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<br />Client#. 83931 <br /> <br />BGGRO <br /> <br />A C(JRD~. CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DDIYYYY) <br />6/08/2011 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMA TIVEL Y OR NEGA TIVEL Y AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsement(s). <br />PRODUCER CONTACT <br /> NAME: <br />Advanced Ins UIW of Boca Raton rlJgN,ro Ex!): 954 963-6666 I r..t2, No): 9549641438 <br />21845 N Powerline Rd-Ste 205 E-MAIL <br /> ADDRESS: <br />Boca Raton, FL 33433 INSURER(S) AFFORDING COVERAGE NAIC# <br />954 963-6666 INSURER A : Praetorian Insurance Company <br />INSURED INSURER B : <br /> The BG Group, LLC INSURER C : <br /> 1140 Holland Drive, Suite 19 INSURER D : <br /> Boca Raton, FL 33487 INSURER E : <br /> INSURER F : <br /> <br />COVERAGES <br /> <br />CERTIFICATE NUMBER: <br /> <br />REVISION NUMBER: <br /> <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER A I (~~Mg~l 11~~MgM~1 LIMITS <br />LTR INSR WVD <br /> GENERAL LIABILITY Jtu EACH OCCURRENCE $ <br /> - ~~~bfg,~J?E~'Z,~J~~ence ) <br /> COMMERCIAL GENERAL LIABILITY $ <br /> I CLAIMS-MADE 0 OCCUR MED EXP (Anyone person) $ <br /> /'" PERSONAL & ADV INJURY $ <br /> - <br /> GENERAL AGGREGATE $ <br /> - <br /> GEN'L AGGREGATE LIMIT APFlS PER: PRODUCTS-COM~OPAGG $ <br /> n n PRO- $ <br /> POLICY JECT LOC <br />A AUTOMOBILE LIABILITY PICFLOO01952 05/12/2011 05/12/201~ fE~~~~~~~t~INGLE LIMiT $1,000,000 <br /> r-- .- <br /> ANY AUTO BODILY INJURY (Per person) $ <br /> r-- ALL OWNED r-- SCHEDULED <br /> X AUTOS AUTOS BODILY INJURY (Per accident) $ <br /> - f-- NON-OWNED rp~~~~C~d~t?AMAGE <br /> X HIRED AUTOS r-!- AUTOS /' $ <br /> - <br /> $ <br /> UMBRELLA L1AB H OCCUR EACH OCCURRENCE $ <br /> - <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $ <br /> DED I I RETENTION $ $ <br /> WORKERS COMPENSATION Im:R~~~~Y;:!'; I I~JH- <br /> AND EMPLOYERS' LIABILITY Y IN <br /> ANY PROPRIETOR/PARTNER/EXECUTiVED E.L. EACH ACCIDENT $ <br /> OFFICER/MEMBER EXCLUDED? N/A <br /> (Mandatory In NH) E.L. DISEASE - EA EMPLOYEE $ <br /> If yes, describe under E.L. DISEASE - POLICY LIMIT $ <br /> DESCRIPTION OF OPERATIONS below <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) <br />Blanket Additional Insured with respect to Auto when required by written contract. Blanket waiver of <br />subrogation with respects to auto when required by written contract. <br />Bid Number 11-26LKD <br /> <br />CERTIFICATE HOLDER <br /> <br />CANCELLATION <br /> <br />City of Sarasota <br />1565 First Street, Room #205 <br />Sarasota, FL 34236 <br /> <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br /> <br />AUTHORIZED REPRESENTATIVE <br /> <br />ACORD 25 (2010/05) 1 of 1 <br />#S762755/M754944 <br /> <br />@ 1988-2010 AC RD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br /> <br /> <br />k"An <br />