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I J Bonfill&Associates <br /> RFQ#12-04-02 Page 93 <br /> �, O <br /> Ami o - CERTIFICATE OF LIABILITY INSURANCE DATE <br /> I 011 <br /> TMS 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 /> I . IMPORTANT: If the certificate holder b an ADDIITONAL INSURED,the policy(ies)must be endorsed. N 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 CONTACT <br /> NAME: <br /> I <br /> Ames & Gough /PRONE <br /> A aro. (703)827-2277 I iaw.(7W)027-2279 <br /> 8300 Greensboro Drive Ea <br /> ADDRESS' <br /> Suite 980 INSURERS)AFFORDING COVERAGE NAM a <br /> McLean, VA 22102 INSURER A:Beaz ley Insurance Company, Inc. 37540 <br /> INSURER B: <br /> Vital Engineering, Inc. INSURER C: <br /> • 7100 SW 99 Avenue INSURER D: <br /> Suite 202 INSURER E: <br /> Miami FL 33175 F, <br /> COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE USTED 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 /> I 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 /> ADM SW UR <br /> TYPE OF DISURINCE WRIT wen POLITY NUMBER (NMA7M'rY1'1 IMMrWIYj'YYI LIMITS <br /> GENERAL LNBLr1Y <br /> I DLU 10CCUtiRENCE i <br /> COMMERCIAL GENERAL LIABILITY <br /> OLMM(+10 RENTtO <br /> PREMISES(Eaornral f <br /> QAwS-MADE OCCUR mnMED EXP Wry a•pefa) f <br /> PERSONAL I ACV UMW I <br /> I�I GENERAL AGGREGATE I <br /> GEM-AGGREGATE <br /> t 7 PCLA:Y1-1 JFC7 I ILOC PRODUCTS-CCMPgP AGG 1 . <br /> jr-Rei <br /> AUTOMOS1LE LIABILITY <br /> CONEMEO SINGLE UNIT <br /> (FAacbn) S <br /> AMY AUTO BODILY INJURY(Per penal S <br /> 1 . —ALL OWNED SCHEDULED <br /> AUTOS AUTOS BODILY INRIRY(Pe accident) t <br /> wRED AUT. OS Hou-OWNED PROPERTY DAMAGE <br /> AN09 (Per arGeet) S <br /> S <br /> UMBRELLA UAB (V7m m EACH OCCURRENCE S <br /> EXCESS UAB CUIMS-MAD€ AGGREGATE $ <br /> DED I IRETENTIONf S <br /> WORKERS COMPENSATION WC STATU- GTI— <br /> • AND EMPLOYERS UABafTY VIN TORY UNITSI IFR <br /> I ANY PROPRIERCR/PARTNEP/OECI.TVE <br /> CFFFCER IDASER EJO.IuoeD7 NIA E L EACH ACCIDENT I <br /> IRyynwwnb. Mr In NH) E.L DISEASE-EA EMPLOYEE f <br /> - <br /> DESCRIPTOR OF OPERATIONS below EL DLRFACF-POLICY ULOT I <br /> A EItOFESSIONAT. LIABILITY VlSIISM110401 10/11/2D111O/11/2012 PERCIAM 1,000,000 <br /> IIAGGREGATE 1,000,000 <br /> DESORPTION OF OPERATIONS I LOCATIONS/VEWCLES(Mad ACORD III,Addmeeai Romano SdadeM,If mon space Le required) <br /> I • <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> I THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED W <br /> EVIDENCE OF COVERAGE ACCORDANCE WITH THE POLICY PROVISIONS. <br /> AUTNORDID REPRESENTATIVE <br /> IMatt-Cough/BHARRI X <br /> ACORD 25(2010/0.5) ®1988-2010 ACORD CORPORATION. All rights reserved. <br /> 1 INSO2512olmsl.ol The ACORD name and logo are registered marks of ACORD • <br /> I <br />