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') Client#. 13599 CESCONS3 r 1 ACORDTM CERTIFICATE OF LIABILITY INSURANCE r DATE (MM/DDIYYYY) 1/19/2012 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 REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) 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 endorsement(s). PRODUCER CONTACT NAME: ISU Suncoast Insurance Assoc I rJJgNJo Extl: 813 289-5200 I r.e~, No): 8132894561 P.O. Box 22668 E-MAIL ADDRESS: Tampa, FL 33622-2668 PRODUCER CUSTOMER ID #: 813289-5200 INSURER(S) AFFORDING COVERAGE NAIC# INSURED INSURER A : Endurance American Specialty In 41718 CES Consultants, Inc. INSURER B: Travelers Casualty & Surety Co 31194 14361 Commerce Way Suite 103 INSURERC: Phoenix Insurance Company 25623 Miami Lakes, FL 33016 INSURER D: INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER' REVISION NUMBER: r ) r 1 t 1 r 1 . 1 J 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 THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE IADDL SUBR Irrf~)gM~~YI Prf~!86fi~~YI LIMITS LTR NSR WIlD POLICY NUMBER A GENERAL LIABILITY ECC1 01 01186201 01/31/2012 01/31/2013 EACH OCCURRENCE 52 000 000 r-- ~~~~~U9E~~~~~nce\ ~ OMERCIAL GENERAL LIABILITY 5100,000 r- CLAIMS-MADE ~ OCCUR MED EXP (Anyone person) 55,000 ~ BIIPD Ded:5,OOO PERSONAL & ADV INJURY 52,000,000 GENERAL AGGREGATE 52,000,000 r-- n'L AGGREnE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG 52,000,000 POLICY ~W?-;: n LOC 5 C AUTOMOBILE LIABILITY BA7480X896 05/15/2011 05/15/201. COMBINED SINGLE LIMIT 51 000000 r- (Ea accident) X ANY AUTO BODILY INJURY (Per person) 5 r-- ALL OWNED AUTOS BODILY INJURY (Per actidenl) 5 r-- - SCHEDULED AUTOS PROPERTY DAMAGE 5 X HIRED AUTOS (Per accident) X NON-OWNED AUTOS 5 - 5 UMBRELLA L1AB H OCCUR EACH OCCURRENCE 5 - EXCESS L1AB CLAIMS-MADE AGGREGATE 5 DEDUCTIBLE 5 - RETENTION 5 5 B WORKERS COMPENSATION UB3756T448 07/08/2011 07/08/201 X I';"'~o~~~~~':" I I~JH- AND EMPLOYERS' LIABILITY Y/N ANY PROPRIETOR/PARTNERlEXECUTIVED E.L. EACH ACCIDENT 51,000,000 OFFICER/MEMBER EXCLUDED? N/A (Mandatory In NH) E.L. DISEASE - EA EMPLOYEE 51,000,000 If yes, describe under E.L. DISEASE - POLICY LIMIT 51,000,000 DESCRIPTION OF OPERATIONS below A Professional ECC1 01 01186201 101/31/2012 01/31/201 $2,000,000 per claim Liabilitv $2,000,000 annl aggr. DESCRIPTION OF OPERATIONS I LOCA TlONS I VEHICLES (Attach ACORD 101. Additional Remarks Schedule, if more space is required) Professional Liability coverage is written on a claims-made and reported basis. CERTIFICATE HOLDER CANCELLA TION , 1 . , , I r I . J . I For Proposal Purposes SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE I ~ "k. o&-ot.. .a. ~ ACORD 25 (2009/09) 1 of 1 #S362436/M360970 @1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD MRL City of Sunny Isles Beach Continuing Professional Architectural & Engineering Services RFQ 12-04-02 I 6