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11I <vI ­11 1 01J0004o1i r role uLQuP r -ax <br />IQJUUI /UUG <br />AcoRO CERTIFICATE OF LIABILITY INSURANCE 8/11 /2o B ' <br />PRODUCER (813) 890 -0415 FAX: (813) 885 -4311 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Prime Group Insurance Services ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />`40 0 ucaumont (' er ALT`p TUG /1l /C� 11 /�C ACC LD UV Tl1C I I/ICC CCI 1�1 <br />J'f '>«/ �. L.Cl1 �.Ct D1V11. I R L VV VER-A E 1 ,IL POLI VILJ SELO"N. <br />Suite 0445 1 <br />Tampa FL 33 634 INSURERS AFFORDING COVERAGE I NAIC # <br />INSURED INSURERA:AmCOMP Preferred Ins. Co.! <br />Tenex Enterprises, Inc. INSURER B: <br />850 S.W. 14th Court INSURER C: ' <br />Pompano Beach, FL. 33060 INSURER D: <br />INSURER E: <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY <br />REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, <br />THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES <br />ALL <br />Ll KthA t t_ LI 115 srtUVVN MAY HAVE BEEN <br />REDUCED BY PAID CLAIMS. <br />INSR <br />ADD'LI <br />(POLICY EFFECTIVE <br />POLICY EXPIRATION <br />T <br />TYPE OF INSURANCE <br />POLICY NUMBER DATE (MMIDD/YY <br />GATE MM /DD/Y`( <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE <br />Is <br />DAMAGE TO RENTED PREMISES Ea oxuvence <br />$ <br />COMMERCIAL GENERAL LIABILITY <br />MED EXP An one erson <br />$ <br />CLAIMS MADE D OCCUR <br />F4D <br />PERSONALS ADV INJURY <br />$ <br />GENERAL AGGREGATE <br />S <br />PRODUCTS - COMP /OP AGG <br />$ <br />GENT AGGREGATE LIMIT APPLIES PER <br />PE O <br />I <br />POLICY OC <br />AUTOMOBILE <br />LIABILITY <br />ANYAUTO <br />COMBINED SINGLE LIMIT <br />(Ea accident) <br />S <br />ALL OWNED AUTOS <br />BODILY INJURY <br />SCHEDULED AUTOS <br />(Per person) <br />$ <br />BODILY INJURY <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />(Per accident) <br />S <br />PROPERTY DAMAGE <br />S <br />(Par accident) <br />GARAGE LIABILITY <br />AUTO ONLY - EA ACCIDENT <br />$ <br />OTHER THAN EA ACC <br />S <br />ANY AUTO <br />S <br />AUTO ONLY: AGG <br />EXCESSIUMBRELLA LIABILITY <br />$ <br />AGGREGATE <br />S <br />OCCUR CLAIMS MADE <br />$ <br />$ <br />DEDUCTIBLE <br />$ <br />RETENTION S <br />A` WORKERS COMPENSATION AND <br />WC STATU- OT" <br />EMPLOYERS' LIABILITY <br />x T R LIMITS R <br />E.L- EACH ACCIDENT <br />$ 1,000,0001 <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFs.desrioeunR EXCLUDE D? WCV7061482 <br />6/30/2008 <br />6/30/2009 <br />E.L. DISEASE - EA EMPLOYEE$ <br />1,000,000 <br />If yes, descrioe under <br />°_ �_. DISEASE POLICY LIMIT <br />5 1,000,000 <br />SPECIAL PROVISIONS be!ow <br />OTHER <br />DESCRIPTION OF OPERATIONS /LO CATION SIVEHICLES /EXCLUSIONS ADDEO BY ENDORSEMENT /SPECIAL PROVISIONS <br />Invitation #08- 06 -01- CGA Project #05 -4893. Atlantic Isles Roadway 6 Utility Improvements. <br />I <br />OLDER <br />City of Sunny Isles Beach <br />18070 Collins -venue Ste 1250 <br />Sunny Isles Beach, FL 33160 -2723 <br />CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL <br />10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT <br />FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE <br />INSURER, ITS AGENTS OR REPRESENTATIVES. <br />AUTHORIZED REPRESENTATIVE cTI��—s..11 <br />Ed Ellsasser Ir <br />ACORD 25 (2001/08) © ACORD CORPORATION 1988 <br />INS025(oios).oaa Page I ore <br />