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(16-06-01) Shoreline Surveying and Mapping Consulting Services
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6/28/2016 10:02:02 AM
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6/28/2016 10:00:03 AM
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DATE (MM/DD/YYYY)CERTIFICATE OF LIABILITY INSURANCE <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(S),AUTHORIZED <br />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 />CONTACTPRODUCERNAME: <br />FAXPHONE <br />(A/C, No):(A/C, No, Ext): <br />E-MAIL <br />ADDRESS: <br />INSURER(S) AFFORDING COVERAGE NAIC # <br />INSURER A : <br />INSURED INSURER B : <br />INSURER C : <br />INSURER D : <br />INSURER E : <br />INSURER F : <br />COVERAGES CERTIFICATE NUMBER:REVISION NUMBER: <br />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 />ADDL SUBRINSR POLICY EFF POLICY EXPTYPE OF INSURANCE LIMITSPOLICY NUMBERLTR (MM/DD/YYYY)(MM/DD/YYYY)INSR WVD <br />GENERAL LIABILITY EACH OCCURRENCE $ <br />DAMAGE TO RENTED <br />COMMERCIAL GENERAL LIABILITY $PREMISES (Ea occurrence) <br />CLAIMS-MADE OCCUR MED EXP (Any one person)$ <br />PERSONAL & ADV INJURY $ <br />GENERAL AGGREGATE $ <br />GEN'L AGGREGATE LIMIT APPLIES PER:PRODUCTS - COMP/OP AGG $ <br />PRO-$POLICY LOCJECT <br />COMBINED SINGLE LIMITAUTOMOBILE LIABILITY (Ea accident)$ <br />BODILY INJURY (Per person)$ANY AUTO <br />ALL OWNED SCHEDULED BODILY INJURY (Per accident)$AUTOS AUTOS <br />NON-OWNED PROPERTY DAMAGE $HIRED AUTOS (PER ACCIDENT)AUTOS <br />$ <br />UMBRELLA LIAB EACH OCCURRENCE $OCCUR <br />EXCESS LIAB CLAIMS-MADE AGGREGATE $ <br />$DED RETENTION $ <br />WC STATU-OTH-WORKERS COMPENSATION <br />TORY LIMITS ERAND EMPLOYERS' LIABILITY Y / N <br />ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $N / AOFFICER/MEMBER EXCLUDED? <br />(Mandatory in NH)E.L. DISEASE - EA EMPLOYEE $ <br />If yes, describe under <br />E.L. DISEASE - POLICY LIMIT $DESCRIPTION OF OPERATIONS below <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) <br />CERTIFICATE HOLDER CANCELLATION <br />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 />AUTHORIZED REPRESENTATIVE <br />© 1988-2010 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORDACORD 25 (2010/05) <br />SEADI-1 OP ID: SN <br />06/24/2016 <br />Brown & Brown of Florida, Inc <br />Suite 400 <br />1401 Forum Way <br />West Palm Beach, FL 33401 <br />Chris Shea <br />561-686-2266 561-686-2313 <br />Great American Ins Co of NY+ <br />Philadelphia Indemnity Ins Co+18058Sea Diversified, Inc. <br />LAT 26 Marine, Inc. <br />SDI Leasing, Inc. <br />21 NW 2nd Street <br />Delray Beach, FL 33444 <br />Lloyd's of London+ <br />1,000,000 <br />A X X OMH144160901 06/29/2015 06/29/2016 50,000 <br />X 5,000 <br />X Ded $1,000 1,000,000 <br />X Marine GL 2,000,000 <br />Included <br />X Emp Ben.1,000,000 <br />1,000,000 <br />B X PHPK1360051 06/29/2015 06/29/2016 <br />X X <br />A Rented/Leased Equi OMH144160901 06/29/2015 06/29/2016 100,000 Ded $500 <br />C Professional Liabi EY11023AA001 06/29/2015 06/29/2016 1,000,000 Ded $25,000 <br />RFQ No. 16-06-01 - Shoreline Surveying and Mapping Consulting Services <br />City of Sunny Isles Beach is included as Additional Insured with respects to <br />General Liability as required by written contract. <br /> <br />SUNNY-1 <br />City of Sunny Isles Beach <br />18070 Collins Avenue <br />Sunny Isles Beach, FL 33160
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