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<br />Proof of Insurance
<br />
<br />~
<br />
<br />OPID:S9
<br />
<br />I
<br />
<br />ACORD"
<br />~
<br />
<br />DAlE IMMIODlVYYY)
<br />
<br />CERTIFICATE OF LIABILITY INSURANCE
<br />
<br />09/22/11
<br />THIS CERTIFICATE IS ISSUED AS A MAnER 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 pollcy(les) musl be endorsed. If SUBROGATION IS WAIVED, subject to
<br />-the terms and condlllons of the pollcy,-certaln policies may require an endorsement.-A statement on this certificate does nol confer rights to the-
<br />certificate holder in lieu of such endorsement/sl.
<br />PROOUCER 954-776.2222 ~~W.~CT
<br />Brown & Brown of Florida, Inc. 6 4446 PHONE
<br />1201 W Cypress Creek Rd # 130 954-77 . lAIC, No, E>fl' ___.
<br />P ,0. Box 5727 Iil'~~ss,
<br />Ft. Lauderdale, FL 33310.5727 .PROOUCER CALVI 2 -.-.-------.- ....- .....-..--"...".- ......--
<br />Stephen E, Patton, AAI CUSTOMER 10',._----.:...__ _
<br />
<br />INSURED Calvin, Giordano &--.--.-. .INSY--"E..~~.' Hartf~:Jii~:l~;~i;~~-~cg:;:,.,"E=-_:__=----_=_~ [1196!t:=
<br />
<br />Associates, Inc. .IN.S.U."-E~,!,: Hartford Ins Co of Midwest __ .___......., __ :ll~78 _m_
<br />Attn: Dennis Giordano INSURER c: American Guar & Liab Ins Co ._. 126247
<br />1800 Eller Drive #600 ~N-;;';;-;~; Hartfofdln'i..Co, of the S,E, 138261-
<br />Ft. Lauderdale, FL 33316 INSURER E ;Continental Casualty Company "'.".-.--"'-.--..-120443--."".-'
<br />
<br />INSURE~F:'---------_.- - -----f~.---
<br />
<br />1, f~~, No.:.
<br />
<br />COVERAGES
<br />
<br />CERTIFICATE NUMBER'
<br />
<br />REVISION NUMBER:
<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. 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 />iN~XCLUSIONS AND CONDITIONS OF SUCH~~~~~~~:R lIM,!S SHOWN M"-~!:VE BEEN RE~o~~~n.~": P~~i~~'~~~___----'_----"'''_---''---
<br />
<br />lTR~IIGENERAL L1:~L~T~F INSURANCE,...'; I wvni. POLICY NUMBER MMiDD/YYVY MMiDD/YVYY LIMITS
<br />
<br />A ~ COMMERCIAL GENERAL LIABILITY '21 UUNLK3645 01/01/11 01101/12
<br />= ~=] CLAIMS-MADE [K] OCCUR
<br />
<br />_. -----_._.._---~---~._---
<br />- -------.---------
<br />_GEN'L AGGR~~!E LIMIT AP~.!:!.~S PER
<br />-1 POLICY I X I ~!l9.; r I LaC
<br />
<br />
<br />
<br />I~_.A~T OMOBILE LIABILITY
<br />B .~_ ANY AUTO
<br />AlL OWNED AUTOS
<br />___ SCHEDULED AUTOS
<br />X HIRED AUTOS
<br />~_ NON-OWNED AUTOS
<br />
<br />fx UMBRELLA LIAB I><.J OCCUR
<br />C EXCESS lIAB ...J CLA'--~:!c"'~~
<br />
<br />__ DEDUCTIBLE
<br />X RETENTiON S 0
<br />WORKERS COMPENSATION I
<br />AND EMPLOYERS' LIABILITY Y I N
<br />o ANY PROPRIETORJPARTNERJEXECUTlVE 0
<br />OFflCE"'MEMBER EXCLUDED? N I A .
<br />(~nda1ory in NH) I
<br />g~;~~rtir~ b~bpERATIONS below
<br />E iProfesslonal L1ab I
<br />
<br />EACIl OCCURRENCE 5 1,OOO,Ooe
<br />'~~~J.?E~~~;~?enoo)-- _;--_.~OOC
<br />~~ED ~p (AnV ~ ~rson) - ~----ro,OOC
<br />XE~~()""L & AI)'J-'-N.;U_~_ ~_u____ 1,OOO,Ooe
<br />GENERAl, AGGR.E,,!,:T"-._ $ 2,000,OOU
<br />PRO()~~MPIOP A,,-G_L=-=:},~OO:OO~
<br />5
<br />
<br />!21UENJB7000
<br />
<br />
<br />~OMP DED, ",00'
<br />ICOLL OED: $1,000
<br />
<br />
<br />IAUC594612802
<br />I
<br />
<br />r'WBN032"
<br />
<br />
<br />iAEH288358005
<br />;RETENTION: $200,000
<br />
<br />COMBINED SINGLE LIMIT
<br />(Ea accident)
<br />
<br />1,OOO,OOU
<br />
<br />01101111
<br />
<br />01/01/12
<br />
<br />BODILY INJURY (Per person) S
<br />.___m_______......_._... ...._ ...... _...._
<br />BODILY INJURY (Per accfdenl) S
<br />
<br />PROPERTY DAMAGE
<br />(Per accidenl)
<br />._---,. _..- "-
<br />
<br />01/01/11
<br />
<br />01/01/12
<br />
<br />E!':<='"-.Cl.C~.~~~~':'C.E... $_... 10,000,ooe
<br />AGGREGATE s",uio,ooo:OOC
<br />If.~()_d_~~~~-- --.. T=~:~~'u1~,~~O~Qc
<br />
<br />.:r~~i;~~~~~;,~~Z~j.:.:=-=={:~~:~~:
<br />
<br />'~~~,~~~~:~;~~~;~;~ I'~'''''''''.'.''''''i:ooo:ooi
<br />lEa Claim S,OOO,O~
<br />Aggregate 5,000,001
<br />
<br />01101/11
<br />
<br />01/01/12
<br />
<br />08/27/11
<br />
<br />08/27/12
<br />
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, AdditIonal Remark~ Schedule,lfmoro spaco I~ roqulrod)
<br />
<br />CERTIFICATE HOLDER
<br />
<br />CANCELLATION
<br />
<br />CALVING
<br /> SHOULD ANY OF THE ABOVE DESCRIBEO POLICIES BE CANCELLED BEFORE
<br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />Calvin, Giordano & ACCORDANCE WITH THE POLICY PROVISIONS.
<br />Associates, Ine
<br />1800 Eller Drive #600 AUTHORlZED REPRESENTATNE
<br />Ft Lauderdale, FL 33316 -14~~
<br />I
<br />
<br />ACORD 25 (2009/09)
<br />
<br />@1988-2009ACORD CORPORATION. All rights reserved.
<br />The ACORD name and logo are registered marks of ACORD
<br />
<br />RFQ #11-11-02, Civil Engineering Services to Design Street and Drainage Improvements
<br />
<br />P<1gc 114
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