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I l i ACO® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIDNY) L '. 11/29/2012 I 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 I 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 CONTACT NAME: Reagan Insurance PHONE FAX 8 E Main Street P O BOX 191 Street we No EMI 315-673-2094 I(A/C,No)315-673-1121 EMAIL ADDRESS: Marcellus NY 13108 INSURER(S)AFFORDINGCOVERAGE I NAIC# INSURER A:Wes00 25011 INSURED BALLOON INSURER B National Fire Insurance Co T Danv 20478 Ballard Construction, Inc. INSURERC:COniinental C. ualtv Co (CNA) 20443 320 Bridge Street INSURER D Syracuse NY 13209 I INSURER E INSURER F: I COVERAGES CERTIFICATE NUMBER:1370612223 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD I 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. ILTRI TYPE OF INSURANCE I INSR I MOI POLICY NUMBER (MM/LDDY ) (MMNDIYEYYYI LIMITS 1 B I GENERAL LIABILITY 5084283902 5/7/2012 5/7/2013 EACH OCCURRENCE 1 51,000,000 - IX I COMMERCLAL GENERAL LIABILITY PREM GISES(Ea acaneace) 13500,000 I I IGVilMS-MADE X I OCCUR MED EXP(My one perso)) $15,000 I H PERSONAL&MN INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GENII AGGREGATE LIMIT APPLIES PER I PRODUCTS COMP/OP AGG $2,000,000 I POLICY IX I JEPCT IX I LOC I S B I AUTOMOBILE LIABILITY 5084283916 /2012 5/7/2013 COMB NED SINGLE LIMIT 1 (Ea ILdent) 31,000,000 X I ANY AUTO BODILY INJURY(Per person) 3 IX I— SCHEDl1LED BODILY INJURY(Perawden0 $ AUTOS I AUTOS IX I HIRED AUTOS IX I AUTOS ED PROPERTY DAMAGE IPer acddmt $ I I I I Hired Phys Omg Y0,000 C IX I UMBRELLA LIAB IX I OCCUR 5084283933 5/7/2012 5/7/2013 EACH OCCURRENCE 55.000.000 I I EXCESS LIAB I I CLAIMS-MADE AGGREGATE 55,000,000 I I DED I X I RETENTION 510.000 I I $ A WORKERS COMPENSATION 1493484 5/7/2012 5/7/2013 X WC STATLL DTH - ANDEMPLOYERS'LIABILTY I (TORY LIMITS I R_ ANY PROPPoETORIPARTNERIFJ(ECIfTNE Y/N N/A E EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? I (Mandatory In NH) E.L DISEASE-EA EMPLOYEE $1,000,000 I dyes describe OF under DESCRIPTION OF OPERATIONS below EL DISEASE-POLICY LIMIT 1 31.000.000 B Leased/Rented Equip B 5084283902 577/2012 517/2013 5150,000 Del.$1,000 Installation Coverage $950,000 Dee.$2,500 I DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,II more space Is required) "NOTE:Workers Compensation policy is for ALL STATES EXCEPT NEW YORK" Auto Hired Physical Damage Deductibles$500 Comp/$500 Collision FOR BIDDING PURPOSES'BID DATE 12-5-12' Project:Artificial turf for Senator Gwen Margolis and Pelican Community Parks/Proposal I #12-10-03 *Coverages will be put into effect when above job has been awarded to the insured' Certificate Holder and all other parties as required by contract are named as additional insured on the General Liability Policy and as See Attached... ICERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Sunny Isles Beach ACCORDANCE WITH THE POLICY PROVISIONS. 18070 Collins Ave. Sunny Isles Beach FL 33160 AUTHORIZED REPRESENTATIVE I ©1 8-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD 1111 I