|
LT Y
<br /> 'C`o'la• - .�- / / .. f �
<br /> . c>y, ��" �` Solicitation Number: 17-10-01 ) - ' p,�lunis:;,4,..... ,
<br /> 0,i,,,,,T,.'if.*.,.i.,q1‘)..,
<br /> ` \ `.1)I Rrt'`_l y - `1r4 .,..„)01
<br /> ,1 fNq /,
<br /> •i,T.,..4,v....1.„i.i:,.:'',•,i q.(
<br /> - �
<br /> J
<br /> q
<br /> AC 0® CERTIFICATE OF LIABILITY INSURANCE DATE
<br /> 023201
<br /> 7
<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 have ADDITIONAL INSURED provisions or be endorsed.
<br /> It SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement A statement on
<br /> this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
<br /> PRODUCER Liberty Mutual Insurance CONTACT
<br /> PO Box 188065 5 A,"EN
<br /> Fairfield,OH 45018a,.EXt1:
<br /> E-MAN 800-962-7132 I FAX No): 800-845-3666
<br /> ADDRESS: BusinessService@LibertyMutual.com
<br /> INSURER(S)AFFORDING COVERAGE NAIC a
<br /> INSURER A: Ohio Security Insurance Company 24082
<br /> INSURED INSURER e: Ohio Casualty Insurance Company 24074
<br /> Isom Global Strategies
<br /> 300 New Jersey Ave NW 900 INSURER C:
<br /> Washington DC 20001 INSURER D:
<br /> INSURER E:
<br /> INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER:38470060 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 /> NIT TYPE OF INSURANCE11NS I YAM I POLICY NUMBER I I D y n I(MI,4DtC.YIYYPY)1 LIMITS
<br /> A /I COMMERCIAL GENERAL LIABILITY BLS56570441 4/302017 4/30/2018 LEACH OCCURRENCE I f 1,000,000
<br /> I I CLAIMS-MADE I/I OCCUR ,DAPREMMAGEmES(ET'ORENTa ED
<br /> ocalnence) I S 1,000,000
<br /> I I MED ESP(Any one person) I S 15,000
<br /> PERSONAL S ADV INJURY S 1,000,000
<br /> GENT AGGREGATE LIMIT APPLES PER: GENERAL AGGREGATE 52,000,000
<br /> III
<br /> 11 POLICY I I JE-r I I LOC PRODUCTS-COMP/OP AGG f2,000,000
<br /> I OTHER: f
<br /> A AUTOMOBILE LIABILITY BAS56570441 4/30/2017 4/302018 CEO MBINED'SINGLE LIMIT 51,000.000
<br /> n1 ANY AUTO BODILY INJURY(Per person) S
<br /> I—I OWNED SCHEDULED BODILY INJURY(Per a darn) S
<br /> AUTOS ONLY AUTOS
<br /> IRED
<br /> I/I AUTOS ONLY AUTO-SS ONLY (PerPRso DAMAGE S
<br /> /
<br /> I I 1 1 f
<br /> B I/I UMBRELLA LABI /I OCCUR US056570441 4/30/2017 4/302018 EACH OCCURRENCE 54,000,000
<br /> I I EXCESS LIAB I7CLAIMS-MADE AGGREGATE 54,000,000
<br /> I I DED I /I RETENTIONS 10,000 I 1 S
<br /> WORKERS COMPENSATION I STATUTE I I W-
<br /> AND EMPLOYF-R5 LIABILITY y/N
<br /> 'ANYPROPRIETOR/PARTNERIEXECUTIVE I N/A E.L.EACH ACCIDENT S
<br /> OFFICER/MEMBER EXCLUDED?
<br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE S
<br /> tl yes.desaihe under
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT I S
<br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(A CORD 101.Additional Remerke Schedule.may Ea ettaclyd II more space In required)
<br /> -"Proof of Insurance—
<br /> CERTIFICATE HOLDER CANCELLATION
<br /> m Global Strategies SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> Iso
<br /> Iso New JerseyStAve s 900 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> Washington DU 20001 •
<br /> AUTHORIZED REPRESENTATIVE
<br /> I Ella Shackleford
<br /> ©1988-2015 ACORD CORPORATION. All rights reserved.
<br /> ACORD 25(201603) The ACORD name and logo are registered marks of ACORD
<br /> 38470060 156570441 117-10 nmc.r cern.fIcec. I Ella snncklefurd 110/23/2017 10,10:32 AM(COY) I Page 1 of 1
<br /> _,•,.,7_
<br /> •.,.,..1:4.40.4. -
<br /> Proprietary and Confidential.This proposal response includes data that shall not be disclosed outside of the rr° '- ;
<br /> U
<br /> • igi
<br /> CITY OF SUNNY ISLES BEACH,and shall not be duplicated,used,or disclosed — in whole or in part—for any 4� e,..-G. . ;i
<br /> • sKn -
<br /> ISom Global Strategies purpose other than to evaluate this response. P,
<br />
|