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Client #: 1050557 AXIOM3 ACORD,. CERTIFICATE OF LIABILITY INSURANCE F6WfE (MM/DD/YYYY) 6/16/2014 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 USI Insurance Services, LLC, 1715 N. Westshore Blvd. Suite 700 CONTACT NAME: PHONE g13 321 -7500 AX Lo Ext : ac, No): 813 321 -7525 MA ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # Tampa, FL 33607 INSURER A: Travelers Indemnity Company of 25682 INSURED INSURER B: Wesco Insurance Company 25011 Axioma 3 Inc. X COMMERCIAL GENERAL LIABILITY I 7418 SW 48th Street INSURER C : pAMAGE TO RENTED PREMISES Ea occurrence Miami, FL 33155 INSURER D: CLAIMS -MADE Ex:1 OCCUR 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 CONTRACTOR 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 LTR TYPE OF INSURANCE ADDL INSR SUBR WVD POLICY NUMBER POLICY EFF MM/DD POLICY EXP MM /DD LIMITS A GENERAL LIABILITY 6609486M670 2/01/2014 02/01/201 EACH OCCURRENCE $110001000 X COMMERCIAL GENERAL LIABILITY I pAMAGE TO RENTED PREMISES Ea occurrence $1,000,000 CLAIMS -MADE Ex:1 OCCUR MED EXP (Any one person) $10,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $ 2,000,000 ! POLICY 7 PRO LOC JECT $ A AUTOMOBILE LIABILITY 6609486M670 2/01/2014 02/011201 EO BINEDDtSINGLE LIMIT 11,000,000 BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS 1 BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ X NON -OWNED X HIRED AUTOS AUTOS UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ WORKERS COMPENSATION WC STATU- OTH- TORY LIMITS ER AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑ N I A 1 E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ (Mandatory in NH) E.L. DISEASE - POLICY LIMIT $ If yes, describe under DESCRIPTION OF OPERATIONS below B Professional ARA111937600 1112712013 11127/201 $1,000,000 per claim Liability $1,000,000 annl aggr. DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Professional Liability is written on a claims -made and reported basis. 4M Investors, LLC and International General Contractors, Inc. are named as an additional insured with respects to General Liability per written contract. is being issued pursuant to the requirements of the June 10,1014 Second Amendment and Consent to Assignment & Section 10.4.3.1. The deductible on the professional liability policy is $5,000 per claim. City of Sunny Isles Beach Attn: Mr. Marc Tulloch 18070 Collins Avenue Sunny Isles Beach, FL 33160 ACORD 25 (2010/05) 1 of 1 #S12697936/M11556151 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ")1- 06- -cat- A01— ©1988 -2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD MRLEW