G. Batista 2 - Laserfiche WebLink

Home Browse Search

1 J t 1 AG. SSOCIIATTEESS 50 PROFESSIONAL LIABILITY INSURANCE t ___1 REECONS -01 ANGIEY , 1. o CERTIFICATE OF LIABILITY INSURANCE DATE 129 /2D/YYYY) �� 2129/2012 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). r PRODUCER CONTACT Zoraida Gonzalez Collinsworth, Alter, Fowler & French, LLC PHONE FAX 8000 Governors Square Blvd (AIC, No, EXIT: ( 305 ) 822.7800 INC. Noi: (305) 362.2443 Suite 301 EMAIADDRE9 L 5: Zgonzalez@cafflic.com Miami Lakes, FL 33016 INSURER(S)AFFORDING COVERAGE NAICS A Claims -Made Basis 000152202 212612012 2/2612013 Annual Aggregate 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Ahach ACORN) /ef, AddNlonal RemaMs Sahadule, II more space Is requnird) Professional Liability Deductible $10,000 Each Claim; Professional Liability Retroactive Date 212 512 01 0 CERTIFICATE HOLDER "'•'SPECIMEN "'••• " "'SPECIMEN " "" ACORD 25 (2010106) CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988.2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD CITY OF SUNNY ISLES BEACH RFQ No. 12 -04 -01 INSURER A:Ironshore Specialty Ins Co INSURED INSURER 8: jI G Batista g Assoc. INSURER C 10400 Griffin Road .Suite 201 INSURER D: Cooper City, FL 33328 INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS INSR TYPE OF INSURANCE ADOL SUER LTR INSR WD POLICY NUMBER POUCY EFF POLICY EXP (MWDDNVYY) (MMIDD/YYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE S COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES (Ea ocwnanw) S CLAIMS-MADE OCCUR MEOEXPIAnyonaparscn) S PERSONAL 8 ADV INJURY 5 GENERAL AGGREGATE S GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMPIOP AGG S POLICY PRO- LOC JECT $ AUTOMOBILE LWBILITY COMBINED SINGLE LIMIT (Ea accefem) $ ANY AUTO BODILY INJURY (Par person) S ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY /Per —,ckrU S NON OWNEO PROPERTY DAMAGE S HIRED AUTOS AUTOS (Per —4.m) S UMBRELLA LIAR OCCUR EACH OCCURRENCE S EXCESS LIAR CLAIMS -MADE AGGREGATE $ DED RETENTIONS S WORKERS COMPENSATION WC STATU- OTH AND EMPLOYERS' LIABILITY YIN TORY LIMITS ER ANY PROPRIETORMARTNERIEXECUTIVE OFF ICEWMEMBER EXCLUDED? NIA EL EACH ACCIDENT S M)e� al NHJ EL DISEASE - EA EMPLOYEE S 4 DE SCRIPTIONOFOPERATIONSaeX EL DISEASE - POLICY LIMIT S A Professional Liab. 000152202 2/2612012 2/2512013 Each Claim 1,000,000 A Claims -Made Basis 000152202 212612012 2/2612013 Annual Aggregate 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Ahach ACORN) /ef, AddNlonal RemaMs Sahadule, II more space Is requnird) Professional Liability Deductible $10,000 Each Claim; Professional Liability Retroactive Date 212 512 01 0 CERTIFICATE HOLDER "'•'SPECIMEN "'••• " "'SPECIMEN " "" ACORD 25 (2010106) CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988.2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD CITY OF SUNNY ISLES BEACH RFQ No. 12 -04 -01