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(11-04-03) Stormwater Catch Basin Cleaning
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Last modified
9/10/2015 9:51:13 AM
Creation date
5/26/2011 10:49:56 AM
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Template:
CityClerk-Bids_RFP_RFQ
Project Name
Storm Water Catch Basin Cleaning
Bid No. (xx-xx-xx)
11-04-03
Project Type (Bid, RFP, RFQ)
Bid
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RDCERTIFICATE E CII- 152007 6- 997732 <br />AC71- 15200786- 997732 <br />5!20/2011 8:19: 13AM <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Highpoint Risk Services LLC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />14160 Dallas Parkway #500 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />Dallas, TX 75254 ALTER THE COVERAGF AFFORnFD RY THE —vv <br />(800) 632 -5096 (972) 715 -0959 <br />Sax: (372) 404 -4450 INSURERS AFFORDING COVERAGE <br />INSURED: AMS 1 /C/ f : INSURER A: Ompanion Property and Casualty Insurance C <br />GC CONSTRUCTION AND CONSULTING SERVICES, LLC INSURER 8: <br />2221 NE 164TH ST. STE 337 <br />INSURER C: <br />NORTH MIAMI BEACH, FL 33160 <br />(786) 470 -7510 Fax: (305) 947 -5284 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 <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 />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />POLICY EXPIRATIO <br />LIMITS <br />REPRESENTATIVES. <br />GENERAL <br />LIABILITY <br />MMERCIAL GENERAL LIABILITY <br />CLAIMS MADE ❑ OCCUR <br />EACH OCCURRENCE <br />$ <br />FIRE DAMAGE (Any One Fire) <br />$ <br />3:3 <br />MED EXP (Any one person) <br />$ <br />PERSONAL BADV INJURY <br />$ <br />GENERAL AGGREGATE <br />$ <br />GE T AGGREGATE LIMIT APPLIES PER: <br />POLICY r LOC <br />PRODUCTS - COMP /OP AGG <br />$ <br />AUTOMOBILE LIABILITY <br />ANY AUTO <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />HIRED AUTOS <br />NON-OWNED AUTOS <br />COMBINED SINGLE LIMIT <br />(Ea accident) <br />$ <br />BODILY INJURY <br />(Per person) <br />$ <br />BODILY INURY <br />(Per accident) <br />$ <br />PROPERTY DAMAGE <br />(Per accident) <br />$ <br />GARAGE LIABILITY <br />R ANY AU TO <br />AUTO ONLY - EA ACCIDENT <br />$ <br />OTHER THAN FA ACC <br />AUTO ONLY: AGG <br />$ <br />$ <br />EXCESS LIABILITY <br />OCCUR ❑ CLAIMS MADE <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />$ <br />DEDUCTIBLE <br />RETENTION $ <br />$ <br />$ <br />A <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY <br />rAC362727400 <br />04/01/2011 <br />04/01/2012 <br />X WCSTATU- OTH- <br />FR <br />E.L. EACH ACCIDENT <br />$ 1000000 <br />E.L. DISEASE - EA EMPLOYEE <br />S 1000000 <br />E.L. DISEASE - POLICY LIMIT <br />$ 1000000 <br />OTHER <br />LIMITS <br />$ <br />LIMITS <br />$ <br />rFRTIFIrATF Hnl nFP I I ADDITIONAL INSURED; INSURER LETTER: CANCELLATION <br />AI.UKU L,-:! ( /!`J /) ll MI.VKU t,.VRf VRAI IVry Iy00 <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAL 3 0 DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />City of Sunny Isle Beach., ., <br />18070 Collins Ave <br />IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />Sunny Isle Beach, FL 33160 <br />REPRESENTATIVES. <br />AUTHORIZED REPRESENTATIVE <br />AI.UKU L,-:! ( /!`J /) ll MI.VKU t,.VRf VRAI IVry Iy00 <br />
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