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From: Vanessa Marcano At: Brown & Brown, Inc, FaxlD: Brown and Brown Insu To: Julie CoIteryahn Date: 612112005 03:02 PM Page: 20f2 ACORD. CERTIFICATE OF LIABILITY INSURANCE OP ID T11 DATE (UIoIIDIlIYYVY) CALVI-2 06/21/05 PROOUCER THIS CERTIFICATE IS Issueo AS A MATTER OF INFORMATION Brown , Brown, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 5900 N. Andrews Ave. 1300 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P.O. Box 5727 ALTER THE COVERAGe AFFORDED BY THE POlICIES BELOW. Ft. Lauderdale FL 33310-5727 Phone: 954-776-2222 Fax: 954-776-4446 INSURERS AFFORDING COVERAGE HAIC# INSURED INSURER A 'B.rtf'orO Fir'9 InS\lnn~ CO. 19682 INSURER B: NtatiolUll Fire InsUT1Iince Co. or cor Calvin, Gior~o & As~Inc. INSURER C Bridgefield Dnployer6 Inll. Co. 10701 Ai8B; !f' Ju :"e CjJ~ 1 E er DrJ.ve INSURER D' Zurioh AlltQr10an InlluranOQ Co 16535 Ft. LauderdaJ.e FL 316 INSURER E COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICA TED. NOlWfTHST ANDING Nf'( REQUIREMENT, TERM OR CONDITION Of ANY CONTRACT OR OTlfER 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, EX~USIONS AND CONDrnolllS OF SUCH POliCIES AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAll) ClAIMS 1N8R=: POlICY NUlllBER ~ tWITS LTRI 1YPE OF INSURANCE DA GENERAL lIAB1LITY EACH OCCURRENCE $1,000,000 - A X X COMMERCIAl GENERAl LIABIliTY 21UUNLK3645 01/01/05 01/01/06 PREMISES (Ea occur8f1cs) $ 300 , 000 ClAIMS MADE I X OCCUR MEn EXP (Any one penlOf1) $ 10,000 PERSONAL & AI:N INJURY $1,000,000 GENERAL AGGREGATE $2 000.000 f-- hEN'l AGG~~ UUIT APPLES PER: PROOUCTS. COMPIOP AGG $2 000.000 POlICY X ~ n LOC J:mg Ben. 1,000,000 AUTOMOBILE LIABIliTY COMBII'IED SINGLE UMfT $1,000,000 A ~ ANY AUTO 21UUNLK3645 01/01/05 01/01/06 (Ea aa:idoonI) f-- AlL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS {Par"",.",,> '-- ~ HIRED AUTOS BODilY INJURY $ ~ NON-OWIIIED AUTOS (Per lICCMBd) X Camp: $1,000 Ded PROPERTY DAMAGE $ X ColI: $1,000 Ded (Per aociderll) GARAGE lIABILITY AUTO ONLY - EA ACCIDENT $ l ANY AUTO OTHER THAN EA ACe $ AUTO ONl Y- AGG $ EXCESSAWBREllA LIABIUTY EACH OCCURRENCE $3,000,000 B ~ OCCUR D CLAIMS MADE 1:808851755 01/01/05 01/01/06 AGGREGATE $ 3 , 000,000 S IIlEDUCTIBLE $ X RETENTIOI'I $10,000 $ WORKEIlS COMPENSATION AND X I TORY LIMITS I ue; C EMPLOYERS' LlABlUTY 083030996 01/01/05 01/01/06 $ 500000 ANY PROPRlETORIPARTNERlEXECLITiVE E,L EACH ACCIDENT OFFICERJMEMBER EXCLUOEIJ? ELOISEASE.EAEMPLOYEE $ 500000 If Y"S. deoalbe under E L DISEASE - POLICY LIMIT $ 500000 SPECIAL PROVISIONS b9Iow OTHER D Professional Liab EOC66915213 08/27/04 08/27/05 Per Claim $1,000,000 Oed: $100 000 RETRO: 8/1/1959 Aqq $2.000 000 DESCRIPTION OF OPERATIONS I LOCAllOMS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Project: CGO-Web Host.inq & Grs Data Maintenance. City of sunny rsles Beach is an addi ti.onal insured with respects to general liability on a primary basis. Contractual Liability is included if assumed in an insured contract or agreement. Waiver of Subrogation OD the GL Ii we in favor of the certificate holder. *10 days notice for non-payment of premium. CERTIFICATE HOLDER City of Sunny Isl.es Beach 17070 Collins Avenue, Ste 250 Sunny Isles Beach FL 33160 CANCELLATION CITYOFS SHOULD AN'i OF THE AIlO\IE llESCRIBED POUCIES BE CANCELLED BEFORE THE EXPlRAllON DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAlL * 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAIlED m THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSI! NO OIIUGA noN OR UA8lUTY OF ANY KB'ID UPON THE INSURER, ITS AGeNTS OR REPRE8ENTA T1IIE8, ~ @ACORD CORPORATION 1988 ACORD 25 (2001108)