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I 'i I () 'K it ZURQUI Construction Services, Inc PHONE & FAX PROJECT MANAGER I EMAIL +305- 221 -6100 Eddy Gonzales Jr +305- 221 -6110 Eddy @zurquis.com ACORQ,, CERTIFICATE OF LIABILITY INSURANCE I(�DATE(Hn DD/YYYY) 1 11/15/2011 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED 3EPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, Certain policies may require an endorsement. A statement on this Certificate does not confer rights to the certificate holder in lieu of such ondorsoment(s). PRODUCER NAME: Naomi Perez Keen Battle Mead & Company PHONE FAX p y 1&9 No EMN 305.558.1101 (NC•Np).305.822.4722 7850 Northwest 146 Street E-MAIL --- - -_ - -- - - -- .ADDRESS_ Suite 200 PRODUCER ____- - - -- USTOMER ID N� Miami Lakes, FL 33016 C INSURER(S) AFFORDING COVERAGE NAICN INSURED INSURER A: Travelers Indemnity Company _ _ 09490 INSURER8: Travelers Property & Casualty 25674 2urqui Construction Service, Inc - 755 SW 40th Terrace INSURER C: Travelers Prop Cas Co of Amer 05590 Miami, FL 33165 INSURER D: Insurance Cc of Penna 19429 INSURER E INSURER F; COVERAGES r- raTirin ATC 1,11 Imnco. _ . • /or /.....o , THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH TFI IS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED I IEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. - -- INSR AODL SUER POLICY EFF POLICY EXP -_- - -- LTR TYPE OF INSURANCE INSR VJVD POLICY NUMBER MMID,I E% MM1D0/YVYY LIMITS GENERAL LIAOILITY DTC0345K96042ND1104 /10/2011104/10/2012 EACH OCCURRENCE IS 11000,000 X COMMERCIAL GENERAL LIABILITY d/ AGE TORENTED - S PREMISES Eaoccurrencet 300, 000 CLAIMS -MADE OCCUR ._ .- ?.1ED EXPIM (Any one person) S 5,000 A .. _. PERSONAL B AOV INJURY S 11000,000 GENERAL AGGREGATE S 2,000,000 !GEN -L AGGREGATEL11.1IT APPLIESPER: - -� I PRODUCTS - COMP/OP AGO .S 2,000,000 POLICY X PRO- JECT LOC -- -1 - I 5 AUTOMOBILE LIABILITY DT810345K9604COF1104/10/2011 0411012012 COMBINED SINGLE LIMIT __. X ANY AUTO S IEa acGtlenH _ '.,_ 11000,000 BODILY INJURY (Per person) $ _ ALL OWNED AUTOS S SCHEDULEDAUTOS BODILY INJURY (Per .—do.[) S - ...... __.. PROPERTY DAMAGE S X HIREDAUTOS (Per ecudem) X NON -OWNED AUTOS $ - -- X COMP DED $1,000 -- S UMBRELLA OCCUR DTSMCUP345K9604TIL11 04 /10/2011 04/10/2012 EACH OCCURRENCE S 1,000,000 C B EXCESS LIAB EXCESS CLAIMS -MADE! I AGGREGATE -- - S 11000,000 DEDUCTIBLE''. --_ _ _ S -- X RETENTION 5 10, 000j - -- S - - -�- WORKERS COMPENSATION I AND EMPLOYERS' LIABILITY 009774145 09!08/2011109/08 /2012 X We STATU- IOTH- TORY_LIl.71T5 ER D y / N ANY PROPRIETORIPARTNER/EXECUTIVE OFFICETMEMBER EXCLUDED? a N /A' ,I E.L. EACH ACCIDENT _ ___- _ IS 1,000,000 (Mend in NH) E.L. DISEASE - EA EMPLOYER S 11000,000 11 os6 d esu iDO under ! OE SC RIPTION OF OPERATIONS holov+ E.L. DISEASE - POLICY LIMIT j S 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS/ VEHICLES (Allach ACORD 107. Additional Remarks Schedule, If more space Islroquirod) Project Name: Design and construction of Canopy Structures at Heritage Park and Golden Shores Park Project Number: RFP No. 11 -10 -01 CERTIFICATE HOLDER CANCELLATION ACORD 25 (2009/09) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. © 1988 -2009 AC( The ACORD name and logo are registered marks of ACORD TION. All