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<br /> �....0.% SAFELLC-01 LNORTZ
<br /> ACORL' CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYY)
<br /> 4.------ 09/12/2018
<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 /> If 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 CONTACT
<br /> NAME:
<br /> RBN Insurance Services PHONE FAX
<br /> 303 E Wacker Dr. (NC,No,Ext):(312)856-9400 (A/c,No):(312)856-9425
<br /> Suite 650 A
<br /> ADDDREDRE
<br /> SS:
<br /> Chicago,IL 60601 INSURER(S)AFFORDING COVERAGE I NAIC#
<br /> I INSURER A:Hartford Acc.&Indemnity Co. 122357
<br /> INSURED I INSURER B:Hartford Fire Insurance Co. 119682
<br /> Calvin,Giordano&Associates,Inc. INSURERc:Navigators Insurance Company 142307
<br /> 1800 Eller Drive
<br /> Suite 600 INSURER D:Twin City Fire Insurance Co. 129459
<br /> Fort Lauderdale,FL 33316 I INSURER E:Great American E&S Ins.Co. 137532
<br /> I INSURER F: I
<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 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 FF POUCY EXP
<br /> LS I TYPE OF INSURANCE NSD ISWVD I POUCY NUMBER IMM/DD//UCYYYYYI IMM/DD/YYYYI LIMITS
<br /> A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE I$ 1,000,000
<br /> CLAIMS-MADE X OCCUR 83UENZV3951 10/03/2017 10/03/2018 DAMAGE TO RENTED 800,000
<br /> PREMISES(Ea occurrence) S
<br /> MED EXP(Any one person) $ 10,000
<br /> PERSONAL&ADV INJURY S 1,000,000
<br /> h'L AGGREGATE LIMIIT APPLIES PER: GENERAL AGGREGATE S 2,000,000
<br /> POLICY jECT I LOC PRODUCTS-COMP/OPAGG $ 2,000,000
<br /> OTHER: $
<br /> B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000
<br /> (Ea accident) $
<br /> X ANY AUTO 83UENZV5555 02/11/2018 02/11/2019 BODILY INJURY(Per person) S
<br /> OWNED SCHEDULED
<br /> AUTOS�� ONLY AUTOSBODILYBODILY INJURY(Per accident)I$
<br /> X AUTOS ONLY X AUUTOS ONLYY (PerPaccidentDAMAGE $
<br /> I$
<br /> C UMBRELLA LAB X OCCUR EACH OCCURRENCE S 10,000,000
<br /> X EXCESS LAB ` CLAIMS-MADE CHI7EXC885600IV 10/03/2017 10/03/2018 AGGREGATE $ 10,000,000
<br /> DED X I RETENTION S 0 $
<br /> D AND EMPLOYOMPENSATION ERS'LIABIUTY Y/N X I STATUTE I I EP- I
<br /> ,ANY PROPRIETOR/PARTNER/EXECUTIVE 83WECE0623 05/12/2018 05/12/2019 I 1,000,000
<br /> FFICER/MEMgER EXCLUDED? N/A E.L.EACH ACCIDENT 5
<br /> Mandatory In NH) 1,000,000
<br /> E.L.DISEASE-EA EMPLOYE $
<br /> It yes,describe under 1,000,000
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT I S
<br /> E Professional Liab TER 317-77-89 10/03/2017 10/03/2018 Each Claim/Aggregate 5,000,000
<br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
<br /> Re:Contract No.0312-147
<br /> City of Sunny Isles is named as additional insured on a primary and non-contributory basis as respects the general liability if required by written contract.
<br /> Waiver of subrogation applies to workers compensation,general liability,and auto liability when required by written contract.30 days notice of cancellation
<br /> except 10 days for non payment.
<br /> CERTIFICATE HOLDER CANCELLATION
<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 /> 18070 Collins Avenue
<br /> Sunny Isles Beach,FL 33160
<br /> AUTHORIZED REPRESENTATIVE
<br /> I 1-77___L.„......1.____,_
<br /> ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved.
<br /> The ACORD name and logo are registered marks of ACORD
<br />
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