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~l l r 1 r 1 J '1 f 1 , , -I CIVIL ENGINEERING SERVICES TO DESIGN STREET AND DRAINAGE IMPROVE BID NO. 11 -11-02 Proof of Insurance CERTIFICATE OF LIABILITY INSURANCE THIS CERTIFICATE IS ISSUED FOR INFORMATION PURPOSES ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE OF LIABILITY INSURANCE DOES NOT AMEND, EXTEND, OR ALTER THE COVERAGE AFFORDED BY THE POLICIES LISTED DATE: (MM/DDIYVYY) 10/22/2009 INSURERS: - A: I Discover Property and Casualty Ins. Co. PRODUCER Marsh USA Inc. or BROKER: 800 Market Street Suite 2600 St. Louis, MO 63101 B: I Phone: (314) 512.2415 INSURED: C: I Corzo Castello Carballo Thompson Salman P.A D: I 21301 Powerline Road, Suite 311 E: I Boca Raton, FL 33433 THE INSURANCE POLICIES LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD LISTED. NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE OF LIABILITY INSURANCE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES LISTED BELOW IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGRATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. COVERAGES: INSURER TYPE OF INSURANCE POLICY NUMBER EFFECTIVE DATE EXPIRATION DATE LIMITS LETTER GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCURENCE --------~----------------------~~-------- AUTOMOBILE LIABILITY Combined Single Limit: $1.000.000 U ANY AUTO DALL OWNED AUTOS D187AOO016 5/17/2011 5/17/2012 Bodily Injury per Person: A :';;1 SCHEDULED AUTOS 126801 21 HIRED AUTOS Bodily Injury per Acc. :~] NON-OWNED AUTOS Property Damage: :;;;'I"See Below GARAGE LIABILITY ANY AUTO ,- EXCESS LIABILITY UMBRELLA OTHER Than UMBRELLA Form WORKERS COMPENSATION AND EMPLOYERS' LIABILITY DESCRIPTION: VENDOR ID: 120 GPBR: 41 Policy provides protection for any & all operationsfjobs performed by the named insured. Certificate holder is included as an additional insured where required by written contract. "Any vehicle leased from Enterprise Fleet Management where the contract includes auto insurance coverage. Waiver of Subrogation included where required by written contract. Insurance is Primary and Non-contributory. 6J'~ -o",p:;.t-i-J HOLDER: AUTHORIZED REPRESENTATIVE Evidence of Insurance - CANCELLATION: SHOULD ANY OF THE ABOVE POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF. THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS t:Vloence 01 Insurance WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LI:t-T, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER. ITS AGENTS OR REPRESENTATIVES. 4 iC Copynghl Moonlll Enterprize> 1999.2003. All Rights Reserve<l Form# CVla.l012512002