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~l rl ~l ~ 1 ~l ~ I J I. ~ 1 r 1 I I I ! I L J r I I J I . l I , J I , I , J l I Request for Qualifications No. 11-11-02 C 1tJ\A. ACORD CERTIFICATE OF LIABILITY INSURANCE I DATE (MMIDD/YYYY) TM 06/16/2011 PRODUCER (05)822-7800 FAX (305)558-4294 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Collinsworth, Alter, Fowler & French, LLC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 8000 Governors Square Blvd., Suite 301 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Miami Lakes, FL 33016 Zoraida Gonzalez Ext 159 zgonzalez@caffllc.com INSURERS AFFORDING COVERAGE NAIC# INSURED CIMA Engineering Corp., Jose A. Gonzalez, P.E INSURER A; Catlin Insurance Co A XV 4101 Ravenswood Road, Suite 113 INSURER B: Fort Lauderdale, FL 33312 INSURER c: INSURER 0; INSURER E: COVERAGES 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 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, I~fl~ :,o,,~~ TYPE OF INSURANCE POliCY NUMBER POLICY EFFECTIVE POliCY EXPIRATION LIMITS GENERAL LIABILITY EACH OCCURRENCE $ - DAMAGE TO RENTED COMMERCIAL GENERAL LIABIliTY $ - ::=J CLAIMS MADE D OCCUR MED EXP (Anyone person) $ - PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ I 'nPRO' n POLICY JECT LOC AUTOMOBILE LIABIliTY COMBINED SINGLE liMIT - $ ANY AUTO (Ea accident) - ALL OWNED AUTOS BODILY INJURY - $ SCHEDULED AUTOS (per person) - HIRED AUTOS BODILY INJURY - $ NON,OWNEO AUTOS (Per accident) - - PROPERTY DAMAGE $ (Per accidenl) GARAGE liABIliTY AUTO ONLY- EA ACCIDENT $ ~ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABIliTY EACH OCCURRENCE $ ::=J OCCUR D CLAIMS MADE AGGREGATE $ $ ~ OEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND WC STATU- IOJ~- EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE E,L EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? E.L DISEASE - EA EMPLOYEE $ If yes, describe under SPECIAL PROVISIONS below E,L DISEASE - POLICY LIMIT $ pO;~fessional Liability AED2027940612 06/19/2011 06/19/2012 $1,000,000 Each Claim A lel aims-Made Form Full $2,000,000 Annual Aggregate Prior Act $5,000 Deductible per claim DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION 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 MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES, AUTHORIZED REPRESENTATIVE j}tA~~ Meade Collinsworth/ZO ACORD 25 (2001/08) @ACORD CORPORATION 1988 ~ elM A's Com p a' n y I n f 0' r ni~ liH' i Oi n Il ~ 'Pa'ge 4 htlOJ