETORIPMTNER/EXEC'JTNE EL EACH ACCIDENT If OFFX:ERMEMBER EXCLUDED? NIA - - - -- (Maodatonr hi NH) E.L.=EASE-EA EMPLOYEE S (yes.desMW esker - DESCRIPTION OF OPERATIONS Beira EL 05EASE-POLICY LIMIT 13 B Professional Liability PGIARK00383-0004/30/201 04/30/2011 1,000,000 DESCRIPTION OF OPERATORS I LOCATIONS/VEHICLES(Attach AGGRO 131,Addelonal Remarks Schedule,If more space Is required) D MDAD Airside Operations & Risk Management Division has been named as additional insured. D CERTIFICATE HOLDER CANCELLATION D MDAD Airside O erations & Risk SHOULD"ANI-OFTHEABOVEDESCRIBEDPODCIE59ECANCELCED'BEFORE"'" -- PTHE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Management Division ACCORDANCE WITH THE POLICY PROVISIONS. a P.O. Box 592075 Miami, Florida 33159 AUTXCRI)ID R£PRFStNiATVE Jeffrey Kaplan lic# A136770 I 01988-2O1OACORD_CORP_ORATION.110.rdghts A ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD e •