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<br />OP 10: JW
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<br />ACORD. CERTIFICA TE OF LIABILITY INSURANCE I DATE llolMIDDNYYYI
<br />~ 08/03/11
<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
<br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
<br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
<br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
<br />IMPORTANT: If tho cortlflcato holdor Is an ADDITIONAL INSURED, tho pollcy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to
<br />tho torms and condItions of tho policy, cortaln pollclos may roqulre an endersement. A statement on this certlllcate does not confer rights to tho
<br />certlncale holder In lieu of such endorsemenlls'l.
<br />PRODUCER 386.252-9601 ,,9I1TACT
<br />Brown & Brown of Florida, Inc. NAME:
<br />D'gtona Beach Office -. . " O' 386-239-5729 1'..tJ8N,To EkI': -. .' _.~- ...-- Ir~ No"
<br />P. . Box 2.412. ~s:
<br />Da~ona Beach, FL 32.115-2.412. 1[~~~lU' BROWN.3
<br />M. ecker Youngman
<br /> INSURERlSI AFFOHOINO COVERAGE NAIC.
<br />INSURE[) BROWN & BROWN OF FLORIDA INC INSURER A: Travelers PrOD & Cas of Amer 25674
<br /> POBOX 2412 INSURER B: National SuretV"CorDoratlon 21881
<br /> DAYTONA BEACH, FL 32115 INSURER c: Charter Oak Fire Ins 26616
<br /> INSURER 0 ,XL Sneclaltv Ins Co 37885
<br /> INSURER E: Executivo Risk Indemnltv 36181
<br /> INSURER F:
<br />
<br />COVERAGES
<br />
<br />CERTIFICATE NUMBER'
<br />
<br />REVISION NUMBER'
<br />
<br />"
<br />W
<br />
<br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
<br /> INDICATED. NOlWlTHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT 'MTH RESPECT TO Vv'HICH THIS
<br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE pOLICIES DESCRIBED HEREIN IS SUBJECT TO AlL THE TERMS.
<br /> EXCLUSIONS AND CONDITIONS OF SUCH pOLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />I'r~~ TYPE OF INSURANCE PDUCY NUMBER 1,r.!:M%.~ ~gg~~ U~~TS
<br /> GElIERAL LIABILITY ~=i" S 1,000,000
<br /> -
<br />A ~ ==rtl.ERClAL GENERAl LIAbILITY TC2JGLSA9527B874-11 01/01/11 01/01/12 S 1,000,00
<br /> _ a.AlMS.I.4AOE [K) OCCUR 1.11:0 EXP 'An" MO 00"""') s 5,00
<br /> - PERSONAL & AT:N INJURY $ 1,000,00
<br /> - GENERAL AGGREGATE $ 2,1300,1313
<br /> lfiA~EnE LIMIT APflS PER: PROOUCTSoCOMP~PAGQ S 2,1300,1313
<br /> X POllCY ~,\lR; LOC S
<br /> AUTOMOBIlE LIABILITY COMBINED SINGLE LIMIT S 1,OOO,OOC
<br /> - (E. ....ddanI)
<br />A - NN AUTO TC2JCAP9627B862.11 01/01/11 131/01/12
<br /> OODIL Y INJURY (Pel' pel"on) S
<br /> - AlL O'MlED AUTOS OODIL Y INJURY (Pel' oOCldll<lI) $
<br /> - SCHEll\JlED AUTOS PROPERTY DAMAGE
<br /> ~ HlREDAUTOS (1'.. .rodonl) $
<br /> 15.. IIQH.QVd'IED AlIros $
<br /> $
<br /> UMBRELLA lIAD ~ OCCUR EACH OCCURRENCE $ 10,01313,1313
<br /> - 10,OOO,OOC
<br /> EXCESS UAD ClAIMS.lMDE AGGREGATE $
<br />B SUOOO031754039 131/01/11 01/01/12
<br /> - DEDUCTIBLE $
<br /> RETENTION . S
<br /> WORl<EIIS COMPEIlSAnON X STATU- I IOJ~'
<br />C AND EMPLOYERS' IJAOIUTY YIP/ TC20UB9517B58011 131/01/11 01/01/12 1,000,130
<br />AH'I PROPftIETORlPARTHEiVEXECUnvE D E.L. EACHACClOEIlT $
<br /> OFFJCEH/MEMBER EXCLUOED7 iliA
<br />A IMandatory In NH} TRJUB9618B76111 01/131/11 01/01/12 E.L DISEASE. EA EMPLOYEE $ 1,000,00
<br /> gr~~p~~ ~~PE'RATIONS below E. L. C1SEASE -I'OUCY L1IolIT $ 1.000,000
<br />0 INS AGENTS E&O ELU119910011 131/01111 131/01/12 EACH LOSS 5,000,000
<br />E EMP DIS/FIDELlTY 82220236 04/28/10 01/01/12 BLANKET 25.000,00
<br />8ESCRi5~OH OF OyERAroNS ILOX~~IlS I VlrlCLES ~n'o~ ACO~ lUkMdltlonal RHjarke S~'dUIA ~ 'l'.oro ljn~'Yv.CJUlrodl
<br />fTY SUNN IS ES BE IS A ADD 0 AL I S ED ON T E GE ER IA I I
<br />POLICY AS RESPECTS RFP.
<br />
<br />CERTIFICATE HOLDER
<br />
<br />CANCELLATION
<br />
<br />CITYS88
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />CITY OF SUNNY ISLES BEACH ACCORDANCE WITH THE POLICY PROVISIONS.
<br />18070 COLLINS AVE
<br />SUNNY ISLES BEACH, FL 33160 AUTHORIZEO REPRESE/ITA TIVE
<br /> ~~.r.~ .. ~
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<br />@ 1988-213139 ACORD CORPORATION. All rights rosorved.
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<br />Brown & Brown of Florida - Miami Division
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<br />- 3 -
<br />
<br />Proposal No. 11-08-0 I
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