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"1 , 1 r 1 1 r I I , I 1 I I I I CIVIL ENGINEERING SERVICES TO DESIGN STREET AND DRAINAGE IMPROVEM" , ff!g BID NO. 11 - 11-02 O' S\lU Proof of Insurance &b~ PRODUCER CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDNYYY) OP ID GT C3TS-01 09/13/11 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. ._lINSURERS AFFORDIN~ COVE~~~~. __ __ NAIC # INSURER A HARU'QRD FIM INSURANCr. co. Combined Underwriters of Miami 8240 N.W. 52 Terr, Suite 408 Miami FL 33166 Phone: 305-477-0444 Fax: 305-599-2343 'iNSURE~--------' ------- CORZO~ CASTELLA, CARBALLO THOMP~ON SALMAN, P.A. C3TS 901 PONCE DE LEON BLVD. #900 CORAL GABLES FL 33134 INSURER B INSURER C' i INSURER D I INSURER E: CASTLE POINT FLORIDA INSURANCE CONTINE.NTAL CASUALTY COMPANY COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REOUIREMENT. 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 INSR :ADD'U 1 rJ'RT~1~MJ6~1[~~~~~~'If,~~~n----- LIMITS ----- L TR INSRD TYPE OF INSURANCE POLICY NUMBER I GENERAL LIABILITY EACH OCCURRENCE J $ 1,000,000 fl COMMERCIAL GENERAL LIABILITY 12SBCUC6365 09/22/11 09/22/12 DAMAGFTO RENTED- -. - -. A ~!ISESJ".~__o<~re""")_1 $ 300 I 000 [J CLAIMS MADE [!] OCCUR MED EXP (Any OM pe<SOIl) $ 10 , 000 ~$500 BI , PD DED PERSONAL & ADV INJURY 1$ 1,000,000 GENERAL AGGREGATE ~,OOO,~ GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OPAGG !~, 000 ,.Q.~ fXl POLICY 11 r;~gi nLOC I tfMOBILE LIABILITY I COMBINED SINGLE LIMIT 1$ ANY AUTO (Ea accident) All OWNED AUTOS BODILY INJURY ._____L____ l_.l SCtIEDUlED AUTOS (Per person) -- ~ "'"'''Om" BODILY INJURY I $ I NON-OWNED AUTOS (Per acCident) PROPERTY DAMAGE 1$ (POi' accident) I RRAGE LIABiliTY I I I AUTO ONLY. EA ACCIDENT I $ ANY AUTO OTHER THAN EAACC I $ I AUTO ONLY; -~GG r$ .- filESS I UMBRELLA LIABILITY I EACH OCCURRENCE 1$ 4,000,000 A X OCCUR D CLAIMS MADE XHQXY9123SB 09/22/11 09/22/12 AGGREGATE 1$ 4,000, 000 I -- 1$ tj DEDUCTIBLE I r $ I ----_. ---i~ - __0- I RETENTION $0 I WORKERS COMPENSATION .~JTO~yOLI~';!,S i _LJ~:i___ AND EMPLOYERS' LIABILITY Y/N - B ANY PROPRIETORiPARTNERlEXECUTlVO W02722926-01 01/01/11 01/01/12 E L EACH ACCIDENT 1$1000000 OFFICERiMEMBER EXCLUDED? E l DISEASE. EA EMPLOYEE! $ 1000000 (Mandatory In NH) ~~~h~tS~R~J:m~S below I E L DISEASE . POLICY LIMIT ! $ 1000000 I OTHER I I I C PROFFESSIONAL LIAB 128-824-96-56 08/26/11 I 08/26/12 PER OCC. 2,000,000 (RETRO 8/26/88) DED. 100,000 I AGGREGATE 2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS CERTIFICATE HOLDER IS LISTED AS ADDITIONAL INUSRED WITH REGARDS TO THE GENERAL LIABILITY. CERTIFICATE HOLDER CANCELLATION Evidence of Insurance SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF. THE ISSUING INSURER Will ENDEAVOR TO MAIL ~ DAyS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE lEFT. BUT FAilURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER. ITS AGENTS OR ACORD 25 (2009/01) @198B-2009 ACORD CORPORATION. The ACORD name and logo are registered marks of ACORD 3