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^l CALVI-2 OP ID:N6
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<br /> L DATE(MMIDD/YYYY)
<br /> A��o" CERTIFICATE OF LIABILITY INSURANCE 01/03/12
<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 /> ONTACT
<br /> PRODUCER 954-776-2222 NCAME:
<br /> Brown&Brown of Florida,Inc. 954-776-4446 PHONr a Eger. b AX,No):
<br /> 1201 W Cypress Creek Rd#130 E-MAIL
<br /> P.O.Box 5727 ADDRESS:
<br /> Ft.Lauderdale,FL 33310-5727
<br /> Stephen E.Patton,AAI INSURERS)AFFORDING COVERAGE NAIC#
<br /> INSURER A:Hartford Casualty Ins.Co 29424
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<br /> INSURED Calvin,Giordano& INSURER B:Hartford Ins Co of Midwest 37478
<br /> Associates,Inc. INSURER c:American Guar 8r Liab Ins Co 26247
<br /> Attn:Dennis Giordano
<br /> 1800 Eller Drive#600 INSURER o: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 CONDMONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br /> -- ILSADDL SUER POLICY EFF POLICY EXP LIMITSTYPE OF INSURANCE INSR WVD POLICY NUMBER (MNVDDIYYYY) (MM/DD/YYYY)
<br /> GENERAL UABIUTY EACH OCCURRENCE S 1,000,000
<br /> 01/01/12 01/01/13 DAMAGE TO RENTED 300,000
<br /> A X COMMERCIAL GENERAL UABIIJTY 21 UUNLK3645 PREMISES(Ea occurrence) $
<br /> CLAIMS-MADE I I OCCUR MED EXP(Any one person) S 10,000
<br /> 08/27/11 08/27/12 PERSONAL s ADV INJURY $ 1,000,000
<br /> GENERAL AGGREGATE S 2,000,000
<br /> GEM.AGGREGATE LIMIT AP(PL�IE�S PER:
<br /> PRODUCTS-COMP/OP AGG S 2,000,000
<br /> —1 POUCYITO!pi I ILOC S
<br /> COMBINEDSINGLELIMIT S 1,000,000
<br /> AUTOMOBILE UABIUTY
<br /> B X_ ANY AUTO 21U ENJB7000 01/01/12 01/01/13 BODILY INJURY(Per person) $
<br /> ALL OWNED SCHEDULED _
<br /> BODILY INJURY(Per accident) S
<br /> AUTOS —NAUTOS
<br /> ON-OWNED PROPERTY DAMAGE S
<br /> HIRED ALTOS AUTOS (Per accident) _
<br /> S
<br /> X UMBRELLA UAB X OCCUR
<br /> EACH OCCURRENCE S 10,000,000 C EXCESS UAB CLAIMS-MADE AUC594612803 01/01/12 01/01/13 AGGREGATE s 10,000,000
<br /> DED I X I RETENTIONS 0 - S
<br /> WORKERS COMPENSATION X V.0 SLIMITS OER
<br /> AND EMPLOYERS'UABIUTYY 21WBN03209 01101/12 01/01/13 E.L EACH ACCIDENT S 1,000,000
<br /> D ANY PROPRIETOR/PARTNER/DCECUTIVE I/N I N/A 1,000,000
<br /> OFFICER/MEMBER EXCLUDED? E.L DISEASE-EA EMPLOYEE S
<br /> (Mandatory In NH) 1,000,000
<br /> I(yyes dIPTIONunder E.L DISEASE-POLICY LIMIT S
<br /> OES(:RIPTION OF OPERATIONS below
<br /> E Professional Liab AEH288358005 08/27/11 08/27/12 Per Claim 6,000,00(1
<br /> Claim Made RETENTION: $200,000 Aggregate 5,000,000
<br /> DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if rnore 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 /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> City of Sunny Isles Beach ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> Building Department
<br /> 18070 Collins Avenue AUTHORIZED cREPRESENTATIVE��
<br /> Sunny Isles Beach,FL 33160 ` / /c24 .
<br /> � "44
<br /> 101988-2010 ACORD CORPORATION. All rights reserved.
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<br /> ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD
<br /> SiB
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