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M IN I Calvin, Giordano & Associates, Inc.
<br />IE X C E P T 1 0 N A L S O L U T 1 0 N S
<br />a
<br />Proof of Insurance
<br />CALVI -2 OP ID: E,
<br />CERTIFICATE OF LIABILITY INSURANCE DAT 01 /11DIYYYY)
<br />0111,
<br />/12
<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), AUTHORIZED
<br />REPRESENTATIVE 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 954- 776 -2222
<br />NAGMME:
<br />Brown & Brown of Florida, Inc.
<br />1201 W Cypress Creek Rd # 130 954 -776 -4446
<br />PHONE ......... ... __.__.._.._............. __ ........... _. FA%
<br />(A/C, No EXt) 1(ac No):
<br />P.O. Box 5727
<br />E -MAIL
<br />ADDRESS:_.,.__
<br />Ft. Lauderdale, FL 33310 -5727
<br />_
<br />Stephen E. Patton, AA1
<br />INSURER(S) AFFORDING COVERAGE _^
<br />NAIC III
<br />-
<br />MED EXP (Any one person) $ 10,000
<br />INSURER _A :Hartford Casualty Ins. Cc_ ____
<br />29424
<br />INSURED Calvin, Giordano &
<br />INSURER 13; Hartford Ins Co of Midwest
<br />37478
<br />Associates, Inc.
<br />_
<br />INSURERC:American Guar & Llab Ins Co
<br />26247
<br />Attn: Dennis Giordano
<br />1800 Eller Drive #600
<br />INSURER D: Hartford Fire Insurance Co
<br />19682
<br />Ft. Lauderdale, FL 33316
<br />INSURER E : Continental Casualty Company
<br />20443
<br />PRODUCTS COMP /OP AGG $ 2,000,00
<br />INSURER F :
<br />-
<br />POLICY X PRO- LOG -
<br />JECT
<br />nCCTICl/ ATc NI I"Dro. RFVIVIr]N NI IMNFH•
<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 />INSR `,AODL 3UBR - POLICY EFF POLICY EXP -
<br />LTR TYPE OF INSURANCE POLICY NUMBER MMIDDIYYYY MMIDDIYYYY LIMITS
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />GENERAL LIABILITY
<br />1800 Eller Drive #600
<br />EACH OCCURRENCE $ 1,000,000
<br />- - - --
<br />A
<br />X COMMERCIAL GENERAL LIABILITY
<br />;21UUNLK3645 01101/12
<br />01101113
<br />DAMAGE TO RENTED t
<br />pREMISES(Ea oxunence1 __ -_ 300,00
<br />j CLAIM OCCUR
<br />S MADE I
<br />-
<br />MED EXP (Any one person) $ 10,000
<br />08/27111
<br />08/27/12
<br />PERSONAL & ADV INJURY $ - 1,000,000
<br />GENERAL AGGREGATE �$ 2,000,00
<br />GEN'L AGGREGATE LIMIT APPLIES PER
<br />PRODUCTS COMP /OP AGG $ 2,000,00
<br />-
<br />POLICY X PRO- LOG -
<br />JECT
<br />$
<br />AUTOMOBILE LIABILITY
<br />COMBINED SINGLE LIMIT 1,000,00
<br />(Ea accident $
<br />B
<br />X ANY AUTO
<br />I
<br />i 21UENJB7000 01/01112
<br />i 01101/13
<br />BODILY INJURY (Per person) $
<br />NED S CHEDULED
<br />ALL OWNED
<br />BODILY INJURY (Per accident), $
<br />_- AUTOS I _ AUTOS
<br />I NON OWNED
<br />PROPERTY DAMAGE
<br />AUTOS AUTOS
<br />(Per a —dent)
<br />$
<br />�(
<br />LIAR l �( occuR
<br />EACH OCCURRENCE O,000,OOO
<br />C
<br />EXCESS
<br />EXCESS LIAR CLAIMS MADE
<br />AUC594612803 ', 01101/12
<br />01101/13
<br />AGGREGATE $ -_ 10,000,000
<br />...... __. i _.
<br />__.... --.._
<br />DED X IRETENTI ONS 0I
<br />i
<br />WORKERS COMPENSATION
<br />121WBNO3209
<br />X WC STATU- '.OTH -1
<br />61
<br />D
<br />AND EMPLOYERS' LIABILITY
<br />ANY PROPRIETOR /PARTNERIEXECUTNE Y�''.
<br />01101/12
<br />01/01/13
<br />EL EACH ACCIDENT S 1,000.000
<br />ID
<br />_. _ - - - - - -- - --
<br />OFFICER/MEMBER EXCLUDEDi
<br />(Mandatory in NH). N I A
<br />E L D SEASE EMPLOYEE! $ 1,000,000
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />E.L. DISEASE - POLICY LIMIT ! $ 1,000,000
<br />E
<br />(Professional Liab
<br />AEH288358005 08127/11
<br />I 08/27112
<br />IPer Claim 5,000,00
<br />Claim Made
<br />RETENTION: $200,000
<br />Aggregate 5,000,00
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more apace is required)
<br />! AM Icl 1 ATInM
<br />CALVING
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />Calvin, Giordano & Associates
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />Inc
<br />1800 Eller Drive #600
<br />AUTHORIZED REPRESENTA
<br />Ft Lauderdale, FL 33316
<br />/TIIVVE�,
<br />l/ luau -LUTu AL.VKIJ \.VRrvR%m 1 iv". All rlgllls reserves.
<br />ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD
<br />RFQ #12- 04 -02, Traffic Engineering and Transportation Consulting Page 113
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