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ACORDTM CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DDIYYYY) 8/27/2010 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ISU Suncoast Insurance Assoc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE P.O. Box 22668 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Tampa, FL 33622-2668 813 289-5200 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: MSA Insurance Company 11066 L I V S Associates INSURER B: XL Specialty Insurance Company 37885 2121 Ponce de Leon Blvd INSURER c: Suite 610 INSURER 0: Coral Gables, FL 33134 INSURER E: Client#. 5764 L1VSASS3 COVERAGES 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 DO' PJlALi~';J~fg81~~IE Pg~I~J I~XJI~6i~I,gN LTR NSR[ TYPE OF INSURANCE POLICY NUMBER LIMITS A X ~NERAL LIABILITY BPG94591 02/08/10 02/08/11 EACH OCCURRENCE $1 000 000 ~ COMMERCIAL GENERAL LIABILITY ~~~~~H?E~~~J';'?onco\ $500 000 I-- ::=J CLAIMS MADE [lSJ OCCUR MED EXP (Anyone person) $5 000 X Contractual PERSONAL & ADV INJURY $1 000 000 GENERAL AGGREGATE $2 000 000 n'L AGGREAE LIMIT APnS PER: PRODUCTS - COMPIOP AGG $2 000 000 PRO- POLICY JECT LOC A X ~TOMOBILE LIABILITY BPG94591 02/08/10 02/08/11 COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $1,000,000 I-- I-- ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) I-- ~ HIRED AUTOS BODIL Y INJURY $ ~ NON.OWNED AUTOS (Per accidenl) I-- PROPERTY DAMAGE $ (Per accidenl) RAGE LIABILITY AUTO ONL Y - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ OESSIUMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR D CLAIMS MADE AGGREGATE $ $ R DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND I T~~VS;r ~~~ I IOJ~' EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ B OTHER Professional DPR9681903 12/10/09 12/10/10 $1,000,000 per claim Liability $2,000,000 annl aggr. DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Professional Liability is claims made and reported. City of Sunny Isles Beach is listed as an Additional Insured with regard to the Commercial General Liability and Automobile Liability policies. Waiver of Subrogation in favor of City of Sunny Isles Beach applies to all policies listed. Contractual Liability is included in the General Liability policy. CERTIFICATE HOLDER 10 D N P CANCELLATION avs or on- avment SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION City of Sunny Isles Beach DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL --3.D....- DAYS WRITTEN 18070 Collins Avenue NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Sunny Isles Beach, FL 33160 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. ~ED REPRESENTATIVE . rn ~c.l.., ~ ACORD 25 (2001/08) 1 of 2 #S268390/M228969 LWA @ ACORD CORPORATIONS97 B