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G <br />�1' <br />s <br />a:. <br />u <br />0 <br />ACQRP. CERTIFICATE OF LIABILITY INSURANCE page 1 of 2 <br />05130/2007 <br />PRODUCER 877 - 945 -7378 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Willis North America, Inc. <br />26 Century Blvd. <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />P. O. Box 305191 <br />Nashville, TN 372305191 <br />INSURERS AFFORDING COVERAGE <br />NAIC# <br />INSURED Williams Paving Co., Inc. <br />INSURERA:Old Republic Insurance Company <br />24147 -001 <br />11300 NW South River Dr. <br />Medley, FL 33178 <br />INSURERB:American Guarantee and Liability Insuranc <br />26247 -001 <br />INSURERC: <br />INSURER D: <br />INSURER E: <br />DAMAGE TO RENTED <br />PREMISES Ea occurence <br />$ 100 000 <br />�A <br />�r <br />�st a <br />W <br />dr� <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />LTR <br />ADD'L <br />INSRE <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICYEFFECTIVE <br />DATE MMIDD/YY <br />POLICY EXPIRATION <br />DATE MM /DD/YY <br />LIMITS <br />A <br />X <br />GENERAL LIABILITY <br />A2CG37160702 <br />3/25/2007 <br />3/25/2008 <br />EACH OCCURRENCE <br />$ 11000,000 <br />X COM MERCIAL GENERAL LIABILITY <br />DAMAGE TO RENTED <br />PREMISES Ea occurence <br />$ 100 000 <br />CLAIMS MADE OCCUR <br />MED EXP(Any one person) <br />$ 5,000 <br />PERSONAL& ADV INJURY <br />$ 11000,000 <br />GENERAL AGGREGATE <br />$ 2,000,000 <br />GENI AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS- COMP /OP AGG <br />$ 2,000,000 <br />POLICY FX PECOT- LOC <br />A <br />AUTOMOBILE <br />X <br />LIABILITY <br />ANYAUTO <br />A2CA37160702 <br />3/25/2007 <br />3/25/2008 <br />COMBINED SINGLE LIMIT <br />(Ea accident) <br />$ 11000,000 <br />BODILY INJURY <br />(Per person) <br />$ <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />BODILY INJURY <br />(Per accident) <br />$ <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />PROPERTYDAMAGE <br />(Per accident) <br />$ <br />GARAGE LIABILITY <br />AUTO ONLY -EA ACCIDENT <br />$ <br />OTHERTHAN EAACC <br />$ <br />ANY AUTO <br />$ <br />AUTO ONLY: AGG <br />B <br />EXCESS LIABILITY <br />AUC591930201 <br />3/25/2007 <br />3/25/2008 <br />EACHOCCURRENCE <br />$ 51000,000 <br />X OCCUR CLAIMS MADE <br />AGGREGATE <br />$ 5,000,000 <br />$ <br />DEDUCTIBLE <br />$ <br />RETENTION $ <br />A <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY <br />A2CW37160702 <br />3/25/2007 <br />3/25/2008 <br />X TORY LIMITS OER <br />E.L. EACH ACCIDENT <br />$ 500,000 <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />E.L. DISEASE - EA EMPLOYEE <br />$ 500.000 <br />OFFICER/MEMBER EXCLUDED? <br />If yes, describe under <br />SPECIAL PROVISIONS below <br />E.L. DISEASE - POLICY LIMIT <br />$ 500,000 <br />OTHER <br />DESCRIPTION OF OPERATIONS /LOCATIONSIVEHICLESIEXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS <br />Re: State Road 826 / Sunny Isles Boulevard Project <br />It is agreed that City of Sunny Isles Beach is included as an Additional Insured as respects to <br />General Liability, but solely in regards to work being performed by or on behalf of the Named <br />Insured in connection with the project described herein, as required by contract. <br />CFRTIFICATF I-Inl IIFR CAKICFI I ATInN <br />ACORD 25 (2001/08) <br />Coll:1998501 Tp1:614338 Cert:9000940 <br />©ACORD CORPORATION 1988 <br />�o.+ s <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />City of Sunny Isles Beach <br />REPRESENTATIVES. <br />AU RIZED REPRESENTA I <br />18070 Collins Avenue <br />Sunny Isles Beach, FL 33160 <br />AJr <br />ACORD 25 (2001/08) <br />Coll:1998501 Tp1:614338 Cert:9000940 <br />©ACORD CORPORATION 1988 <br />�o.+ s <br />