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Ann °J CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) ...•-- 01/14/13 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 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: Hemisphere Insurance Group twcNN,Exti; (305)501-2801 I (FaX ) 11401 SW 40 St Ste 340 E-MAIL DDR hemis hereins r (A/c,No): (305)553 9010 ADDRESS: P g p @aoLcom Miami,FL 33165 INSURER(S)AFFORDING COVERAGE NAIC S Phone (305)501-2801 Fax (305)553-9010 INSURER A: SCOTTSDALE INS COMANY INSURED INSURER B FCCI INS COMPANY JVA ENGINEERING CONTRACTORS INC INSURER C: 6600 NW 32nd Ave INSURER D: MIAMI,FL 33147 (305)696-7902 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 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 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. INSR TYPE OF INSURANCE ADDLSUBR POLICY EFF POLICY EXP INSR WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000.00 DAMAGE TO 0 COMMERCIAL GENERAL LIABILITY PREMISES(Ea RENTED $ 100,000.00 ❑ ❑ CLAIMS-MADE 0 OCCUR CPS1707908 MED EXP(Any one person $ 5,000.00 A 0 XCU 12/13/2012 12/13/2013 PERSONAL 8 ADV INJURY $ 1,000,000.00 O IND CONTRACTOR GENERAL AGGREGATE $ 2,000,000.00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000.00 ❑ POLICY 0 JEC ❑ LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000.00 (Ea accident) $ O ANY AUTO BODILY INJURY(Per person) $ B ❑ ALL OW NED SCHEDULED CA0014904 BODILY INJURY(Per accident) $ Auros ❑ Auros 12/13/2012 12/13/2013 Q HIRED AUTOS © AUTOS ON-OWNED PROPERTY DAMAGE $ (Per accident) ❑ ❑ $ O UMBRELLA LIAB ❑OCCUR EACH OCCURRENCE $ 3,000,000.00 EXCESS UAB XBS0027183 A ❑ ❑CLAIMS-MADE 12/13/2012 12/13/2013 AGGREGATE $ 3,000,000.00 ❑ DED ❑ RETENTION$ $ WORKERS COMPENSATION 51 TORY TAWS ❑ERH AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE 001WC11A63078 E.L.EACH ACCIDENT $ 1,000,000.00 B OFFICER/MEMBER EXCLUDED? n N/A 12/13/2012 12/13/2013 (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ 1,000,000.00 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000.00 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,If more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE CITY OF SUNNY ISLES THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN 18070 Collins Avenue ACCORDANCE WITH THE POLICY PROVISIONS. SUNNY ISLES BEACH,FL 33160 AUTHORIZED REPRESENTATIVE .4t_7( "d_e_e_e___,. ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05)QF The ACORD name and logo are registered marks of ACORD