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• • • _ GURRMAT-01 JTORRES • ACORO DATE(MWDD/YYYY) • �� CERTIFICATE OF LIABILITY INSURANCE 4/2412012 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 Zoraida Gonzalez NAME: • Collinsworth,Alter,Fowler 8 French,LLC INC No,Eat):(305)822-7800 I(Nc,No):-(305)362-2443 8000 Governors Square Blvd ® Suite 301 ADDRESS:_"onzalez@caftlIc.com Miami Lakes,FL 33016 INSURER(S)AFFORDING COVERAGE NAIC tl • • INSURER A:Everest National Insurance Co INSURED INSURERS: • Gurri Matute PA INSURER C: ® 5001 SW 74th Court Suite 208 INSURER D: Miami,FL 33155 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. • I'M TYPE OF INSURANCE I ADDINBR!1 WVP POLICY EFF POLICY EXP LTR yND POLICY NUMBER I(MWDD/YTYY ) (MDDIYYYY)I I / LIMITS • I GENERAL LIABILITY I EACH OCCURRENCEDAMAGE.0 RENTED I$ • I I COMMERCIAL GENERAL�LIABILITY I PREM SES(Ea occurrence) I S I I CLAIMS-MADE I— OCCUR MED EXP(Airy one person) I $ • I PERSONAL 8 ADV INJURY $ _I GENERAL AGGREGATE S •. GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG S • I POLICY I 'lei n LOC S AUTOMOBILE LIABIUTY COMBINED SINGLE LIMIT �I (Ea acadenn $ • I ANY AUTO BODILY INJURY(Per penal) $ _LL OOVt4ED n SCiSCHEDULED BODILY INJURY(Per aagent) 5 • HIRED AUTOS I AUTO WNED I PROPERTY s erJ DAMAGE 5 • in I $ ® UMBRELLA LIAB I OCCUR I EACH OCCURRENCE $ �— EXCESS LIAB II CLAIMS-MADE AGGREGATE S • DEO I I RETENTIONS I $ WORKERS COMPENSATION I TORY LIMIT S I I 0IP-1 • AND EMPLOYERS'LIABILITY Y N ANY PROPRIETOR/PARTNERIEXECUTIVEE.L.EACH ACCIDENT $ OFFICERMEMBER EXCLUDEDi I� NIA • (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ IIresSCdeRIPTIsrnON be eldOF OPERATIONS Ebelow E L.DISEASE-POLICY LIMIT I S ® A Professional Liab I79AE000154111 10128/2011 10/28/2012 Each Claim 1,000,000 • A Claims-Made Basis I79AE000154111 1012812011 10/28/2012 Aggregate 2,000,000 • DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,it more space Is required) Professional Liability Deductible-S5,000; Professional Liability Retrodate-6/18/1999 • RE:City of Sunny Isles Beach RFP 2012 • • • ® CERTIFICATE HOLDER CANCELLATION 5 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Sunny Isles Beach THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. • 18070 Collins Avenue Sunny Isles Beach,FL 33160 • AUTHORZED RD RREPI�RREEESEENTATIVE • 1 a+'l O ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD Gurri Matute PA/RFQ No. 12-04-02/Page 6 • a