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<br />~>> Calvin, Giordano & Associates, Inc.
<br />E X C E P T 1 O N A L 5 O L U T 1 0 N 5
<br />Proof of Insurance
<br />OP ID: S9
<br />A ° CERTIFICATE OF LIABILITY INSURANCE DA7 E IMM/DDIYYYYI
<br />ntu2v11
<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(les) 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
<br />NAMEACT
<br />Brown & Brown of Florida, Inc. 954 - 776 4446
<br />1201 W Cypress Creek Rd 111130
<br />PHONE FA%
<br />(A/c, No, E.q: (ac, No):
<br />EMAIL
<br />P.O. Box 5727
<br />Ft. Lauderdale, FL 33310.5727
<br />ADDRESS;, CALVI -2
<br />Stephen E. Patton, AAI
<br />CUSTOMER ID a:
<br />INSURERIS) AFFORDING COVERAGE NAIC N
<br />INSURED Calvin, Giordano &
<br />INSURER A: Hartford Fire Ins Urance Co. .19682
<br />Associates, Inc.
<br />INSURER B: Hartford Ins Co of Midwest 37478
<br />Attn: Dennis Giordano
<br />INSURER C: American Guar & Liab Ins Co 26247
<br />1800 Eller Drive #600
<br />INSURER D: Hartford Ins. Co. of the S.E.
<br />Ft. Lauderdale, FL 33316
<br />.38261
<br />INSURER E: Continental Casualty Company 20443
<br />10,00
<br />INSURER F:
<br />/�lI�ICQn!_CC r`GQTICIr`ATC NI IMQFD• RFVICIrTN NI IMRFR.
<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
<br />OR OTHER DOCUMENT WITH RESPECT TO
<br />WHICH THIS
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL
<br />THE TERMS,
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY
<br />PAID CLAIMS.
<br />1800 Eller Drive #600
<br />Ft Lauderdale, FL 33316
<br />POLICY EFF
<br />I R -- - TYPE OF INSURANCE NSH SUER; - POLICY NUMBER MM/DDNYYY
<br />LT R
<br />LT
<br />MMlDOIYYYY LIMITS
<br />GENERAL LIABILITY
<br />EACI I OCCURRENCE S
<br />1,000,00
<br />A XI COMMERCULGENERAL LIABILItt
<br />2IUUNLK3645 01/01/11
<br />I DAMAGE TO RENTED
<br />01101112 p REMISES (Ea occurrence) I S
<br />300,00
<br />CLAIMS MADE X OCCUR
<br />MED EXP (Any one person) I S
<br />10,00
<br />PERSONAL & ADV INJURY j S
<br />1,000,00
<br />GENERAL AGGREGATE S
<br />2,000,00
<br />.-
<br />GIN L AGGREGATE LIMIT APPLIES PER
<br />PRODUCTS - COMPIOP AGG $
<br />2,000,00
<br />. POLICY j X PRO LOC
<br />S
<br />AUTOMOBILE LIABILITY
<br />COMBINED SINGLE LIMIT S
<br />1,000,00
<br />B ! X i ANY AUTO
<br />121UENJB7000 01101/11
<br />01/01112 (Ea aadenn
<br />i
<br />BODILY INJURY (Per person) S
<br />ALL OWNED AUTOS
<br />I BODILY INJURY (Pei accidently S
<br />SCHEOULEDAUTOS
<br />'PROPERTY DAMAGE
<br />S
<br />X �, HIRED AUTOS
<br />;COMP DIED: $1,000
<br />j (Per acadenl)
<br />X', NoN.owNEOnuros
<br />COLL DIED: $1,000
<br />S
<br />$
<br />X I, UMBRELLA LIAB X OCCUR
<br />EACH OCCURRENCE S
<br />10,000,00
<br />EXCESS LIAB CLAIMS -MADE
<br />C
<br />i
<br />AUC594612802 01101111
<br />AGGREGATE ':S
<br />01/01112
<br />10,000,00
<br />DEDUCTIBLE
<br />lProdCoOpS $
<br />10,000,00
<br />X RETENTION $ 0
<br />S
<br />WORKERS COMPENSATION
<br />WC STATU : OTH
<br />X CRY
<br />AND EMPLOYERS' LIABILITY YIN
<br />TO LIMITS ER ,
<br />D ANYPROPRIETORIPARTNERIEXECUTIVE
<br />01/01/11
<br />01/01/12 EL EACH ACCIDENT S
<br />1,000,00
<br />OFFICERMEMBER EXCLUDED? NIA
<br />'., (Mandatory in NH)
<br />-.
<br />E L .DISEASE EA EMPLOYEE S
<br />1,000,00
<br />If yes. desaibe under
<br />DESCRIPTION OF OPERATIONS belm
<br />E L DISEASE - POLICY LIMIT $
<br />1,000,00
<br />E '.Professional Liab
<br />'AEH288358005 08127111
<br />08127112 I ;Ea Claim
<br />5,000,00
<br />'.RETENTION:
<br />$200,000
<br />(Aggregate
<br />5,000,00
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, 11 more space Is
<br />required)
<br />CALVING
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />Calvin, Giordano &
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />Associates, Inc
<br />1800 Eller Drive #600
<br />Ft Lauderdale, FL 33316
<br />AUTHORIZED REPRESENTATIVE
<br />l 4v a
<br />V 1980 -2UU9 AGUKU CUKPUKAI IUN. All rlgnts reServeO.
<br />ACORD 25 (2009109) The ACORD name and logo are registered marks of ACORD
<br />RFQ #11- 11 -01, Traffic Engineering Services Page 114
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