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ACORD TM. CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 10/12/2007 PRODUCER Phone: (813) 988 -1234 Fax: 813- 988 -0989 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ASSOCIATES AGENCY, INC. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE .PO BOX *16190 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 11470 N. 53RD ST. ALTER THE COVERAGE AFFORDED BY THE Pnt IrIF9 IRFLOW GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE 7 OCCUR 20698033 TEMPLE TERRACE FL 33687 06/25/08 INSURERS AFFORDING COVERAGE NAIC # Agency Lic #:R001766 $ 300 , ODO MED. EXP (Any one person) INSURED INSURER A: SOUTHERN OWNERS INSURANCE CO $ 1,000,000 INSURER B: AUTO OWNERS INSURANCE CO. TENEX ENTERPRISES INC 850 SW 14 COURT POMPANO BEACH FL 33060 INSURER C: PRODUCTS - COMP /OP AGG. $ 3,000,000 INSURER D: INSURER E: LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS 4732811101 CnVFRAGFS 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR ADUL INSRD TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM/DD/YY POLICY EXPIRATION DATE MM/DD /YY LIMITS A AGENTS OR REPRESENTATIVES. GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE 7 OCCUR 20698033 06/25/07 06/25/08 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED ES (Ea . ,ence PREMIS o $ 300 , ODO MED. EXP (Any one person) $ 10,000 PERSONAL& ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 3,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRO POLICY JECT LOC PRODUCTS - COMP /OP AGG. $ 3,000,000 B AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS 4732811101 06/25/07 06125/08 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 X BODILY INJURY (Per person) $ X BODILY INJURY (Per accident) $ X PROPERTY DAMAGE (Per accident) $ 7 GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ B EXCESS / UMBRELLA LIABILITY X OCCUR ❑ CLAIMS MADE DEDUCTIBLE X RETENTION $ 10,000 4732811102 06/25/07 06/25/08 EACH OCCURRENCE $ 3,000,000 AGGREGATE $ 3,000,000 $ $ Is WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below - we STATI OTHER TORY LIMITT S E.L. EACH ACCIDENT $ E.L. DISEASE -EA EMPLOYEE $ E.L. DISEASE- POLICY LIMIT $ OTHER: DE SCRIPTION OF OPERATIONS /LOCA IONS/VEHICLES /EXCL SIONS ADDED BY NDORSEMENT/ SPECIAL PROVISIONS Job name: City of Sunny Isles, 172NS Street Roadway-IMP-July 17 City of Sunny Isles Beach and Calvin- Giordano & Associates are additional insureds. ' CERTIFICATE HOLDER CANCELLATION ACORD 25 (2001/08) Certificate # 134841 © ACORD CORPORATION 1988 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO City of Sunny Isles DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS 18070 Collins Avenue, suite #250 AGENTS OR REPRESENTATIVES. Sunny Isles, FI 33160 AUTHORIZED REPRESENTATIVE Attention: Bill Owen ACORD 25 (2001/08) Certificate # 134841 © ACORD CORPORATION 1988