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<br />eRb. CERTIFICATE OF LIABILITY INSURANCE OP'O VR 0926 11
<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS
<br />CERTIFICATE OOES 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 INSURERIS), AUTHORIZED
<br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER
<br />IMP RTANT; I thecertilCiJllIhoderlstln 11 NAllN U D.lhepolicy(leslrnuslbeendorsed.1 R A l HI W ,SIl jocllo
<br />the tenns and conditions 0' the policy, certain policies ma~ require an endorsement. A statement on this certificate does not conrer rlghlslo the
<br />certificale holder In lieu of such endolsemenllsl.
<br />
<br />Kahn-Carlin & COlDpany, InCl.
<br />3350 S. Dixie Highway
<br />Miami FL 33133-9984
<br />Phone: 305-446-2271 Fax: 305-448-3127
<br />
<br />..: .I.~:e._~1O.1
<br />
<br />CERTIFICATE NUMBER:
<br />
<br />IDo. CURTI-l
<br />~'_ERISI""fOllD\lIGCOVEll&GE I !weo
<br />t~~~-~it~~i~7;~~i~n~
<br />
<br />IIISUIlERf: I
<br />REVISION NUMBER:
<br />
<br />Curtis & Rogers Design
<br />Studio, Inc.
<br />~~g~n~r~~~e~, 3~ l~~
<br />
<br />T~,S IS TO CtPWv ",~T T~E POlIC,es 01 ,,;SVP"'/cE LiSIED BELOW ....~E BEEPj 'SSUED TO T~E '''SU?EO N"\!EO ~E rop T~E POLICY pER,OD
<br />"W,CAIEO !>QrW'TI<STAI;D'iG.l.'" PEOUI~E"'e'lT. TE~U 011 CO'-<OITlD'l Of "!IY CO'lIPACT O~ OT~EP DOCU"'E"I WIT~ PESPECT TOW~lC~ TI<<S
<br />CEPT'rICATE....o BE I5.SVEOOll V,J..Y pEPT"''' mE '"SUPAljCE ...HOPDfO B~ TilE POlIC'ES DESCPI&O ~EPE'1l1S SuBJECT 10 AU T~E TEpw>
<br />E"ClUS>O-<SAAOCOlIOITlI)',SOfSUC"POl.IC'ESl'..."SS><O/m.#y....veBeE"PEDlJCEOB"fpAiOCU.'...S
<br />'~f: nnDfmSU'l.o.tlCE ADOl;SlJBIl" POl.K:vl.......BEIl 11I~'!yVV~(I~~~~11 ,'lilTS
<br />pjSR. WVO
<br />A ~::A~~:~::E"ePAll"'~lITY I I I IUCHOCCUPPE>lCE Is 1000000
<br /> ACP5904630331 o,.nll Of.un ~~~i~~~~3Q::Oj~~O-
<br />~'''.,~~ [!loc,.. I I I l...eoE".(...'y.......r..""') Is 5000
<br /> IPEpSOJj.l.l.&M;N'SJUPv Is 1000000
<br /> IGE~EP.l.I.AGGPEGOiTE Is2000Q()~
<br />'GEPl\AGGPEGOilEl'V,IAPPl'ESPEP 1'I>0000TS.COVP.Q!'AGG Is 2000000
<br />iIPOlIcyn~:tr n,oc r---'~.s---
<br />IAUT04oIOllILEllA8IUTY I I I ICO'IBJIlEOSJ..olEl'l,IlT 1$$1,000,000
<br /> ,E'''<>don')
<br />R""." [BO(lItYINJUPy,Pe<~"_IIS
<br />"'llCM~HIAUTOS
<br />A tx1 ::e~:~::UTOS ElY'IlJUIlYIPt<''''''''''''I$
<br /> IPI'OPEIlTYD"'l"GE I'
<br /> 'ACP5904630331 0'1'11 H4tU ,1''''0<'(100')
<br />A MIlOll.Q.I.';EOAUTOS ACP5904630331 O~ a" 0.21 n I I'
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<br />H~'Mn~w. :-1:"'.' I I I I I~'OC'.'''~' "
<br />t- HCes$UA8 ! C\.AJl,IS-l,IAOE "
<br />IOEOUCTi!lLE ...(;CPu....n I'
<br />I IpEIE''''OO $ '.
