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<br />12/03/2008 WED 14:55 FAX 8138854311 Prime Group Fax <br /> <br />~002/009 <br /> <br />e <br /> <br />- <br /> <br />ACORD... CERTIFICATE OF LIABILITY INSURANCE DATE (MMlDDIYYYY) <br /> 12/3/2008 <br />PRODUCER (813)890-0415 FAX: (813) 885-4311 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Prime Group Insurance Services HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />5440 Beaumont Center Blvd. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Suite #445 <br />Tampa FL 33634 INSURERS AFFORDING COVERAGE NAIC# <br />INSURED INSURERA:Am.COMP Preferred Ins. Co. <br />Tenex Enterprises, Inc. INSURER B: <br />850 S.W. 14th Court INSURER C: <br />Pompano Beach, FL. 33060 INSURER D: <br /> INSURER E: <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY <br />REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, <br />THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. <br /> IMITS !':H()WN IvIAY HAV~ REEN RED"-":": AIM!':. <br />INSR ADD'L PJl;~~~~~~gm,E Pgk!fi(~~~C'~N LIMITS <br /> TYPE OF INSURANCE POLICY NUMBER <br /> ~NERAL LIABILITY I'ArH orr.IIRREN"E $ <br /> COMMERCIAL GENERAL LIABILITY ~~~~~J9E~~~~nce\ $ <br /> I CLAIMS MADE 0 OCCUR MED EXP (Anv one nerson' $ <br /> PI'R"'''NAI & ADV INJIIRY $ <br /> - GENERAL AGGREGATE $ <br /> ~'L AGGREn LIMIT APPLIES PER: PRODlJ"TS - r.OUD/OD A"'-r.. $ <br /> ~&WT Iocr <br /> POLICY LOC <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> '-- $ <br /> ANY AUTO (Ea accident) <br /> - <br /> - ALL OWNED AUTOS BODILY INJURY <br /> (Per person) $ <br /> - SCHEDULED AUTOS <br /> - HIRED AUTOS BODILY INJURY <br /> $ <br /> NON-OWNED AUTOS (Per accident) <br /> - <br /> - PROPERTY DAMAGE $ <br /> (Per acciden/) <br /> RRAGE LIABILITY AUTO ONLY - EA ACCIDENT $ <br /> ANY AUTO OTHER THAN EAAf"'(" $ <br /> AUTO ONLY: ..,-.or:: $ <br /> OESSIUMBRELLA LIABILITY $ <br /> OCCUR 0 CLAIMS MADE AGGREGATE $ <br /> $ <br /> =J DEDUCTIBLE $ <br /> RETENTION $ $ <br />A WORKERS COMPENSATION AND X I WC STATU- I IOJ~- <br /> EMPLOYERS' LIABILITY 1,000,000 <br /> ANY PROPRIETORlPARTNERlEXECUTIVE E.L. EACH ACCIDENT $ <br /> OFFICERlMEMBER EXCLUDED? WCV7061482 6/30/2008 6/30/2009 E.L. DISEASE - EA EMPLOYEE $ .1,000,000 <br /> If yes. describe under 1,000,000 <br /> SPECIAL PROVISIONS below E.l. DISEASE - POLICY LIMIT $ <br /> OTHER <br />DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br />SR AlA/Collins Avenue Streetscape. Bid No. 08-1.0-01. <br /> <br />CERTIFICATE HOLDER <br /> <br />CANCELLATION <br /> <br />City of Sunny Isles Beach <br />18070 Collins Avenue Ste #250 <br />Sunny Isles Beach, FL 33160-2723 <br /> <br />SHOULO ANY OF THE ABOVE OESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL <br />10 DAYS WRITTEN NonCE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT <br />FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE <br /> <br />INSURER, ITS AGENTS OR REPRESENTATIVES. <br />AUTHORIZED REPRESENTATIVE <br /> <br />~~ <br /> <br />Ed Ellsasser <br /> <br />ACORD 25 (2001/08) <br />lNS025 (0108).08a <br /> <br />@ ACORD CORPORATION 1988 <br />Page 1 of 2 <br />