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<br /> <br /> <br />.. <br /> <br />Clle~' 84 <br /> <br />1WGMIL <br /> <br />ACORDTM CERTIFICATE OF LIABILITY INSURANCE T'- DATE.-vvvvJ <br />01128109 <br />PRODUCER THIS CERTlFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Hllb Rogal & .Hobbs of Florida, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTlI:JCATE <br />HOLDER. THIS eERTlFICATE DOES NOT AMEND, EXTEND OR <br />6771 Professional Parkway West ALTER THE COVERAGE AFFORDED BY THE POUCI15S BELOW, <br />Sarasota, FL 34240 <br />941 554-3140 INSURERS AFFORDING COVERAGE NAlC. <br /> - <br />ItIURED INSURERA: Zurich American Ins.Co, 16535 <br /> W. G. Mills, Inc, INSURER s: American Guarantee & Llab 26247 <br /> 3301 Whitfield Avenue INSURERC: FCCllnsurance Company 10178 <br /> Sarasota, FL 34243 INSURER D: <br /> INSURER E: <br /> <br />COVERAGES <br /> <br />THE POLICIES OF INSURANCE USTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FoR THE POUCY PERIOD INDICATED. NOTWITHSTANDING <br />Nf'( REQUIREMENT, TERM OR CONOITlON OF AIoIY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POUCIES DESCRIBED HEREIN IS SUBJECT TO AU. THE TERMS, EXCLUSIONS AIoIO CONOITlOl4S OF SUCH <br />POUCIES. AGGREGATE UMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />L.... __ TYPE OF INSuttAHCE POUCY NU.-eR ~~EXPIRATlDN u.n <br />A .!!"ERAL UAIIlUTY GL05918607-G3 02101/09 02101/10 EACH OCCURRENCE 51 000 000 <br /> lL OMERCIAL GENERAL UA8iUlY DAMAGE TO RENTED s300 000 <br /> - ClAIMS MADE ~ OCCUR MED EXP (Any one_) 510000 <br /> .!.. PD Ded:$25,OOO PERSONAl. & MN INJURY $1 000 000 <br /> - GENERAL AGGREGATE 52 000 000 <br /> ~1.AGG~UMITnSPER: PRODUCTS - COMPIOP AGO s2 000 000 <br /> POlICY X ':rRr LOC <br />B ~DIIDIIILE UA8IUTY BAP5918608..()3 02101/09 02101/10 COMBINED SINGLE UMIT <br /> ~ ANY AUTO (Eo -'1) 51,000,000 <br /> f...- ALL OWNED AUTOS BOOiL Y INJURY <br /> 5 <br /> SCHEDUl.EO AUTOS (~-) <br /> ~ <br /> ~ HIRED AUTOS BODII. Y INJURY <br /> $ <br /> ~ NQN.OWNED AUTOS (~ ocddenI) <br /> X Drive Other Car PROPERTY DAMAGe <br /> (~ 1IOCidlInl) $ <br /> RUAIIlUTY AUTO ONLY. EA ACCIDENT $ <br /> ANY AUTO OTHER THAN EA ACC 5 <br /> AUTO ONLY: AGO 5 <br />B EX~LLAUAIIIUTY AUC5918612-G3 02101/09 02101/10 EACH OCCURRENCE $10 000 000 <br /> ~. OCCUR D ClAIMS MADE AGGREGATE 510 000 000 <br /> 5 <br /> M DEDUCTIBLE 5 <br /> X RETENTION sO 5 <br />C WORKEIUI ~TION AND 001WC09A00390 01/01/09 01/01/10 X I we STATU- I IOJ!;'- <br /> a.&.OYER8' L.IAIIII.ITY :5500 000 <br /> ANY PROPRlETORIPARTNERlEXECUTlVE E.L. EACH ACCIDENT <br /> OFFICERlMEMIlER EXCLUDED? E.L. DISEASE - EA EMPLOYEE. .5500 000 <br /> ~~~~q-.. E.L. DISEASE - POlICY UMIT 5500 000 <br />A OTHER Contractor's CPP59187SO-G3 02101/09 02101/10 LeuedlRented Limit: <br /> Equlpment $500,000,00 <br /> Deductible: $5.000,00 <br />DE8CRPTION OF DPl!RATION8 / LOCATION8 / _LEa / EXCWSlONS ADDED BY ENDOR8EIEIIT / _ClAL_ <br />10 Days Notice of Cancellation will be given In the event of nonpayment of premium. <br /> <br />CERTIFICATE HOLDER <br /> <br />CANCELLATION <br />IHOULD ANY OF THE A80VE IlESCRlBEl POI.IClU BE CANCEU.ED BEFORI! Tltl! EXPIRATION <br />DATE THeREOF, 1ME I8IUIHG INSURER W1U.l!NIlu.YOR TO IIAIl. -38- DAft ~ <br />NOTlCI! TO 11fE CIRTFlCATE HOLDER NAIlED TO THE LEFT,IIUT FAlLl_ TO DO 10 lIHAU. <br />~ NO OlIUGATlON OR UAIIIUTY 01' ANY KIND UPON THE 1N8UIIIER, ITS AGENTS OR <br />REPIIE~ATlVE8. <br />AU11lOIlIZI!D <br /> <br />SAMPLE <br /> <br />ACORD 25 (2001/08) 1 of 2 <br /> <br /> <br />_272626 <br /> <br />CMCMA Ii ACORD CORPORATION 1988 <br /> <br />~ Response to The City of Sunny Isles Beach RFQ No. 09-03-01 <br />~ Professional Construction Services for Heritage Park and Parking Garage <br /> <br />submitted by IIJ] WG Mills <br />Wook H"d//BUi~ Right' <br />