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Page 1 of 1 <br /> A10 <br /> ��R ® CERTIFICATE OF LIABILITYINSURANCE DATE/(MMI25/20YYY14 <br /> '() <br /> �/ <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br /> I <br /> •CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br /> 3ELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br /> REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. <br /> IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED,subject to <br /> the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br /> certificate holder in lieu of such endorsement(s). <br /> PRODUCER CONTACT <br /> Willis of Florida, Inc. NAME: <br /> c/o 26 Century Blvd (A/c N• ct...D1.1-877-945-7378 I NC,No:1-888-467-2378 <br /> P.O. Box 305191 E-MAIL <br /> Nashville, TN 372305191 DSA ADDRESS:certificates@willis.nom <br /> INSURER(S)AFFORDING COVERAGE I NAIC 9 <br /> INSURER A:Zurich American Insurance Company 16535 <br /> INSURED Envirowaste Services Group Inc. INSURER B:American Guarantee and Liability Insurance Co ( 26247 <br /> 4 SE 1st Street INSURER C:Sridgefield Employers Insurance Company 10701 <br /> Attn: Ralph Barba <br /> Miami, FL 33131 INSURERD: <br /> INSURER E: <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER:W259368 REVISION NUMBER: <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br /> INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> INSR TYPE OF INSURANCE ADDL SUBRI POLICY EFF -I POLICY EXP LIMITS <br /> LTR INSR WVD POLICY NUMBER (MMIDDIYYYY)I(MMJDD/YYYY)' <br /> GENERAL LIABILITY I EACH OCCURRENCE I s 1,000,000 <br /> DAMAGE TO RENTED <br /> X COMMERCIAL GENERAL LIABILITY I PREMISES(Ea occurrence) $ 300,000 <br /> Af CLAIMS-MADE X OCCUR Y I MED EXP(Any one person) $ 5,000 <br /> I Per Project/Per Loc I GL05571339-01 07/31/2013 07/31/2014 PERSONAL BADV INJURY Is 1,000,000 <br /> 1.--: I GENERAL AGGREGATE $ 2,000,000 <br /> I GEN'L AGGREGATE LIMIT APPLIES PER: � I I PRODUCTS-COMP/OP AGG $ 2,000,000 <br /> I POLICY I "I JECT X I LOC ( I i I $ <br /> AUTOMOBILE LIABILITY I I COMBINED SINGLE LIMIT 1,000,000 <br /> _ (Ea accident) S <br /> • <br /> X I ANY AUTO ' BODILY INJURY(Per person) $ <br /> I A (—ALL OWNED SCHEDULED Y I BAP5571338-01 07/31/2014 07/31/2014107/31/2014 BODILY INJURY(Per accident) $ <br /> AUTOS AUTOS <br /> IINON-OWNED I I PROPERTY DAMAGE $ <br /> I X i HIRED AUTOS X AUTOS ( I (Per accident) - <br /> I I S <br /> 8 _X fonc�J,.Ad X OCCUR EACH CCC,ARENCE_---....- ---- _ <br /> EXCESSLIAd . CLAIMS MADE Y AUC-5571348-01 07/31/2013 07/31/2014 AGGREGATE _ 2,000,000 <br /> DED i I RETENTION S I S <br /> I WORKERS COMPENSATION I I I I I X WC STATU- I I DTH- <br /> I AND EMPLOYERS'LIABILITY <br /> C Y/N TORY LIMITS ER <br /> ANY PROPRIETOR/PARTNER/EXECUTIVEI I E.L.EACH ACCIDENT $ 1,000,000 <br /> OFFICER/MEMBEREXCLUDED? N NIA I 830-46885(FL) 01/01/2014101/01/2015 <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYE 5 1,000,000 <br /> If yes, OF OPERATIONS below describe under <br /> DESCRIPTION I E.L.DISEASE-POLICY LIMIT S 1,000,000 <br /> I <br /> � I I I <br /> I I I i <br /> I <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule.if more space is required} <br /> Re: Bid No.:14-02-01 <br /> Sunny Isles Beach Government Center is included as an Additional Insured as respects to General Liability, Auto Liability and Umbrella Liability where <br /> required by written contract. <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> ACCORDANCE WITH THE POLICY PROVISIONS. <br /> AUTHORIZED REPRESENTATIVE <br /> Sunny Isles Beach Government Center <br /> 18070 Collins Avenue 1 <br /> (Sunny Isles Beach, FL 33160 _ <br /> ©1988-2010 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD B <br /> SR ID:3640516 BATCH:Batch 9: 38333 <br />