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CERTIFICA TE OF LIABILITY INSURANCE OP ID 13 I DATE (MMIDD/YYYY) ACORD.. CALVI-2 08/28/08 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Brown & Brown of Florida, Inc. ONL Y AND CONFERS NO RIGHTS UPON THE CERTIFICATE 5900 N. Andrews Ave. #300 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P.O. Box 5727 AL TER THE COVERAGE AFFORDED BY THE POLICIES BELOW. ; Lauderdale FL 33310-5727 i ...ne: 954-776-2222 Fax:954-776-4446 J~~SURERS AF~~RDIN~ C~~~~!\G': NAIC # - - -- - n"'_ -.- -- - -- INSURED INSURER A Hartford Fi:-e lnsu:-ance Co. I 19682 : ---- .-- ---- - -- n~ i INSURER B I 19445 Nat'l Union Flre Ins. Co. p" calvinJ Giordano & Assoc, Inc. \~------- -- -- - -- --- -.. Attn: ana Glass . INSURER C: :nsu~ance Co of Sta~e of PAt 19429 !;SUR~~ D - _____. ou ~ ._ - - - 1800 Eller Drive #600 Zuri ch Amer 1 can I nsu~ance Co I 16535 Ft. Lauderdale FL 33316 f~~~URER E ~-,._---- -- -~ I - ---- I COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REOUIREMENT, 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. INSRADD'l:- - - -- ----- .--- --- i ----- -- L TR INSRD TYPE OF INSURANCE POLICY NUMBER I I ~~ERAL LIABILITY A I i ~j CO~MERCIAL GENE~AL L,IABllITY I 21 UUNLK3 645 : ~ CLAIMS MADE . X J OCCUR I A ,-- - --- ------ I : GEN"L AGGREGATE LIMIT APPLIES PER' i -! POLICY IxI jr8,: i --; LOC I I AUTOMOBILE LIABILITY I I--~ i , X I ANY AUTO '----I i ALL OWNEO AUTOS j--l SCHEDULED AUTOS i X! HIREO AUTOS r X "r NON-OWNED AUTOS I IX Comp: $1,900 Ded' 'X Coll: $1,000 Dedi GARAGE LIABILITY 21UUNLK3645 - ANY AUTO B I I I l EXCESS/UMBRELLA LIABILITY :X -j OCCUR r I CLAlr,1S MADE I I BE4563399 1- j DEDUCT ISLE IX I RETENTION > 10,000 CERTIFICATE HOLDER ACORD 25 (2001/08) --1 "o~lfg~~fJ&~~E; Pgk~~YI~~bRDA~~~N ; 1I;:;'~; ; I I EACH OCCURRENCE _~!,QOQ.LQQQ DAMAGElORENTED- I i 01/01/08 01/01/09 ! PRE:~!~S.IEa occurence) -:~~g 9 ,_QQQ. I ' ~_ED!_XP ~ny 0".: per:.".:'~ ~ $_~_ 0 , 0 Q Q. _ i . F'~~~c:.~AL & ADV INJU".Y ~~~. {90Q.!.Clg_Q I I GENERAL AGGREGA TE ; $ 2 , 000 , 000 I' ---.-- --------,- ---.-- - --~.-- - : ~9~LJCTS - COMP~!,_G~:2~ LO 0 Q., 0 0 Q Emp Ben. I 1,000,000 I , i I ! 01/01/08 I I I I I I i I I I I I I I I : 01/01/08 I I I 01/01/08 CANCELLA TlON I COMBINED SINGLE LIMIT 01/01/09 I lEa accidenl) !-- BODIL Y INJURY IPer person) I $ 1,000,000 1 -- ; i S WORKERS COMPENSA TION AND C : EMPLOYERS'L1ABILlTY WC2 952784 i ANY PROPRIETORPARTNER'EXECUTIVE OFFICER/MEMBER EXCLUDED? INCLUDES USL&H III yes, describe under I SPECIAL PROVISIONS below . i I OTHER I D Professional Liab I EOC66915217 I 08/27/081 08/27/09 I Ded: $150 , 000 RE TRO : 8/1/1 959 i I DESCRIPTION OF OPERATIONS I LOCA TIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Certificate holder 1S listed as additional insured with respects to general liability. Waiver of Subrogation 1n favor of the certificate holder. *10 days notice of cancellation for non-payment of premium. SUNNYIS SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLEO BEFORE THE EXPIRA TlO~ DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL *30 DAYS WRITTEN City of Sunny Isles Beach NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT FAILURE TO DO SO SHALL Attn: Cecil 18070 Collins Avenue IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER. ITS AGENTS OR Sunny Isles Beach FL 33160 REPRESENTATIVES. AUTHO~~RES~ --.d'-'- ,h - "" 17~ ,o_~ -_._- -- -- -. - BODIL Y INJURY , > I (p~r acclden/) __ I I ! PROPERTY DAMAGE $ I (Per aCCldenl) AU10 ONL Y EA ACCIDENl , I EA ACC > OTHER THAN I AUTO ONL Y I EACH OCCURRENCE AGG > ,?,OOO{OOO >5,000,000 I $ 01/01/09 AGGREGATE ; $ 01/01/09 X . T9~)';'~;~'I~S i U~~-! I ELEACHACCIDENl 1,1000000 I ----- - -- 1 - --- --- E.L. DISEASE EA Er~PLOYEEI $ 1000000 ~ - - . -- - E.L. DISEASE. POliCY LIMIT I > 1000000 Per Claim $5,000,000 $5,000,000 Agg @ACORD CORPORATION 1988