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<br />
<br />CAL VI-2
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<br />OPID' E1
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<br />ACCJRD' CERTIFICATE OF LIABILITY INSURANCE I DATE IMMIDDfYYYYI
<br />~ 03/05/12
<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 BElWEEN 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 endorsemenHs'l.
<br />PRODUCER 954-776-2222 CONTACT
<br /> NAME:
<br />Brown & Brown of Florida, Inc. 954-776-4446 ~HONE I~I:
<br />1201 W Cypress Creek Rd # 130 MC:LNo Extj:
<br />P.O. Box 5727 E.MAIL
<br /> ADDRESS:
<br />Ft. Lauderdale, FL 33310-5727 INSURER SI AFFORDING COYERAGE
<br />Stephen E. Patton, AAI NAIC#
<br /> INSURERA:Hartford Casual~y Ins. Co 29424
<br />INSURED Calvin, Giordano & INSURERB: Hartford Ins Co of Midwest 37478
<br /> Associates, Inc. INSURERC:American Guar & Liab Ins Co 26247
<br /> AUn: Dennis Giordano INSURER 0: Hartford Fire Insurance Co, 19682
<br /> 1800 Eller Drive #600
<br /> Ft. Lauderdale, FL 33316 INSURER E: Continental Casualtv Comoanv 20443
<br /> INSURER F :
<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 /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />INSR TYPE OF INSURANCE ADDL U8 . ~S~%~I 1~276%~~1 LIMITS
<br />LTR POLICY NUMBER
<br /> GENERAL LIABILITY ~~H OCCURRENCE , 1.000,OOC
<br /> c-c 21UUNLK3645 01/01112 01101113 PR~~~~J YE~~~~~nce\ 300,OOC
<br />A X pMERCIAl GENERAL LIABILITY $
<br /> = CLAIMS-MADE D OCCUR MED EXP (Anyone person) S 10,00C
<br /> - PERSONAL & ADV INJURY S 1.000,00C
<br /> - GENERAL AGGREGATE , 2,000.00C
<br /> ~'~ AGGREMEILlMIT APFlS PER: PRODUCTS - COMP/OP AGG S 2,000,00C
<br /> POLICY X ~~RT LOC s
<br /> AUTOMOBILE LIABILITY 9,PMBINED SINGLE LIMIT I. 1,000,000
<br /> - Eaacodenl
<br />B X ANY AUTO 21 UENJB7000 01101/12 01/01/13 BODILY INJURY (Per person) $
<br /> ALL OWNED - SCHEDULED
<br /> X BOOIL Y INJURY (Per acddenl) S
<br /> AUTOS - AUTOS
<br /> X X NON-OWNED fp~~~~ciRle~I~AMAGE ,
<br /> HIRED AUTOS AUTOS
<br /> ,
<br /> X UMBRELLA L1AB ~ ~CCUR EACH OCCURRENCE S 10.000.000
<br />C EXCESS L1AB CLAIMS-MADE AUC594612803 01/01112 01/01/13 AGGREGATE s 10.000,000
<br /> OED I X I RETENTION S 0 S
<br /> WORKERS COMPENSATION ~~illl,~~ I IOJbi"
<br /> AND EMPLOYERS' LIABILITY YIN 1,000.000
<br />D ANY PROPRIETORIPARTNER/EXECUTIVE D 21WBN03209 01/01112 01/01/13 E.L. EACH ACCIDENT S
<br /> OFFICERn.lEM8ER EXCLUDED? NfA 1,000,000
<br /> (MandatoryinNH) E.L DISEASE. EA EMPLOYEE S
<br /> ~~~~~~-ir8~ b~OPERATIONS below E.L DISEASE" POLICY LIMIT , 1.000,000
<br />E Professional Liab AEH288358005 08/27/11 08/27/12 Per Claim 5,000,00
<br /> Claim Made RETENTION: $200.000 Aggregate 5,000,00
<br />DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required)
<br />RE: Contract C1112-Q19 - City of Sunny Isles Beach is listed as additional
<br />insured with respects to general liability with repect to liability arising
<br />out of operations performed for the City by/or behalf of Consultant or acts/
<br />or omissions of Consultant in connection with such operation jf required by
<br />writen contract.
<br />
<br />CERTIFICATE HOLDER
<br />
<br />CANCELLA nON
<br />
<br />SUNNYIS
<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 />Building Department
<br />18070 Collins Avenue AUTHORIZED REPRESENTATIVE
<br />Sunny Isles Beach, FL 33160 --1(/ &4J~
<br />,
<br />
<br />ACORD 25 (2010/05)
<br />
<br />@ 1988-2010 ACORD CORPORATION, All rights reserved,
<br />The ACORD name and logo are registered marks of ACORD
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