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~ ~RD(1!) PRODUCER InSource, Inc. 9500 South Dadeland P.O. Box 561567 Miami FL 33256-1567 Phone: 305-670-6111 CERTIFICATE OF LIABILITY INSURANCE Blvd. ,#200 I DATE (MMIDD/YYYY) OP ID PD JAMES02 03/17/09 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Fax:305-670-9699 INSURERS AFFORDING COVERAGE Old Republic General Ins. Corp NAIC# 24139 26247 INSURED Pirtle Construction Company 5700 Griffin Road Davie FL 33314 I COVERAGES INSURER A: INSURER B: INSURER C: INSURER D: INSURER E: American Guarantee , Liability 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, ~~~~~~ TYPE OF INSURANCE POLICY NUMBER PODCVEFFE"Cfl';rl:IPOTICVEYP1AA!lQ!'f LIMITS DATE (MMlDD/YYYY) DATE (MM/DD/YYYY) GENERAL LIABILITY EACH OCCURRENCE $ 1000000 - A X ~ COMMERCIAL GENERAL LIABILITY A2CG36130905 01/01/09 01/01/10 U"M",",-,=-. $ 100000 ~ CLAIMS MADE ~ OCCUR PREMISES (Ea occurence) f-- MED EXP (Anyone person) $ 5000 PERSONAL & ADV INJURY $ 1000000 GENERAL AGGREGATE $ 2000000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2000000 h POLICY !xl m?i n LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT - $ 1000000 A X ANY AUTO A2CA36130905 01/01/09 01/01/10 (Ea accident) - ALL OWNED AUTOS BODILY INJURY - (Per person) $ SCHEDULED AUTOS - X HIRED AUTOS BODILY INJURY - $ X NON-OWNED AUTOS (Per accident) - - PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ R ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS / UMBRELLA LIABILITY EACH OCCURRENCE $ 15000000 B ~ OCCUR o CLAIMS MADE AUC296616909 01/01/09 01/01/10 AGGREGATE $ 15000000 $ 8 DEDUCTIBLE $ X RETENTION $0 $ WORKERS COMPENSATION X I TORY LIMITS I IU1H- AND EMPLOYERS' LIABILITY Y/N ER A ANY PROPRIETOR/PARTNER/EXECUTlVD A2CW36130905 01/01/09 01/01/10 E.L. EACH ACCIDENT $ 2000000 OFFICER/MEMBER EXCLUDED? (Mandatory In NH) E.L. DISEASE - EA EMPLOYEE $ 2000000 g~~~I~tS~~~Ms?6~s below E.L. DISEASE - POLICY LIMIT $ 2000000 OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS *10 days notice of cancellation applies to non-payment of premium RE: RFQ Heritage Park Parking Garage Holder is shown as Additional Insured with respect to general liability where required by written contract. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION SUNN008 DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30* DAYS WRITTEN City of Sunny Isles Beach NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Attn: Jane A. Hines, IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR City Clerk 18070 Collins Avenue REPRESENT A TlVES. Sunny Isles Beach FL 33160 AUTHORIZED REPRESENTATIVE I ACORD 25 (2009/01) ~ The ACORD name and logo are regislered marks 01 ACORD CORPORATION. All rig hIs reserved.