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/ "N CALV1.2 OP ID: PA
<br /> AC CI? CERTIFICATE OF LIABILITY INSURANCE OAT 02/04D/YYYy)
<br /> 02104113
<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 /> PRODUCER 954-776-2222 NOONEACT
<br /> Brown&Brown of Florida,Inc. PHONE FAx
<br /> g54 776-0446
<br /> 1201 W Cypress Creek Rd#130 rat,Eat): 1(A/C,No):
<br /> P.O.Box 5727 E-MAIL
<br /> Ft.Lauderdale,FL 33310-5727 ,ADDRESS:
<br /> Stephen E.Patton,AA( INSURER(S)AFFORDING COVERAGE I NAIL d
<br /> INSURER A:Hartford Casualty Ins. Co 129424
<br /> INSURED Calvin, Giordano& INSURER a:Hartford Ins Co of Midwest 137478
<br /> Associates,Inc. INSDRERC:American Guar&Liab Ins Co 26247
<br /> Attn:Eller Drive#Dennis Giordano 600o
<br /> 1800 INSURER 0:Hartford Fire Insurance Co. 19682
<br /> 1800
<br /> Ft. Lauderdale,FL 33316 INSURER E:Continental Casualty Company 20443
<br /> 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.EFF MI TYPE OF INSURANCE I NSR Swr,Rll POLICY NUMBER I(MMIDOYM'YY) (MMIOD(DlYYWI I IASITS
<br /> GENERAL LIAnn IT' EACH OCCURRENCE s 1,000,000
<br /> A X I COMMERCIAL GENERAL LIABILITY X X 21UUNLK3645 01/01/13 01/01/14 DAMAGISETORENTED n 300,000
<br /> PREMES�Ea omrerrel s
<br /> 1 I CLAIMS-MADE X OCCUR MED EXP(Any one person) S 10,000
<br /> PERSONAL&ADV INJURY S 1,000,000
<br /> GENERAL AGGREGATE S 2,000,000
<br /> GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG 5 2,000,000
<br /> GENII
<br /> I R I PRa �LOC I 5
<br /> 1 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000
<br /> (Ea woolen() 5
<br /> B X ANY AUTO X 21UENJB7000 01/01/13 01101/14 BODILY INJURY(Per person) 5
<br /> X ALLOWNED 1 SCHEDULED BODILY INJURY(Per aodent) 5
<br /> FUTOS NON-O
<br /> X HIRED AUTOS X AUTOSTIED I(Permo PROPERTY D:AI:.GE 5
<br /> A(TOS (Per aoolent)
<br /> X C011$1000 X Comp 51000 I s
<br /> X 1 UMBRELLA UAE I X I OCCUR ( I EACH OCCURRENCE $ 10,000,000
<br /> C EXCESS LWa I I CLAIMS-MADE AUC594612804 01/01/13 01/01/14 1 AGGREGATE $ 10,000,000
<br /> I DED I X I RETENTIONS 01 I I $
<br /> WORKERS COMPENSATION V✓CSTATU- OWl-
<br /> AND EMPLOYERS'I JAM fly X TORY LIMITS ER
<br /> D ANY PRDPRIETORIPARTNERIEXECUTIVE YIN NIA X 21WBN03209 01101113 01101/14 E.L.EACH ACCIDENT 5 1,000,000
<br /> OFFICER/MEMBER EXCLUDED?
<br /> (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE 5 1,000,000
<br /> II yes.describe waver .
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 5 1,000,000
<br /> E Professional Liab !AEH288358005 08/27/12 08127/13 Per Claim 5,000,000
<br /> Claim Made RETENTION: 5200,000 Aggregate 5,000,000
<br /> ' DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,It more space Is required)
<br /> RE:Auth No.149 North Bay Road Bridge Mitigation Site Topographic Survey
<br /> CGA Proposal No.13-5572
<br /> City of Sunny Isles Beach is listed as additional insured with respects
<br /> to general liability with respect to liability arising out of operations
<br /> performed for the City by/or behalf of Consultant or acts/ (SEE NOTES...)
<br /> CERTIFICATE HOLDER CANCELLATION
<br /> SUNNYIS
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> City of Sunny Isles Beach THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> tY Y ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> Building Department
<br /> 18070 Collins Avenue,4 Floor AUTHORIZED REPRESENTATIVE
<br /> Sunny Isles Beach, FL 33160 ' / /0. /
<br /> C)1988-2010 CORPORATION. All rights reserved.
<br /> ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD
<br />
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