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• • ------- .1 FRANCOS-02 TIRIZARRY • ACRO CERTIFICATE OF LIABILITY INSURANCE DAT/23/201IYYY) 4(23(2012 • 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 I CONTACT NAME: Beane Bennett Construction Risk Specialists PHONE � ) (NC,305 722-2663 rAx • 8000 Governors Square Blvd .(NC,No,En): ): Suite 101 ESWL ADDRESS: Miami Lakes,FL 33016 • INSURER(S)AFFORDING COVERAGE I NAZCA • ! INSURER A:Ironshore Indemnity Inc. 123647 INSURED I INSURER B: • Frank Costoya Architect PA • I INSURER C: 5230 S.University Drive#103 I INSURER D: • Davie,FL 33328 INSURER E: • I 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. • lit": NSR TYPE OF INSURANCE 'ADDLBUBR POLICY EFF POLICY EXP I LIMITS LTRIINSRTWW POLICY NUMBER �(MMIDDIYYYYJ MM/DDITYYY). I GENERAL LIABILITY • I EACH OCCURRENCE I S • I COMMERCIAL GENERAL LIABILITY PREMISES Es omrrence) I$ • 1 I I CLAIMS-MADE I OCCUR 1 MED EXP(Any one person) I S ' PERSONAL B ADV INJURY Is • i I GENERAL AGGREGATE IS • GENL AGGREGATE LIMIT APPLIES PER I PRODUCTS-COMP/OP AGG 1 S I I POLICY I I JECT II LOC I I S • I AUTOMOBILE LIABILITY I{Ea COMBINEDacddeny SINGLE LIMIT _ S ill In ANY AUTO I BODILY INJURY(Per person) S ALL OWNED SCHEDULED BODILY INJURY(Per accident) S • i AUTOS ' AUTOS • I HIRED AUTOS 1 I NON- NED rrpROPERTYDAMAGE I_ I`{Per acdaent) S • -1 I S UMBRELLA LIAR OCCUR I EACH OCCURRENCE IS • I I EXCESS LIAB I CLAIMS-MADE 1 AGGREGATE I S _I I DED I I RETENTIONS I I s • WORKERS COMPENSATION I WC STATU- I 0TH-' AND EMPLOYERS'LIABILITY y/N )TORY LIMITS I ER I • OFFICER/MEMBER/MEMBER EEXCLUDED?PROPRIETOR/PARTNER/EXECUTIVE I I N/A I I E.L.EACH ACCIDENT I S (If yes,atoq inesembe NH) I E.L.DISEASE•EA EMPLOYEE S • I DESCRIPTION OF OPERATIONS helm I I I E.L.DISEASE-POLICY LIMIT I S • A Professional Liab. 001078300 6/24/2011 6/24/2012 'Aggregate 8 Limit 1,000,000 • I • DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,II more space is required) • • • I • CERTIFICATE HOLDER CANCELLATION 1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE • The City of Sunny Isles Beach Attn: Risk Management Dept THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 18070 Collins Avenue ACCORDANCE WITH THE POLICY PROVISIONS. • Sunny Isles Beach,FL 33160 AUTHORIZED REPRESENTATIVE • C------------ • ©1988-2010 ACORD CORPORATION. All rights reserved. • ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD 6 0