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CALVI -2 OP ID: E1
<br />.4COR0 '
<br />`Ilh� CERTIFICATE OF LIABILITY INSURANCE
<br />DATE(MMIDDNYYY)
<br />F 07/31/12
<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 />Brown & Brown of Florida, Inc. 954- 776 -4446
<br />1201 W Cypress Creek Rd # 130
<br />P.O. Box 5727
<br />Ft Lauderdale, FL 33310 -5727
<br />Stephen E. Patton, AA
<br />ONTACT
<br />NAME:
<br />PHONE FAX
<br />AIC No Ext : AIC No):
<br />E-MAIL
<br />ADDRESS:
<br />INSURERS AFFORDING COVERAGE
<br />NAIC #
<br />INSURER A: Hartford Casualty Ins. Co
<br />29424
<br />INSURED Calvin, Giordano &
<br />Associates, Inc.
<br />Attn: Dennis Giordano
<br />1800 Eller Drive #600
<br />Ft. Lauderdale, FL 33316
<br />INSURER B: Hartford Ins Co of Midwest
<br />37478
<br />INSURER C: American Guar & Liab Ins Co
<br />26247
<br />INSURER D: Hartford Fire Insurance Co.
<br />19682
<br />INSURER E: Continental Casualty Company
<br />20443
<br />INSURER F :
<br />X COMMERCIAL GENERAL LIABILITY
<br />rnVFRAnPA CERTIFICATE NI IMRFR• REVISION NUMBER:
<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
<br />LTR
<br />TYPE OF INSURANCE
<br />ADDL
<br />SUB
<br />POLICY NUMBER
<br />MM DD/YYYY
<br />MM/LDD/YYYY
<br />LIMITS
<br />GENERAL LIABILITY
<br />EACH OCCURRENCE
<br />$ 1,000,00
<br />A
<br />X COMMERCIAL GENERAL LIABILITY
<br />X
<br />21UUNLK3645
<br />01/01112
<br />01/01/13
<br />DAMATE
<br />PREMISES GE TO Ea REN occurD rence
<br />$ 300,00C
<br />MED EXP (Any one person)
<br />$ 10,00
<br />CLAIMS -MADE E OCCUR
<br />PERSONAL & ADV INJURY
<br />$ 1,000,00
<br />GENERAL AGGREGATE
<br />$ 2,000,00
<br />GEN'L AGGREGATE LIMIT APPLIES PER:
<br />PRODUCTS - COMP /OP AGG
<br />$ 2,000,00
<br />$
<br />POLICY X PRO LOC
<br />AUTOMOBILE LIABILITY
<br />CO NED
<br />aBd.n1INGLE LIMIT
<br />Ea S
<br />$ 1,000,00
<br />BODILY INJURY (Per person)
<br />$
<br />B
<br />X ANY AUTO
<br />21UENJB7000
<br />01101/12
<br />01/01/13
<br />BODILY INJURY (Per accident)
<br />$
<br />X ALL OWNED SCHEDULED
<br />AUTOS AUTOS
<br />X HIRED AUTOS X NON -OWNED
<br />AUTOS
<br />PPROaPERa tDAMAGE
<br />$
<br />$
<br />X
<br />UMBRELLA LIAB
<br />X
<br />OCCUR
<br />EACH OCCURRENCE
<br />$ 10,000,00
<br />AGGREGATE
<br />$ 10,000,00
<br />C
<br />EXCESS LIAB
<br />CLAIMS -MADE
<br />AUC594612803
<br />01/01/12
<br />01/01/13
<br />DED X RETENTION $ 0
<br />$
<br />D
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY
<br />ANY PROPRIETOR /PARTNER /EXECUTIVE Y/❑N
<br />21WBNO3209
<br />01101/12
<br />01/01/13
<br />X WC STATU- OTH-
<br />7T CRY LIMITS I I ER
<br />E.L. EACH ACCIDENT
<br />$ 1,000,00
<br />E.L. DISEASE - EA EMPLOYEE
<br />$ 1,000,00
<br />OFFICER/MEM BER EXCLUDED?
<br />(Mandatory in NH)
<br />N/A
<br />E.L. DISEASE - POLICY LIMIT
<br />$ 1,000,00
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />E
<br />Professional Liab
<br />AEH288358005
<br />08/27/11
<br />08127/12
<br />Per Claim 5,000,00
<br />Claim Made
<br />RETENTION: $200,000
<br />Aggregate 5,000,00
<br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required)
<br />Construction Project Management Services, Bella Vista Bary Park Project.
<br />The City of Sunny Isles Beach is an additional insured with respect to
<br />general liability arising out of the operations performs for the City by or
<br />on behalf of the insured. Contractual Liability applies per form
<br />HG00010605.
<br />n C r,Till -ATM unr MOM rANCFI I ATInN
<br />SUNNYI1
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />City of Sunny Isles Beach
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />18070 Collins Ave., 3rd Fir.
<br />Sunny Isles Bch., FL 33160
<br />AUTHORIZED REPRESENTATIVE
<br />© 1988 -2010 ACUKU GUKPUKA I IuN. All rlgnis reserved.
<br />ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD
<br />
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