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, ) .----., OP ID' WM I l' I ACORD" CERTIFICATE OF LIABILITY INSURANCE ,. DATE (MM/DDNYVY) \.-...----- . 04/06/11 I THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED. the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the polley, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorserrientls). ..... . . PRODUCER 561-391-4661 CONTACT NAME: Sena & Whitney CO~ Office 561-338-6551 rlJgN~o Exl',- I r.e~ Nol: Sena & Whitney, LL 190 Glades Rd Suite C E-MAIL ADDRESS: Boca Raton, FL 33432 ~~~g~~~ 10 #. CRAI2-C INSURERISI AFFORDING COVERAGE NAIC# INSURED Craig A. Smith & Associates; INSURER A: Endurance American Spec Ins Co MPS3D LLC, Craig A. Smith LLC INSURER B : Stephen McBride INSURER C : 7777 Glades Road Suite 410 Boca Raton, FL 33434 INSURER 0: INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: , ) r]' 'r . I THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OFANY 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. I~~: TYPE OF INSURANCE ADDL SUBR POLICY NUMBER I "pOLlC EFF ~~~6%YY~~1 LIMITS MM/DDIYYVY GENERAL LIABILITY EACH OCCURRENCE S I-- ~~~~~~~?E~~~6,E~ence\ - 3MERClAL GENERAL LIABILITY S - CLAIMS-MADE 0 OCCUR MED EXP (Any o'no person) S - PERSONAL & ADV INJURY S - GENERAL AGGREGATE S ~'L AGGRnE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG S POLICY ~~T n LOC $ AUTOMOBILE UABILITY COMBINED SINGLE LIMIT $ - (Ea accident) - ANY AUTO BODILY INJURY (Per person) $ I-- ALL OWNED AUTOS BODILY INJURY (Per accident) $ I-- SCHEDULED AUTOS PROPERTY DAMAGE HIRED AUTOS (Per accident) $ I-- I-- NON.OWNED AUTOS $ $ UMBRELLA L1AB H OCCUR EACH OCCURRENCE $ I-- EXCESS LIAB CLAIMS-MADE AGGREGATE $ - DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION I 'T~~~nJN;" I IOJ~. AND EMPLOYERS' LIABILITY Y/N ANY PROPRIETORIPARTNERlEXECUTIVE 0 E.L. EACH ACCIDENT $ OFFICER/MEM6ER EXCLUDED? NIA (Mandatory In NH) E.L DISEASE - EA EMPLOYEE $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ A E & 0 Architect & I PPL 10003081000 ,. 04/01111 04/01/12 Ea. Claim 1,000,060 Engineer i Aggregate 2,OOO,00( DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remark. Schedule.. Ir more space Is required) CERTIFICATE HOLDER CANCELLATION ~ ! r I ; - f SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. PROOF OF INSURANCE. AUTHORIZED REPRESENTATIVE I I uR.A,0~ @>1988-2009ACORD CORPORATION. All rights rBserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD Proposer: Craig A. Smith & Associates RFQ No. 11-11-02 3