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A� �® CERTIFICATE OF LIABILITY INSURANCEI0/25/2012 DATE /20 1 /Yl YY) 6/7i2o12 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(ies) 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). PRODUCER LOCKTON COMPANIES, LLC -1 KANSAS CITY 444 W. 47TH STREET, SUITE 900 KANSAS CITY MO 64112 -1906 (816) 960 -9000 CONTACT NAME: PHONE FAX A/C No E -MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC # INSURER A: Zurich American Insurance Company 16535 INSURED LUKE'S LANDSCAPING, INC. 1343426 DBA SAWGRASS LANDSCAPE SERVICES INSURER B: American Guarantee and Liab Ins. Co. 2624 INSURER C: Pennsylvania Manufacturers' Assoc Ins Co 12262 INSURER D: GENERAL AGGREGATE 2950 N. 28TH TERRACE HOLLYWOOD FL 33020 INSURER E: INSURER F: A AUTOMOBILE COVERAGES FIRCOI S RD CERTIFICATE NUMBER: 11844271 REVISION NUMBER: XXXXXXX 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 LTR TYPE OF INSURANCE ADD INSR SUBR WVD POLICY NUMBER POLICY EFF MMIDD /YYYY POLICY EXP MM /DD/YYYY LIMITS A GENERAL LIABILITY X MMERCIAL GENER L BILITY CLAIMS -MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO LOC JECT N N GL06555467 -02 10/25/2011 10/25/2012 EACH OCCURRENCE DAMAGE TO RENTED PREMISES (Ea occurrence) $ 11000,000 MED EXP (Any one person) I PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ PRODUCTS - COMP /OP AGG s 2,000,000 $ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS X AUTOS N N BAP6555466 -02. 10/25/2011 10/25/2012 (Ea accident) SINGLE LIMIT C o $ 1,000,000 BODILY INJURY (Per person) $ XXXXXXX BODILY INJURY Per accident X} XXXXX Ix PROPERTY DAMAGE $ XXXXXXX' $XXXXXXX B X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE N N AUC 6555463 -02 10/25/2011 10/25/2012 EACH OCCURRENCE $ 5,000,000 AGGREGATE $ DED I X I RETENTION $ $0 $ XXXXXXX C WORKERS COMPENSATION Y / N AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA N 201175 8779795 10/25/2011 10/25/2012 WC STTU- X ORY LIMITS OER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1 0 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) Evidence of Insurance for City of Sunny Isles Beach Bid Proposal 12- 05 -01. CFRTIFICATF 1401 nFR CANCELLATION ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD ©1988 -2010 A®Oi#7 CORPORATION. Ali rignts reserved SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 11844271 AUTHORIZED REPRESENTATIVE Evidence of Insurance for bid purposes only ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD ©1988 -2010 A®Oi#7 CORPORATION. Ali rignts reserved