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ACORDm CERTIFICA TE OF LIABILITY INSURANCE OP ID E~ DA TE (MMlDDIYYYY) BEISW 1 02/14/08 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICA TE BROWN & BROWN OF FLORIDA INC HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 8000 GOVERNORS SQUARE BLVD 400 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. MIAMI LAKES FL 33016-1588 Phone: 305-364-7800 Fax: 305-822-5687 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: FCCI ADVANTAGE INSURANCE CO INSURER B: FCCI COMMERCIAL INSURANCE CO 33472 BEISWENGER HOCH & ASSOC. INC. INSURER c: FCCI INSURANCE COMPANY 10178 NORONA LTD 510 SHOTGUN ROAD INSURER D: SUNRISE, FL 33326 INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTV'vlTHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT Vv1TH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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. ~~~( POLICY NUMBER POLl~i~EFFECTI~E LIMITS TYPE OF INSURANCE DA TE MMIDD/YV DATE (MM/DDIY() GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 - A X X COMMERCIAL GENERAL LIABILITY CPPOO07805 12/31/07 12/31/08 PREMISES lEa occurence) $ 300,000 - =:J CLAIMS MADE ~ OCCUR MED EXP (Anyone person) $ 10,000 - PERSONAL & ADV INJURY $1,000,000 - GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 1,000,000 I !Xl PRO- nLOC POLICY X JECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 - B X ANY AUTO CAOO09879 12/31/07 12/31/08 (Ea aCCIdent) f-- ALL OWNED AUTOS BODILY INJURY f-- $ SCHEDULED AUTOS (Per person) f-- B ~ HIRED AUTOS BODILY INJURY $ B X NON-OWNED AUTOS (Per accident) f-- B X PIP- $10,000 PROPERTY DAMAGE $1,000,000 (Per accident) $ B X UM- GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ R ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESSJUMBRELLA LIABILITY EACH OCCURRENCE $2,000,000 B ~ OCCUR D CLAIMS MADE UMBOO06097 12/31/07 12/31/08 AGGREGATE $2,000,000 $ ~ DEDUCTIBLE $ X RETENTION $10,000 $ WORKERS COMPENSATION AND X I TORY LIMITS I IU~~- C EMPLOYERS' LIABILITY WC07A-58910 12/31/07 12/31/08 500,000 ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? EL DISEASE - EA EMPLOYEE $ 500,000 ~~EMtS~~~v'!s16~s below EL DISEASE - POLICY LIMIT $ 500,000 OTHER DESCRIPTION OF OPERA TIONS I LOCA TlONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS *10 Day Non-Payment Cancellation clause applies. Certificate Holder named as an Additional Insured for General Liability coverages with regard to project work being conducted in the City. CERTIFICATE HOLDER CANCELLATION CIT3160 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRA TION DATE THEREOF, THE ISSUING INSURER Will ENDEAVOR TO MAil * 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE lEFT, BUT FAILURE TO DO SO SHAll IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. ~. CITY OF SUNNY ISLES BEACH 18070 COLLINS AVE. SUNNY ISLES BEACH FL 33160 ACORD 25 (2001/08) @ACORDCORPORATION1988