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• • • COMPANY INFORMATION • • • • • PROOF OF INSURANCE • • Client#:31137 BERMEAJA ACORD. CERTIFICATE OF LIABILITY INSURANCE DATEIMIUDD1MY) • 11/10/2011 • 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:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)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 endorsement(s). PRODUCER CONTACT • USI Insurance Services,LLC-CL PIq aFAX E-MAILNo,Enp 954 607-4000 1 ra Nel: • 200 West Cypress Creek Rd#600 E. Fort Lauderdale,FL 33309 AOD+Ess: • 9546074000INSURERISI AFFORDING COVERAGE NRK• MSURER A:Hartford Casualty Insurance Com 29424 • INSURED INSURERS:Hartford Fire Insurance Company 19682 Bermello,Ajamil 8 Partners,InaINSURER c:Continental Casualty Company 20443 • 2601 South Bayshore Drive INSURER o,Hartford Ins Co of SE 38261 • Suite 1000 INSURER E: Miami,FL 33133 • INSURER F: 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 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. • MSR TYPEOF INSURANCE W10°sum PMICT EFF PCIICY E2P LIWT! LTRIINSR WVOI POLICY NeYBER IYWOG(YYYYI tYYNMTYI]I • A GENERAL LAeaITY 21UUNKK3709 11/11/2011 11/11/2012 EEApA,AC��HHA��O[ECCCiURRENCE 51000,000 %1 COMMERCVl GENERALLVH:LITY I PREM,SESIExENi iDYet 5300,000 • I I cuIVLIArIF I�oCCLM MED EXP(Ary a,e penal) 510,000 I PERSONALS Ally 51,000,000 • GENERAL AGGREGATE 52,000,000 • GENT AGGREGATE Lima APPLIES PER: I PRODUCTS-COMPIP AGC 52,000,000 IPOLCYl I,OCTT I ILOC I 5 • A I AOTOMOBIE LIABILITY 21UUNKK3709 11/11/201111/11/20121 EosINGLE IMIT 51,000,000 Si I ANY AVO I SOORY 4WURY(Pe PA>✓-NI 5 X ILL ONNEO AUTOS LED BODILY INJURY(Per ame�+) 5 • XI N.RED SAWE* II X D OWNED PROPERTY DAMAGE 5 AUTOS IPv•meeat) • 1I 5 A % uMaRELU Lua I octan 21XHUKK3260 11/11/201111/11/2012 EACH OCCURRENCE s5 000,000 • EXCESS LLAe I I QLUMSWDt I AGGREGATE s5 000,000 • 1 DED I XI RETENTION 510000 S B WORKERS COMPENSATION 21WBZS6321 11/11/201111/11/2012X11"CSTAtu I IoTw • AND EMPLOYERS'LIABNET YIN EACHAYRC �{ ANY PROPREEX UDED?ECUTVE EL. ACCIDENT :1,000,000 OFFICERVEMSER EXCLUDED"t I NI NIA • "Mandatory�aoneamax MMcsEL DISEASE-EA EMPLOYEE 51,000,000 DESCRIPTC'OF OPERATIONS Wim' I EL DISEASE-GOLLY TWIT 61,000,000 • A Property 21UUNKK3709 11/11/2011 11/11/2012 Per Schedule on File • C Prof'Liability AEH288262231 11/11/2011 11/11/2012 $IM Each Claim/Agg. D Inland Marine 21MSFKO7033 11/11/2011 11/11/2012 Per Schedule on File • DESCRIPTION OF OPERATIONS I LOCATORS IVEHICLES(Attach ACORD 101,Additional Ramat'.YAWN.N no..spo is nquvMl • to • OCERTIFICATE HOLDER CANCELLATION 4) SPECIMEN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELNERED IN • ACCORDANCE WITH THE POLICY PROVISIONS. • AUT}`HORLMED REPRESENTATIVE I 1 / a-1 aieni • ACORD CORPORATION.All rights reserved. ACONIN 25(2010/05) 1 of 7 The ACORD name and logo are registered marks of ACOORD1988-2010 0 #56645068/M6644700 SRYZP • • Cba CONTINUING PROFESSIONAL ARCHITECTURAL& ENGINEERING SERVICES FIRMS ONLY(CCNA) RFQ No. 12-04-02 • 6