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I I . E;M BUR E A UIIj VERITAS RFQ NO. 09-05-01 THRESHOLD INSPECTION SERVICES FOR THE HERITAGE PARK PARKING GARAGE I I ACORo'M CERTIFICA TE OF LIABILITY INSURANCE I DATE IMMIDIlIVYYY) 3/112010 3/1 012009 PRODuceR Locklon Companies, LlC-R Florida THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION 3601 SW I 60th Ave ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Suite 200 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Miram.r FL 33021 954.883.2000 INSURERS AFFORDING COVERAGE NAIC# iNSURED Bureau Veril3s North America. Inc. INSURER A: Commerce and Industrv Insurance Company 19410 1312101 308NW 110Slrcet INSURER B: New Hamoshire Insurnnee Como.ny 23841 NOl1h Miami Beach FL 33169 INSURER C: Illinois National Insurance Company 23811 ,NSURER 0: Granite State Insurance COl11oanv 23809 , INSURER E: COVERAGES TE ~~~::,~~~::~:tp~C~~~:T~J~~~~~: ~~~~~E=~T~~~:~.INO TfJE 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. IHSR DO POLICY NUMBER ~..:-{~~~tc6&W,E Pgk'fl ~~N L1MIT$ LTR NSR TYPE OF INSURANCE GENERAL LIABILITY EACH OCCURRENCE S I 000 000 - ~~~~g~~9F~~~nce) A 2~tJ)M"'ERCIAL GENERAL UAB..,TY 6439313 3/112009 3/112010 S 1,000,000 _ CLAJMS MADE 0 OCCUR MEO exp fAnv one person $ 10,000 .! $10,000 Dedue,ible PERSONAL'& AnY INJURY $ 1,000,000 - GENERAL AGGREGATE S 2,000,000 GEN'l AGCREGA TE LIMIT APPLIES PER: PRODuCTS. COMP/OP AGO S 2,000,000 ""l POLICY ril- ~:-~T fXllOC ~UTOMOBJLI! UABIUTY COMBINeo SINGLE WAIT 5 1,000,000 ~ ANY AUTO lEa accident) B ~ All OWNED AUTOS CA901086 (AOS) 3/1/2009 3/1/2010 BOOII. Y INJURY S XXXXXXX SCHEDULED AUTOS (P.r person) f- D ~ HIRED AUTOS CA9070B1 (MA) 3/1 12009 3/112010 BODILY INJURY S XXXXXXX X NON.(}WNEO AUTOS (Peracci~t) ~ Comp/ColI-Ded. $1000 PROPERTY DAMAGE f.:.:. (Per accident) S XXXXXXX RRAGE LIABILtTY AUTO Of'IL Y . EA ACCIDENT S XXXXXXX ANY AlJTO NOT APPLICABLE OTHER THAN EAACC S XXXXXXX AUTO ONL V: AGG S XXXXXXX OeESSIUMBRELLA LIAB'LtTY EACH OCCURRENCE S XXXXXXX OCCUR 0 CLAIMS MADE NOT APPLICABLE ACOREOA TE S xxYY1<YX R 0 UMBRELLA $ XXXXXXX DEDUCTIBLE FORM 5 XXXXXXX RETENTION $ S XXXXXXX A WORKERS COMPENSA lION AND WC4374921 (AOS) 3/1/2009 3/112010 X I T,,;;~mJNs I IOJ~' EMPL.OYERS'LIABILITY B ANY PROPRIeTOR/PARTNER/EXECUTIVE WC4374922 (CA) 3/1/2009 3/112010 E.L EACH ACCIDENT S 1,000,000 C OFFICERJMEMBER EXCLUDED? NO WC4314923 (MI) 3/112009 3/112010 E.L. DISEASE. EA EMPLOYEE S I 000,000 ~X~~l~t~v~~~~s b91a.v E.l. DISEASE - POLICY LIMIT S I ,000,000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS (VEHICLES' l!XCI.USIONS ADDEO BY ENDORSEMENT / SPHCIAL PROV!SIONS CERTIFICATE HOLDER CANCELLATION I I I I I I I I I I I I SHOULD ANY OF THE ABOVe oeSCRI&eD POLICIES BE CANCELLED BEFORE THE EXPIRATION PROOF OF INSURANCE DATE THEREOF, THE ISSUING INSURER WllL ENDEAVOR TO MAIL 30 DAYS WRITTEN Nonce TO THE CERTIFICATE HOLDER NAMEO TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KINO UPON THE INSURER, ITS AGENTS OR REPRESENTAl1VES. AUTHORI~~ .. '/'';~~ -----.. ACORD 25 (2001/08) For qUottlont ROIl,dll1g Ihi. <<lrtUlc.alo, conla<:llhtt number Iitled kllllll '''rOOUtDr' .~on .bo..... @ACORDCORPORATION 1988 I I I Bureau Veritas North America, Inc. · 308 NW 170 Street · North Miami Beach, FL, 33169 10 Phone +1 (786) 248-3180 · Fax +1 (786) 248-3190. www.us.bureauveritas.com