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<br />.... <br /> <br />CITY OF SUNNY ISLES BEACH <br />SECTION ONE: COMPANY INFORMATION <br /> <br />r <br />(' <br />r <br /> <br />AGh@ CERTIFICATE OF LIABILITY INSURANCE :7:;~M;;;YYY' <br /> <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)J AUTHORIZED <br />., ...REPRESENTATlVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) 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 <br /> <br />Ames & Gough <br />8300 Greensboro Drive <br />Suite 980 <br />McLean, VA 22102 <br />INSURED <br /> <br /> <br />(703) 827-2277 <br /> <br />I FAX <br />I lAIC, Nol: (703) 827-2279 <br /> <br />Keith and Schnars, P.A. <br />6500 North Andrews Avenue <br /> <br />J./SIJlMI;;!UD..1I'O 0 002075 <br />INSURER(S) AFFORDING COVERAGE <br />INSURsl!,A.:.gontinental Casualty Compan <br />INSURER B : <br />INSURER C : <br />INSURER 0 : <br />INSURER E : <br /> <br />NAIC# <br />i20443 <br /> <br />, <br />i <br />I <br />I <br />t---- <br />i <br /> <br />~ <br /> <br />Ft. Lauderdale FL 33309-2132 INSURERF: <br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <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 OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, <br />'r~~ I TYPE OF INSURANCE 1~~DLISU~Ri POLICY NUMBER I ~gTJgM~~ ~376%YY~Vv 1 <br />I GeNERAL LIABiliTY 'I' i <br />-~ . I <br />I I CO~MERCIAL GENERAL ~'ABllITY I I <br />'L' ! CLAIMS'MAOE D OCCUR I <br />r-' ! <br />L ,___, <br />~_.J <br />i GEN'L AGGREGATE LIMIT APPLIES PER: <br />ri POLICY :-1 PRc?-i n LOC <br />i AUTOMOBILE LIABiliTY <br /> <br />hH ANY AUTO <br /> <br />1 ALL OWNED AUTOS <br />~ <br />,--; SCHEDULED AlJTOS <br /> <br />H HIRED AUTOS <br /> <br />l-j NON,OWNED AUTOS <br /> <br />liMITS <br /> <br /> <br />EACH OCCURRENCE $ <br />DAMAGE 0 T <br />; PREMISES lEa occurrence, ;_L____. <br />l MED EXP (Anyone person) ! $ <br />i PERSONAL & ADV INJURY j $ <br />I GENERAL AGGREGATE I $ <br />. PRODUCTS - COMP/OP AGG ; S <br />i$ <br /> <br />~ <br /> <br />I COMBINED SINGLE LIMIT <br />I (Ea aCCldant) <br /> <br />BODILY INJURY (Per person) <br /> <br />i$ <br /> <br />lBOOIL Y INJURY (Per accident) \ $ <br /> <br />'~ROPERTY DAMAGE i , <br />(Per accident) I <br /> <br />" <br /> <br />$ <br /> <br />, UMBRELLA L1AB <br />r-----! <br />, ! EXCESS LIAS <br />DEDUCTIBLE <br /> <br />~: : OCCUR <br />. ! CLAIMS'MADE! <br /> <br />i <br />i <br /> <br />I EACH OCCURRENCE <br />I AGGREGATE <br />! <br />I <br /> <br />RETENTION $ <br />WORKERS COMPENSATION <br />I AND EMPLOYERS' LIABILITY Y I N 'I <br />' ANY PROPRIETOR/PARTNER/EXECUTIVE 0 i <br />i OFFICERlMEMBER EXCLUDED? , N / A <br />I (Mandatory in NH) ; <br />I If yes. describe under : <br />, DESCRIPTION OF OPERATIONS below '! <br />PROFESSIONAL LIABILITY <br /> <br />iAEH 00 609 12 27 <br />! <br />, <br /> <br /> <br />we STATU- I <br />I TORY LIMITS; <br />i E.L EACH ACCIDENT <br />E.~, DISEASE, EA EMPLOYE $ <br />I E.L DISEASE, POLICY LIMIT! $ <br />i PER CLAIM <br />! AGGREGATE <br /> <br />,$ <br />i$ <br />! $ <br />1$ <br />,OTH-; <br />i ER ~ <br /> <br />A <br /> <br />2,000,000 <br />4,000,000 <br /> <br />DESCRIPTION OF OPERATIONS' LOCA TJONS I VEHICLES (AttaCh ACORD 101 I Additional Remarks $chedulo, if more space Is required) <br /> <br />CERTIFICATE HOLDER <br /> <br />CANCELLATION <br /> <br />Keith and Schnars, P.A. <br />6500 N. Andrews Avenue <br />Ft. Lauderdale, FL 33309-2132 <br /> <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF. NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br /> <br />AUTHORIZED REPRESENT ATIVE <br /> <br />Dan Knise/BHARRI <br /> <br />"'-"-'!_....... _-.-~?h?-'-~.. -._~.__ /~.;.:.:~.~~._c_...:._.;~~ <br /> <br />ACORD 25 (2009/09) <br />INS025 (200909) <br /> <br />@1988-2009 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br /> <br />'<>"-.. <br /> <br />...'"""'~~~:~"" <br /> <br />....... <br /> <br />~M~~~~ KEITH and S,CHNARS, P.A. <br />", ~:;: FLORIDAs 13.1tLOCAL FIRM <br />~ <br /> <br />RFP#11-11-02 <br /> <br />PAG E 4 <br />