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I <br /> I STA <br /> , &Ass a4 <br /> 40 <br /> I ( INSURANCE INFORMATION <br /> 1 J <br /> GENERAL LIABILITY INSURANCE <br /> ----- .1 OP ID:CM i. <br /> . ACORn CERTIFICATE OF LIABILITY INSURANCE Mit <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 DISURERISI.AUTHORIZED F <br /> I <br /> REPRESENTATIVE OR PRODUCER.AND THE CR <br /> CERTIFICATE HOLDE <br /> Y PORN TANT: the ceNRW bIO <br /> C nobler an ADDITIONAL INSURED.the poecylbsl must to endorsed. II SUBROGATION 13 WANED.suelect to <br /> L DDTe bene and conditions of the Im6ey,certain policies may require an endon.ISt A statement on Ddb eartaleate does ea Corder roles to the - <br /> eeNMri holder In Bou of such endorsement/M. <br /> CONTACT <br /> O <br /> Proacdm Insurance 954457-8X38 R' <br /> 409 SE 7Th St Ft]3]01 954944-1851 ...art (MSM y <br /> I II WORM <br /> "“":"OPITIWA o.REALE4 <br /> .. Douglas A.Levy <br /> _ _ _ .NW[ASI WOW.WHEW Oce <br /> SUED G.Batista II As.ociatn .mewl•:United Specialty Ins.Co. 5 <br /> 10400 Griffin Road Suite 201 Imam)e:Evanston Insurance Co. <br /> f Cooper City,FL 03328 F <br /> MOW c: c <br /> slavap o: <br /> a. <br /> e ra e: <br /> ee1Me I: <br /> COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <br /> TCS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LUSTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br /> INDICATED NDTVOTHSTN1dNG Ma REDUWFYENT,TERM OR COHP1gN OF ANY CONTRACT OR OTHER DOCUMENT LN1N RESPECT TO INCH THIS <br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN.THE MSURUICE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. <br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN WY HAVE SEEN REDUCED BY PAID CLAIMS C. <br /> -IF POUCI <br /> . VA TM a emus' AjnA eW Neel WC..waes Imloprnas wn•DOFm4 FTIl all <br /> I WSW Cal*r I LEACH OCCURRENCE IL 1.000.00E <br /> Ixlcol <br /> A malt ROA GENERALter/ NSI211053 10127/11 10/77/12 �..q ro. Y.. I IL <br /> ]a.ao-u.o Q7( accw I Hoo UP Om ere IL SACC <br /> I `rtasdul•ADV AMI. I L 1.100AOE 000.00E <br /> .II I GOERM CUNOn I L 2.000.00C <br /> nn CDROM urn MIRes nesI I l e.owcn-canRN I I 2,odo.BOE <br /> 11(Iqu,n�� nIOC I I I IL <br /> (WI ,hh11 TT I , IIE.wrFen WILE WI �L <br /> �q <br /> D Mn Mns <br /> — <br /> ALL QltD Mons I lido.BIF.IPBNW 1s <br /> SORRELL wen <br /> "MED <br /> oAuI IMFAT.pouf! IL t_ <br /> =AUDI <br /> I i•B WRDMn00 IL k <br /> I 1 I I I I II <br /> L_I!AmmW LW I~I CCOP 1 t I NenocawH¢Nn I s <br /> .I.MEn W. aAMS IE Ispawn It <br /> ImI aroma I I II <br /> It <br /> .I <br /> IvIBONPWd I iaMme1vTeial k`n'it - <br /> A E VrELENW Own <br /> :B .OR.WTNERt.LWO <br /> INE I,'• I LIEN Aa,a It <br /> VeCLAlMR.LVnRm <br /> It rY�meev.ewMl II I I EL I Et Wan-¢LA .E <br /> ENPLOE5 <br /> I. <br /> 1 - atcaed oR dS lORAT . I I I I I ct WIWI.PILAW LBT II <br /> pp fA1T4:a LOCATIONS an A�N Al <br /> RATT LOCTIMMIX,Haw Twow e .a Aie <br /> tractor <br /> li ta N mownf G1MEa GOII <br /> I.1 CERTIFICATE HOLDER CANCELLATION <br /> t INSURED i <br /> i. <br /> MOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> SH <br /> ' THE EWPp1AT10N GATE THEREOF. NOTICE MEd. BE OEUVERED I - <br /> —INSURED COPY•' AI.O.n.M..WITH THE POLICY PROVISIONS_ <br /> FOP YOUR RECORDS ONLY <br /> .WTIq®IpJT®n•TIW <br /> ' C 1va6z009 ACORD COrRPORATTDN. AD ryfw reserved. <br /> ACORD 2512001301 The ACORD name and logo an,pitesred nerb S ACORD <br /> • <br /> 1 -. _ .. <br /> 1 CITY OF SUNNY ISLES BEACH <br /> RFQ No.12-0402 <br /> I <br />