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A` "Ra CERTIFICATE OF LIABILITY INSURANCE 1 O/25/2012 <br />DATE (MM /DD/YYYY) <br />1/9/2012 <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 the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsement(s). <br />PRODUCER LOCKTON COMPANIES, LLC -1 KANSAS CITY <br />444 W. 47TH STREET, SUITE 900 <br />KANSAS CITY MO 64112 -1906 <br />(816) 960 -9000 <br />CONTACT <br />NAME:- <br />- <br />PHONE FAx <br />Ext : A/C No <br />E -MAIL <br />ADDRESS: <br />INSURERS AFFORDING COVERAGE <br />NAIC k <br />INSURER A: Zurich American Insurance Company <br />16535 <br />INSURED LUKE'S LANDSCAPING, INC. <br />1343368 DBA LUKES- SAWGRASS LANDSCAPE <br />INSURER B: Pennsylvania Manufacturers' Assoc Ins Co <br />12262 <br />INSURER C: <br />PERSONAL & ADV INJURY <br />INSURER D: <br />GENERALAGGREGATE <br />2200 N. 30TH ROAD <br />INSURER E: <br />$ 2,000,000 <br />HOLLYWOOD FL 33021 <br />INSURER F: <br />A <br />AUTOMOBILE LIABILITY <br />X ANY AUTO <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />NON -OWNED <br />X HIRED AUTOS X AUTOS <br />I1!1 \ 1FRArFC FTR(C)IS RTl RFRTIFICATF NIIMRFR- 11595911 REVISION NUMBER: XXXXXXX <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. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH 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 />INSR <br />LTR <br />TYPE OF INSURANCE <br />ADDL <br />IN R <br />SUBR <br />WVD <br />POLICY NUMBER <br />POLICY EFF <br />MM /DD/YYYY <br />POLICY EXP <br />MM /DD/YYYY <br />LIMITS <br />A <br />GENERAL LIABILITY <br />X MMERCIAL GENER BILITY <br />CLAIMS-MAC <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />POLICY PRO LOC <br />N <br />N <br />GL06555467 -02 <br />10/25/2011 <br />10/25/2012 <br />EACH OCCURRENCE <br />DAMAGE TO RENTED <br />PREMISES (Ea occurrence) <br />$ 1,000,000 <br />MED EXP (Any one person) <br />10,000 <br />PERSONAL & ADV INJURY <br />$ 1,000,000 <br />GENERALAGGREGATE <br />$ 5.000MID <br />PRODUCTS - COMP /OP AGG <br />$ 2,000,000 <br />$ <br />A <br />AUTOMOBILE LIABILITY <br />X ANY AUTO <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />NON -OWNED <br />X HIRED AUTOS X AUTOS <br />N <br />N <br />BAP6555466 -02. <br />10/25/2011 <br />10/2512012 <br />(Ea accideDnt) SINGLE <br />$ 1.000.000 <br />BODILY INJURY (Per person) <br />$ XXXXXXX <br />BODILY INJURY Per accident <br />$ XXXXXXX <br />PROPERTY DAMAGE <br />(Per acc dent) <br />$ XXXXXXX <br />$XXXXXXX <br />UMBRELLA LIAB <br />EXCESS LIAR <br />HCLAIMS-MADE <br />OCCUR <br />NOT APPLICABLE <br />EACH OCCURRENCE <br />$ XXXXXXX <br />AGGREGATE <br />$ XXXXXXX <br />DIED RETENTION $ <br />$XXXXXXX <br />B <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY Y / N <br />ANY PROPRIETOR /PARTNER/EXECUTIVE <br />OFFICER /MEMBER EXCLUDED? N <br />(Mandatory in NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />N / A <br />N <br />201175 8779795 <br />10/25/2011 <br />10/25/2012 <br />X <br />ORY LIMIT <br />ER <br />E.L. EACH ACCIDENT <br />$ 1 00 00 <br />E.L. DISEASE - EA EMPLOYEE <br />$ 1,000,000 <br />E.L. DISEASE - POLICY LIMIT <br />$ 1 000,000 <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) <br />Re: Bid Proposal No. 11- 12 -02. For Bidding Purposes only. <br />CERTIFICATE HOLDER CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />11585933 AUTHORIZED REPRESENTATIVE <br />City of Sunny Isles Beach <br />18070 Collins Avenue <br />Sunny Isles Beach FL <br />ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD (61988-2010 APOFF CORPORATION. All rights reserved <br />