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<br />ACORD" CERTIFICATE OF LIABILITY INSURANCE I DATE (MMIDDNYYY)
<br />~ 01/03/12
<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 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 954-776-2222 CONTACT
<br /> NAME:
<br />Brown & Brown of Florida, Inc. 954-776-4446 r..tJgNrio Ext: I FAX
<br />1201 W c~press Creek Rd # 130 rivc Nol:
<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 /> Attn: Dennis Giordano
<br /> 1800 Eller Drive #600 INSURER D: Hartford Fire Insurance Co. 19682
<br /> Ft. Lauderdale, FL 33316 INSURER E : Continental Casualty Company 20443
<br /> INSURER F :
<br />
<br />CALVI-2
<br />
<br />OPID:N6
<br />
<br />~
<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 I~~'; ,;;;;!; ~gMg~, ~g7Jg~, LIMITS
<br />LTR POLICY NUMBER
<br /> GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
<br /> -
<br />A X COMMERCIAL GENERAL LIABILITY 21UUNLK3645 01101/12 01/01113 PREMISES lEa occurrence) $ 300,000
<br /> I CLAIMS-MADE 0 OCCUR MED EXP (Anyone person) S 10,OOe
<br /> 08/27/11 08/27/12 PERSONAL & ADV INJURY S 1,000,000
<br /> GENERAL AGGREGATE S 2,000,000
<br /> ~'L AGGREffiE LIMIT APnS PER: PRODUCTS - COMP/OP AGG S 2,000,000
<br /> POLICY X P,~P.T LOC $
<br /> AUTOMOBILE LIABILITY fE~~~~~~~t~INGLE LIMIT S 1,000,000
<br /> ~
<br />B ~ ANY AUTO 21 UENJB7000 01101/12 01/01113 BODILY INJURY (Per person) $
<br /> ALL OWNED ~ SCHEDULED BODILY INJURY (Per accident) S
<br /> AUTOS AUTOS
<br /> - I-- NON-OWNED r~?~~C~d'Z,t?AMAGE
<br /> HIRED AUTOS AUTOS S
<br /> - I--
<br /> S
<br /> ~ UMBRELLA LIAB . ~ OCCUR EACH OCCURRENCE $ 10,000,000
<br />C EXCESS L1AB CLAIMS-MADE AUC594612803 01/01/12 01/01113 AGGREGATE S 10,000,000
<br /> DED I X I RETENTION $ 0 $
<br /> WORKERS COMPENSATION X I,\^IC STATU- I IOTH-
<br /> AND EMPLOYERS' LIABILITY iORY LlMlf~ ER
<br />D YtN 21WBN03209 01/01/12 01/01/13 1,000,000
<br />ANY PROPRIETOR/PARTNER/EXECUTIVE 0 EL, EACH ACCIDENT $
<br /> OFFICER/MEMBER EXCLUDED? NtA
<br /> (Mandatory In NH) E,L, DISEASE - EA EMPLOYEE $ 1,000,000
<br /> ~m:~~tfrg~ ~~'6PERATIONS below E,L, DISEASE - POLICY LIMIT $ 1,000,000
<br />E Professional Liab AEH288358005 08/27/11 08/27/12 Per Claim 5,OOO,OOC
<br /> Claim Made RETENTION: $200,000 Aggregate 5,OOO,OOC
<br />DESCRIPllON OF OPERA llONS I LOCA llONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required)
<br />RE: Resolution C1112-006/CGA 11-4582 Executed Agreement
<br />City of Sunny Isles Bch is listed as additional insuree with
<br />respects to generalliabili~ with repect to Iiabili~ arisin~ out of
<br />operations performed for he City by/or 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 />Building Department ACCORDANCE WITH THE POLICY PROVISIONS.
<br />18070 Collins Avenue AUTHORIZED REPRESENTATIVE
<br />Sunny Isles Beach, FL 33160 -#WJ~
<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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