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<br />CALVI-2
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<br />OPID:N6
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<br />ACORD" CERTIFICATE OF LIABILITY INSURANCE I DATE (MMIDDIYYYV)
<br />~ 01/03112
<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
<br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
<br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BElWEEN 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 954-776-2222 CONTACT
<br /> NAME:
<br />Brown & Brown of Florida, Inc. 954-776-4446 r1l8NJo Exll: I FAX
<br />1201 W C~press Creek Rd # 130 iivc No);
<br />P.O. Box 727 E.MAIL
<br />Ft. Lauderdale, FL 33310-5727 ADDRESS:
<br />Stephen E. Patton, AAI INSURER(S) AFFORDING COVERAGE NAIC#
<br /> INSURER A: Hartford Casualty Ins. Co 29424
<br />INSURED Calvin, Giordano & INSURER B : Hartford Ins Co of Midwest 37478
<br /> Associates, Inc. INSURER C : American Guar & Liab Ins Co 26247
<br /> Alln: Dennis Giordano
<br /> 1800 Eller Drive #600 INSURER 0; Hartford Fire Insurance Co. 19682
<br /> Ft. Lauderdale, FL 33316 INSURER E ; Continental Casualty Company 20443
<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 DOL rsUBR ~~}-JgYJ~1 ~~h~%~\ LIMITS
<br />LTR TYPE OF INSURANCE ,"'"" MVn POLICY NUMBER
<br /> GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
<br /> - ~~~~~~J9E~~~~~~ncel
<br />A X 3MMERCIAL GENERAL LIABILITY 21UUNLK3645 01/01/12 01/01/13 $ 300,000
<br /> - CLAIMS-MADE D OCCUR
<br /> - MED EXP (Anyone person) $ 10,000
<br /> 08/27/11 08/27112 PERSONAL & ADV INJURY $ 1,000,000
<br /> -
<br /> - GENERAL AGGREGATE $ 2,000,000
<br /> ~'L AGGREME LIMIT APnS PER: PRODUCTS - COMP/OP AGG $ 2,000,000
<br /> POLICY X ~~RT LOC $
<br /> AUTOMOBILE LIABILITY ~~~~~~~~t~INGLE LIMIT $ 1,000,000
<br /> - 01/01/13
<br />B X ANY AUTO 21UENJB7000 01/01/12 BODILY INJURY (Per person) $
<br /> - ALL OWNED - SCHEDULED
<br /> AUTOS AUTOS BODILY INJURY (Per accident) $
<br /> - - NON-OWNED rp~9~~C~d~~t?AMAGE
<br /> HIRED AUTOS AUTOS $
<br /> - -
<br /> $
<br /> X UMBRELLA L1AB ~ OCCUR EACH OCCURRENCE $ 10,000,000
<br /> -
<br />C EXCESS L1AB CLAIMS-MADE AUC594612803 01/01/12 01/01/13 AGGREGATE $ 10,000,000
<br /> DED I X I RETENTION $ 0 $
<br /> WORKERS COMPENSATION X I,wc STATU- I IOTH-
<br /> AND EMPLOYERS' LIABILITY TORY LIMITS ER
<br />D Y/N 21WBN03209 01/01/12 01/01/13 1,000,000
<br />ANY PROPRIETOR/PARTNER/EXECUTIVE D E,L. EACH ACCIDENT $
<br /> OFFICER/MEMBER EXCLUDED? NtA
<br /> (Mandatory in NH) E,L, DISEASE - EA EMPLOYEE $ 1,000,000
<br /> If yes, describe under E,L, DISEASE - POLICY LIMIT $ 1,000,000
<br /> DESCRIPTION OF OPERATIONS below
<br />E Professional Liab AEH288358005 08/27/11 08/27/12 Per Claim 5,000,000
<br /> Claim Made RETENTION: $200,000 Aggregate 5,000,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required)
<br />RE: Resolution C1112-0061CGA 11-4582 Executed Agreement
<br />City of Sunny Isles Bch is listed as additional insureCl with
<br />respects to generalliabilitlt with repect to liabili7 arisin~ out of
<br />operations performed for he City bylor behalf 0 Consu tant or actsl
<br />or omissions of Consultant in connection with such operation (Contd)
<br />
<br />CERTIFICATE HOLDER
<br />
<br />CANCELLATION
<br />
<br />SUNNYIS
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />City of Sunny Isles Beach THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />Building Department
<br />18070 Collins Avenue AUTHORIZED REPRESENTATIVE
<br />Sunny Isles Beach, FL 33160 --pj~~
<br />I
<br />
<br />ACORD 25 (2010105)
<br />
<br />@1988-2010 ACORD CORPORATION. All rights reserved.
<br />The ACORD name and logo are registered marks of ACORD
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