<br />B I :::;:",:.::::.';?~:'~:;: ".1 I ..'."'H 0'1611 I 01 Ie U X TOIlYl.....rsl IER'
<br />AI<YPPOf'll'ETOP"''''''H;EO''["ECUTIVUI I El UCtl/o.CC'OU,1 1$ ~OOOOOO
<br />O""EPNEvee.nCl.1JDEO' "''''
<br />I ~~~:~~fi~b.EPAT~~St~... I ~~::::::~~~.:~i6~6-ci-~--
<br />C I Wind I 1490846 011011 1'..... I Content8 $90,000
<br /> I I Deductibl $2,700
<br />DEselllPTIO/lO#OI'EllATIOt'$'lOCAT'ONS'VEHClE$IA~..hACORO'Ol.Uc!lOon..R."'.r1o..S<Il.<lul..ll'"."'plC.I.'oqu;rodl
<br />
<br />CERTIFICATE HOLDER
<br />
<br />PROO-01
<br />
<br />SHOUl.OAnYDfTHEABOVEOE$CJl,8a)I'OI.ICOE$~c"'''calE08EfORE
<br />THEE.lPIlIAT1OIIPATETHEREOF.I.KlncEWIl.lIlEOELIVEII~DI>l
<br />ACCOIlOAJOCEv.1IliTHEI'OI.K:YPIlOVl5lONS
<br />
<br />Proof of Insurance On1y
<br />
<br />
<br />AJlrighlsreserved.
<br />
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<br />
<br />ACORD 25120091tl91
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<br />
<br />...-----
<br />
<br />NEW HAMPSHIRE Il'OSURAl'OCE COMPAI\'Y
<br />Administrative Office
<br />175 Water St., 18th Floor
<br />New York. i\'Y 10038
<br />COVERAGE IS PROVIDEO BY A CLAIMS,MADE POLICY, READ THE POLICY CAREFULLY
<br />
<br />PROFESSIONAL LIABILITY INSURANCE POLICY
<br />DESIGN PROFESSIONALS ASSOCIATION RISK PURCHASING GROUP POLICY
<br />
<br />1. Insured/Participating Member
<br />Name & Mailing Address:
<br />
<br />Curtis & Rogers Design Studio, Inc.
<br />3250 Mary Street
<br />Suite 30 I
<br />Miami, FL 33133
<br />
<br />DECLARATIONS
<br />Policy Number: 011193480
<br />OPA Member No: CurtisRoOO
<br />Sole Proprietor
<br />Partnership
<br />X Corporation
<br />Other
<br />
<br />)
<br />
<br />2, Policy Period From March 08,2012 to March 08,2013
<br />12:01 a.m. Standard Time, at the Insured's mailing address
<br />3. Retroactive Date March 08, 1994
<br />4. limits of Insurance:
<br />SI,OOO,OOO per occurrence
<br />$1.000,000 aggregate
<br />5. Deductible: $5.000
<br />6. The policy includes these endorsements and schedules:
<br />80667 (8/02), 80666 (8/02), 80686 (8/02), 80685 (8/02).
<br />78711 (10110), IL-12-01-11-85 (90-1)
<br />
<br />7. Premium: 55,328.00 (Ind.Jde-s: FIGA S....ct.a~e ~2, FlA CAT SurcNrg! ~81
<br />These Declarations with Ihe Professional Liability Insurance Policy referenced above
<br />and endorsements, if any, issued to form a pari thererof, comprise the complele policy.
<br />AGENT: Leatzow Insurance
<br />ADDRESS: 300 S. Riverside Plaza. Suite 2100
<br />Chicago, IL 60606
<br />(312)930-5556
<br />Fax: (868)741,266B
<br />
<br />By (l~ TaJ.LuJu
<br />
<br />Authorized Representative
<br />
<br />80666 (8.02)
<br />
<br />Curtis + Rogers Design Studio
<br />
<br />RFQ 12-04-04
<br />
<br />8
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