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PROOF OF INSURANCE ~ r ACORD- CERTIFICATE OF LIABILITY INSURANCE Page DATE (MMIODlYYYYI ~ 1 of 2 04/03/2009 PRODUCER 877-945-7378 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMA nON ONLY AND CONFERS NO RIGHTS UPON THE CERnFICA TE Willis of Florida, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 26 Century Blvd. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P. O. Box 3D5191 Nashville, TN 37230-5191 INSURERS AFFORDING COVERAGE NAIC# INSURED The Haskell Company INSURERA: American Contractors Insurance Com.p~ Ri 12300-001 P.O. Box 441DO INSURERB: Wau.au Busin... In.urenc. Company 26069-001 Jacksonville, FL 322024950 INSURERC: National Union Fire Insurance Company of 19445-001 INSURER D: ACIG Insurance Com~y 19984-001 ! INSURER E: 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. I,~JI :Pol''\; TYPE OF INSURANCE POLICY NUMBER "'" ICYEFFE"""'" PO tCYEXPIRA LIMITS N R M A ~NERAL LlABIUTY GL08000015 6/1/2008 6/1/2009 EACH OCCURRENCE $ 2-,-OJLQ,.OJ!JL X D~ERCIAl GENERAL LIABILITY ..&1f~UJt.=err<;eI_ ~10_0.,.0.ll.lL >-- CLAIMS MADE [X] OCCUR MED EXP lAtri one De""") $ ,5.,,0.0.0_ f- PERSONAL & AOV INJURY $ .2..0.0.0..,O.O,L >-- GENERAL AGGREGO. TE $ 4,-0.OJ!.&0_L n'LAGG~nE,LlMIT APnS PER: PRODUCTS. COMPIOP AGO $ 4..,0 0 O,JlJLCL POlICY P,fR;: LOC B ~OMOBIU! LlABIUTY ASKZ91440775018 6/1/2008 6/1/2009 COMBINED SINGLE LIMIT $ 2.000.000 X ANY AUTO (Eo ecddent) >-- ALL OWNED AUTOS BODILY INJURY S SCHEDULED AUTOS (Per peroon) f- f- HIRED AUTOS BODILY INJURY (PO' occidenl) $ f- NON.OWNEDAUTOS X $.1",90 O_~ClDlPJt~4.,- PROPERTY DAMAGE Iv 1~1.000 ..~" I_'~ft D..d (Per acddenIl $ RRAGELlABIUTY AUTO ONLY. EA ACCIDENT $ ANY AUTO OTHER THAN ~ f!.--- AUTO ONLY; AGG $ C m="~'""~~ BE6564664 6/1/2008 6/1/2009 EACH OCCURRENCE $ s..JUtO.. JLO.O_ X OCCUR 0 CLAIMS MADE AGGREGATE $ 5._0_0_0,,_0_0_0_ $ DEDUCTIBlE $ RETENTION $ 10,001 $ D WORKERS COMPENSATION WC08000050 6/1/2008 6/1/2009 x~tJlfs I IOllt AND EMPLOYERS' LlABIUTY Y I N D ~~~~~~~~~~I~~ECUT1VE[E] WC0800004B 6/1/2008 6/1/2009 E.L EACH ACCIDENT $ 1,..o..oJ!..JlJlJL D (.......to<y In NHI WC08000049 6/1/2008 6/1/2009 E.L DISEASE. EA EMPlOYEE $ .1"O,O_0.._0_OJL ~~~~~N~"""" E.L DISEASE. POlICY LIMIT S 1 000 nnn OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Title of Job. Heritage Park and Parking Garage project No. RFQ-09-03-01 CERTIFICATE HOLDER CANCELLA nON SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF. THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LlABIUTY OF ANY KIND UPON THE INSURER, ITS AGENTS OR i~~~oo~o~~~ i:~~~eB..ach REPRESENTATIVES. ~RIZEDREPRESENTAm Sunny Isl..s Beach, FL 33160 ."LV. ,. ACORD 2512009/01) Coll.2662354 Tpl.779969 Cert.12356922 @1988-2009 ACORD CORPORATION, All rights reserved. The ACORD name and logo are registered marks of ACORD ~ !!t'!BI!~.!:.