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<br />ACORQ CERTIFICATE OF LIABILITY INSURANCE I OA IE Ilm'DO!YYYYJ <br /> 01/08/2010 <br />PRODUCER (305)822-7800 FAX 305-362-2443 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Collinsworth, Alter, Fowler, Dowling & French ONL V AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />P. O. Box 9315 AL TER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Miami Lakes, FL 33014-9315 <br />Anna Howren ahowren@cafdf.com 305-503-91Z0 INSURERS AFFORDING COVERAGE NAIC# <br />INSUR ED SRS Englneerlng, Inc. INSURER A: Phoenix Insurance Co A+ XV 25623 <br /> 5001 SW 74th Court I,~URER B: Travelers Casualty & Surety Co A XV 19038 <br /> Suite 201 INSURER C: Mt. Hawley Ins CO A+ XV 37974 <br /> Miami, FL 33155 I:IlSURER 0: <br /> INSUllER E: <br /> <br />THE POUCIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORD EO BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AN) CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR DD' TYPE OF INSURANCE POLICY NUMBER POLICY EF~ECTIVE Pgl~J' EXPIRAnON LIMITS <br /> OENERAL LIABIUTY 660110SM404 03/04/2009 03/04/2010 EACK OCCURRENCE S 1.000 ooe <br /> 7 COMMERCIAL GENERAlllABlLlTY DAMAGE TO RENTED S 100.00e <br /> f-- h c;u.'fI,S WAllE 00 OCCUR S,ooe <br /> MED EXP (Any c"" por..nJ $ <br />A PERSONAL & ADVINJURY $ l,ooo.ooe <br /> ~ 2,OOO,OOC <br /> GENERAL AGGREGAlE S <br /> ~ <br /> GEN'L AGGREGATE LIMiT APPL.IES PER: PRODUCTS - COMP,OP AGO S 2.000 000 <br /> h POLICY [Xl ~~g m LOG <br /> AUTOMOBILE LIABILITY COMBINED SI"'GLE LI~H <br /> ~ lea accl(lontl $ <br /> ANY AUTO <br /> ~ <br /> ALL OWNED AUTOS BOOILY INJURY <br /> ~ ~ <br /> SCHEDULED AUTOS (Pe'j>e''''''j <br /> ~ <br /> HIRED AUTOS BOOIL Y INJURY <br /> ~ :) <br /> NON,OWNED AUTOS (Per aWOenl) <br /> ~ <br /> ~ PROPERTY DAlMGE S <br /> (Po, atGOenl) <br /> OARAGE UAIIlLITY AUTO o.'1L y. EAACCIDENT S <br /> =J ANY AUTO OTHER THAN EA ACC S <br /> AUTO o."L Y: Ar.r. S <br /> ElCCE5S-Ut.lBAEUA LIAlllLITY EACH OCCURRENCE $ <br /> tJ OCCUR o CLAIMS ..!ADE AGGREGATE S <br /> S <br /> R DEDUCTIBLE $ <br /> RETENTION S S <br /> WORKERS COAIPENSATION AND UB3294TlO8 08/21/2009 08/21/2010 X I ~x~~TmrV~ I IOl~' <br /> EMPLOYERS' LIABILITY 1 000 000 <br />B ANY PROPRIETO~PARTNERrf)(ECUT,vE E.L. EACH ACCIOE,.,l :) <br /> OFFICERJMEMBER EXCl.UDE07 E.L. DISEASE. EA EIfPlOYfI $ 1 000 00(1 <br /> ~rn;,~r~~~S1c;~s IlelCWI E.L. DISEASE - POLICY LIMIT S 1 000 00(1 <br /> fPr~ressional Liability RDPOI00043 01/10/2010 01/10/2011 $1,000,000 Each Claim <br />C laims-Made Form $1,000,000 Annual Aggregate <br /> ~et,.o: 12120/96 $25,000 Deductible <br />DESCAIPTlON OF OPERATIONS I LOCATlOl./S I VEHICLES I HCLUSIOl./S ADDED BY ENOORSEt.IENT I SPECIAL PRO'iIISIOIIS <br /> <br /> <br /> <br />"SPECIMEN" <br /> <br />SHOULD MY OF THE ABOYE DESCRIBED POLICIES BE CANcnLED BEfORE THE <br />EXPIRATION OAT! THEREOF. THE ISSUIN<lINSURER WILL ENDEAVOR TO '.\AIL <br />-1L DAYS WRITTeN NOTICE TO THe CERTIfICATE HOLDER NAMED TO THE LEFT, <br />BUT fAlLURE TO ..lAJL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY <br />OF AllY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. <br />AUTHORIZED REPRESENTAnvE <br />Meade Collinsworth ZO <br /> <br />ACORD 25 (2001l08) <br /> <br />G:lACORO CORPORATION 1968 <br /> <br />