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<br />Traffic CITY OF SUNNY ISLES BEACH
<br />.t ¢ g neeM En � Services
<br />AC- CERTIFICATE OF LIABILITY INSURANCE
<br />DaTE 4MM0[HYYYYI
<br />11/22/2010
<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 endorsementjs).
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<br />nn aFSS: 7 noyo laLlamesgongh _Con
<br />0001398
<br />INSURERI31 AFFORDING COVEFAOE
<br />NAIO2
<br />INSURED
<br />Kimley -Horn and Associates, Inc.
<br />P -0. Box 33068
<br />Raleigh NC 27636
<br />I
<br />Traffic CITY OF SUNNY ISLES BEACH
<br />.t ¢ g neeM En � Services
<br />AC- CERTIFICATE OF LIABILITY INSURANCE
<br />DaTE 4MM0[HYYYYI
<br />11/22/2010
<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 endorsementjs).
<br />PRODUCER
<br />Ames and Gough
<br />450 Northridge Parkway
<br />Suite 102
<br />Atlanta GA 30350
<br />Jerry Noyola
<br />PHONE Not: FAX
<br />nn aFSS: 7 noyo laLlamesgongh _Con
<br />0001398
<br />INSURERI31 AFFORDING COVEFAOE
<br />NAIO2
<br />INSURED
<br />Kimley -Horn and Associates, Inc.
<br />P -0. Box 33068
<br />Raleigh NC 27636
<br />MURERA :Travelers Indemnity Co. of CT
<br />25682
<br />INSuRERBIT rave lers Indemnity Company
<br />5658
<br />MURERc:Travelers Property Casualty Co.
<br />5674
<br />ImuRERD:Phoenix Insurance Company
<br />5623
<br />IMURERELeXinITtOn Insurance ComlpanV
<br />19437
<br />INSURER F:
<br />PEEMI3rS -Ea o[c—_
<br />rnVFRar r:q rFRTIFIr ATr M1IMRr P-"1U -il (KJ -J.V Shama) Rr-VIglrIAINIIMRFR-
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INURED 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 />EXCLUSION A.ND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAINIS,
<br />INSR LTR
<br />TYPE CF INSURANCE
<br />INSR
<br />•aryp
<br />POLICY NUMBER
<br />FIMLUDQryYYFFY
<br />MY ICY YY
<br />LIMITS
<br />GENERAL LIAB'rLM
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<br />S 1,000,000
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<br />S 1,000,000
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<br />- 630- 0193B99A- TCT -10
<br />12/1/2010
<br />12/1/2"11
<br />MED EXP:Any pre perm;-
<br />; 10,000
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<br />5 1,000,000
<br />GENE4.AJ-hGGREDATE
<br />S 2,000,000
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<br />$ 1,000,000
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<br />12/1✓201Y
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<br />S 5,000,000
<br />AGGREGATE
<br />S 5,000,000
<br />EXCESS LIAR
<br />CLAN1S-MACE
<br />CEaUOt193LE
<br />$
<br />1
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<br />RETEW)ON S 10,000
<br />M1- CUP- 8193B99A- TIL -10
<br />12/1/2010
<br />L2/1/2011
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<br />YAD RN19tS COMPEN SATWN
<br />AND EMPLOYERS' LIABILITY Y J N
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<br />NTDB- 8193599A -10
<br />12/1/2010
<br />12 /1,''ZOYl
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<br />EL EACH AO' ---ENT
<br />S 500.000
<br />EL D/E.PASE - EA ZPAPLOYM
<br />S 500,000
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<br />E:. D1oEAEE - PCLIOY LIMB
<br />S 500,000
<br />I3
<br />Professional Liability
<br />16017332
<br />12/9/2010
<br />12 /1/2011
<br />p Yam $2,000,000
<br />Apjegale $2,000,000
<br />DESCRIPRONOFOPERATIBN81LOCATION3IVEH MOLE3 (Attach ACGRO tRH, Add IUDMI RAmufk% SobiduN, Irn>$a cPa Wregilked)
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<br />ACORD 25 (20091U9) 1191yUU -LUIrJ At.UKU I- L)KFVHA I IVn- Air rlgnrs reserYecl-
<br />1NS025 :vnwsi The ACORD name and logo are registered marks of ACORD
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<br />TR300016411. 0- Sunnylslesech _TrdffcEngServs.indd Page 1-4 1111t, so and Associates. Inc.
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DEUVERED IN
<br />Sample /For Proposal Only
<br />ACCORDANCE WITH THE POUCY PROVISIONS.
<br />AUTHORIZED REPRESENTATFVE
<br />Hatias DrmaBa /NDYOLA
<br />ACORD 25 (20091U9) 1191yUU -LUIrJ At.UKU I- L)KFVHA I IVn- Air rlgnrs reserYecl-
<br />1NS025 :vnwsi The ACORD name and logo are registered marks of ACORD
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<br />TR300016411. 0- Sunnylslesech _TrdffcEngServs.indd Page 1-4 1111t, so and Associates. Inc.
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