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CALVI-2 OP ID:N6
<br /> A�oRCP" CERTIFICATE OF LIABILITY INSURANCE DATE /12
<br /> 01103/12
<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(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 lieu of such endorsement(s).
<br /> PRODUCER 954-776-2222 CONTACT
<br /> Brown&Brown of Florida,Inc. PHONE FAX
<br /> 1201 W Cress Creek Rd#130 954-776-4446 (A1C.No.E.D: (A/C,No):
<br /> P.O.Box 5727 E-MAIL
<br /> Ft.Lauderdale,FL 33310-5727 ADDRESS:
<br /> Stephen E.Patton,AAI INSURER(S)AFFORDING COVERAGE NAIC#
<br /> INSURER A:Hartford Casualty Ins.Co 29424
<br /> INSURED Calvin,Giordano& INSURER B:Hartford Ins Co of Midwest 37478
<br /> Associates,Inc.
<br /> INSURER c:American Guar&Liab Ins Co 26247
<br /> Attn:Dennis Giordano
<br /> 1800 Eller Drive#600 INSURER D:Hartford Fire Insurance Co. 19682
<br /> Ft.Lauderdale,FL 33316 INSURER E:Continental Casualty Company 20443
<br /> INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER: 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 POUCIES 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 TYPE OF INSURANCE 'ADDL SUBR POLICY EFF POLICY EXP LIMITS
<br /> LTRW R INV(D POLICY NUMBER (MM/OD/YYYY) (MM/DD/YYYY)
<br /> GENERAL UABIUTY EACH OCCURRENCE $ 1,000,000
<br /> A X COMMERCIAL GENERAL LIABILITY 21UUNLK3645 01/01/12 01/01/13 DAMAGEMTTED
<br /> PREMISES(Ea occurrence) S 300,000
<br /> CLAIMS-MADE OCCUR MED EXP(Any one person) S 10,000
<br /> 08/27/11 08/27/12 PERSONAL 8 ADV INJURY S 1,000,000
<br /> GENERAL AGGREGATE _ $ 2,000,000
<br /> GENT AGGREGATE UMIT APPLIES PER: PRODUCTS-COMP/OP AGG S 2,000,000
<br /> —1 POLICY n JF f n LOC $
<br /> AUTOMOBILE UABIUTY LCEOMBBINdBDtSINGLE LIMIT $ 1,000,000
<br /> accB X ANY AUTO 21 UENJB7000 01/01/12 01/01/13 BODILY INJURY(Per person) S
<br /> ALL OWNED SCHEDULED BODILY INJURY(Per accident) S
<br /> AUTOS AUTOS
<br /> NON-O PROPERTY DAMAGE
<br /> HIRED AUTOS AUTOS OWNED
<br /> (Pas accident)
<br /> S
<br /> X UMBRELLA UAB X OCCUR EACH OCCURRENCE 5 10,000,000
<br /> C
<br /> EXCESS UAB CLAIMS-MADE AUC594612803 01/01/12 01/01/13 AGGREGATE $ 10,000,000
<br /> DED X RETENTION 0 s
<br /> WORKERS COMPENSATION VAC STATU- 0TH-
<br /> AND EMPLOYERS'LIABILITY X TORY LIMITS °R
<br /> -
<br /> AND
<br /> ANY PROPRIETOR/PARTNER/EXECUTIVE YIN CI
<br /> NIA 21WBN03209 01/01/12 01/01/13 E.L.EACH ACDENT S 1,000,000
<br /> OFFICER/MEMBER EXCLUDED?
<br /> (Mandatory In NH) E.L DISEASE-EA EMPLOYEE S 1,000,000
<br /> If yes,describe under
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 5 1,000,000
<br /> E Professional Liab AEH288358005 08/27/11 08/27/12 Per Claim 5,000,000
<br /> Claim Made RETENTION: $200,000 Aggregate 5,000,000
<br /> DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required)
<br /> RE:Resolution C1112.006/CGA 11-4582 Executed Agreement
<br /> City of Sunny Isles Bch is listed as additional insured with
<br /> respects to general liability with repect to liability arising out of
<br /> operations performed for the City by/or behalf of Consultant or acts/
<br /> or omissions of Consultant in connection with such operation(Contd)
<br /> CERTIFICATE HOLDER CANCELLATION
<br /> SUNNYIS
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> Cityof SunnyIsles Beach THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> Building Department
<br /> 18070 Collins Avenue AUTHORIZED REPRESENTATIVE
<br /> Sunny Isles Beach,FL 33160
<br /> '1(444)444/4L/ "4
<br /> I '
<br /> ©1988-2010 ACORD CORPORATION. All rights reserved.
<br /> ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD
<br /> STB
<br />
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