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(12-04-02) Professional Architectural and Engineering Services - Firms Only
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Wolfberg Alvarez and Partners
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Last modified
6/11/2012 4:58:51 PM
Creation date
6/11/2012 4:56:23 PM
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CityClerk-Bids_RFP_RFQ
Project Name
Prof. Architectural & Engineering Svcs
Bid No. (xx-xx-xx)
12-04-02
Project Type (Bid, RFP, RFQ)
RFQ
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City of Sunny Isles Beach <br />i� <br />Page 5 e :a <br />Insurance Certificate <br />Client # :57 61 WO LLFAL V3 <br />D mrr) ACORD. C 2RT IRC E F HAMMY H1 M S V uA N C E 10/12/201 <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(les) 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 Ileu of such endorsement(s). <br />PRODUCER <br />ISU Suncoast Insurance Assoc <br />P.O. BOX 22668 <br />AC <br />NAME: <br />PHONE 013 289 -5200 813 289 -4561 <br />A/C No Ext : A/C. No <br />1 <br />A oRE53: <br />Tampa, FL 33622 -2668 <br />CUSTOMER ID : <br />813 289 -5200 <br />INSURER(S) AFFORDING COVERAGE <br />INSURER A: Travelers Property Cas Co Of Am <br />NAIC # <br />25674 <br />INSURED <br />1500 San Alvarez 8r Partners, Inc. <br />1500 San Remo Ave., Suite 300 <br />Coral Gables, FL 33146 <br />INSURER B: Travelers Indemnity Company <br />25658 <br />INSURER c: Travelers Casualty and Surety C <br />19038 <br />INsuRER n: Catlin Insurance Co <br />19518 <br />INSURER E: <br />INSURER F: <br />- -- -- – " "– RC V IJI V IV IYUIYIbcm: <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 />sR OIL UBR <br />LTR TYPE OF INSURANCE SR VIVO POLICY NUMBER MM /DDIYYYY POLICY EXP LIMITS <br />A <br />GENERAL <br />X <br />LIABILITY <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE Dd OCCUR <br />66082161-314 <br />10/26/2011 <br />10/2612012 <br />EACH OCCURRENCE <br />$1000000 <br />PREMISES Ea —mm.) <br />$1,000,000 <br />MED EXP (Any one person) <br />$10,000 <br />PERSONAL B ADV INJURY <br />_ <br />$1,000,000 <br />GENERAL AGGREGATE <br />s2000000 <br />G POLIGREGATE LIMIT APPLIES PER: <br />POLICY PRO LOC <br />PRODUCTS. COMPIOPAGG <br />$2,000000 <br />$ <br />B <br />AUTOMOBILE <br />X <br />LIABILITY <br />ANY AUTO <br />BA52771_234 <br />10126/2011 <br />10/26/201 <br />COMBINED SINGLE LIMIT <br />(Ea accident) <br />$1000000 <br />BODILY INJURY (Per person) <br />$ <br />ALL OWNED AUTOS <br />BODILY INJURY (Per accident) <br />$ <br />SCHEDULED AUTOS <br />PROPERTY DAMAGE <br />(Par acdd.nl) <br />$ <br />X <br />X <br />HIRED AUTOS <br />NON- OWNEDAUTOS <br />$ <br />S <br />B <br />X <br />EXCESS MBRELLA B <br />EXCESS LIAR <br />X <br />OCCUR <br />CLAIMS -MADE <br />CUP731OY773 <br />10/26/2011 <br />10/261201 <br />EACH OCCURRENCE <br />$5,000,000 <br />AGGREGATE <br />_ <br />$5,000 000 <br />DEDUCTIBLE <br />X RETENTION $ 10000 <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />ANYCERJMEETOREXCLUDED? CUTIVE <br />(Mandatory In NH) EXCLUDED? <br />(Mandatory in NH) <br />Iry es. describeunder <br />DESCRIPTION OF OPERATIONS below <br />Professional <br />Liability <br />C <br />D <br />NIA <br />UB7310Y411 <br />AED999090312 <br />10/27/2011 <br />03/29/2011 <br />10/27/201 <br />03/29/201 <br />WC STATU- OTH- <br />X <br />S <br />EL. EACH ACCIDENT <br />$1,000,000 <br />- <br />E.L. DISEASE -EA EMPLOYEE <br />- <br />$1,000,000 <br />EL. DISEASE - POLICYLIMIT $1,000000 <br />$1,000,000 per claim <br />$3,000,000 annl aggr. <br />DESCRIPTION OF OPERATIONS / LOCATIONS /VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) <br />Professional Liability is written on a Claims Made and Reported Basis. <br />-1-Im"wil <br />For Proposal Purposes 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 />AUTHORIZED REPRESENTATIVE <br />OaAA Ot _w- ,Gd.----'—. <br />WIUNa -ZUU9 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2009109) 1 Of 1 The ACORD name and logo are registered marks of ACORD <br />#S345607/M345581 KIM <br />ARCHITECTURE <br />ENGINEERING <br />PLANNING <br />INTERIOR DESIGN <br />
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