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. . . .. '. I. I '. '. '. . . . ,. . '. .. . I. . . . . . . . . . . . . . . . . . . . . . . . . () ----- " I ACORD@ CERTIFICA TE OF LIABILITY INSURANCE DATE (MM/DDIYYYY) OPID SN ~ 07/28/10 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INsURER(s), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If sUBROuATION l:s WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER NAME:'~ Brown & Brown of Florida, Inc ~.'1~N.'i' I rA)~, No): Suite 400 _~ No, Ext): 1401 Forum Way ADDRESS: West Palm Beach FL 33401 ~~~= 10 #: MIDTO-1 Phone:561-686-2266 Fax:561-686-2313 INSURER(S) AFFORDING COVERAGE NAIC# INSURED INSURER A : Ins Co of the State of PA+ Midtown Towin~ of Miami, Inc. INSURER B : 551 NW 72nd S Miami FL 33150 INSURER C : INSURER 0 : INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT 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, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, N'SR TYPE OF INSURANCE ADDl 'S1JB~ ..'=.OUCY~ ~J:.ICYEXP I LIMITS LTR INSR WVD POLICY NUMBER (MM/DDIYYYY) (MM/DDIYYYY) GENERAL LIABILITY EACH OCCURRENCE $ r-- , u:C~'.';~':. COMMERCIAL GENERAL LIABILITY PREMISES (Ea occurrence) $ f-- tJ CLAIMS-MADE D OCCUR MED EXP (Anyone person) $ f-- PERSONAL & ADV INJURY $ ~ GENERAL AGGREGATE $ - GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ "I n PRO- nLOC $ POLICY JECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ - (Ea accident) ANY AUTO BODILY INJURY (Per person) - $ ALL OWNED AUTOS BODILY INJURY (Per accident) - $ SCHEDULED AUTOS PROPERTY DAMAGE r--- $ HIRED AUTOS (Per accident) r-- NON-OWNED AUTOS $ f-- $ UMBRELLA L1AB H OCCUR EACH OCCURRENCE $ r--- EXCESS lIAB CLAIMS-MADE AGGREGATE $ DEDUCTIBLE $ - RETENTION $ $ A WORKERS COMPENSATION I WC009872389 01/01/10 01/01/11 X IT~kv"'~~Ws I IUJ~- AND EMPLOYERS' LIABILITY Y f N ANY PROPRIETOR/PARTNER/EXECUTIVD N, E.L. EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? / A (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $1,000,000 If yes, describe under $ 1,000,000 DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES jAttach ACORD 101, Additional Remarks Schedule, if more space is required) *10 DaOs Notice of Cancellat10n for Non-Payment of Premium. RFP# 1 -07-016 Professional Towing Services for the City of Sunny Isles Beach Police ept CERTIFICATE HOLDER CANCELLATION SUNNY-1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Sunny Isles Beach Police Department Attn: City Clerk 18070 Collins Avenue Sunny Isles Beach FL 33160 I AUTHORIZED REPRESENTA TIVE ACORD 25 (2009/09) c 1 -2 AC The ACORD name and logo are regi~tered marks of ACORD . All rights reserved. 117