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<br />J <br />) <br />) <br />) <br />) <br />) <br />) <br />) <br />) <br />) <br />) <br />) <br />) <br />) <br />) <br />) <br />) <br />) <br />) <br />) <br />) <br />) <br />) <br />) <br />) <br />) <br />) <br />) <br />) <br /> <br /> <br />Proof of Insurance <br /> <br />~ <br />AC~RD' <br />~' <br /> <br />CALVI-2 <br /> <br />OP 10: E1 <br />DATE (MMJOOIYYYYI <br /> <br />CERTIFICATE OF LIABILITY INSURANCE <br /> <br />01/11/12 <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 BETWEEN THE ISSUING INSURER(SI. AUTHORIZED <br />REPRESENTATIVE OR PRODUCER. AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED. the pollcy(les) 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 endorsement s . <br />PRODUCER <br />Brown & Brown of Florida. Inc. <br />1201 W Cypress Creek Rd # 130 <br />P.O, Box 5727 <br />Ft. Lauderdale. FL 33310-5727 <br />Stephen E. Patton. AAI <br /> <br />INSURED <br /> <br />Calvin. Giordano & <br />Associates. Inc. <br />Altn: Dennis Giordano <br />1800 Eller Drive #600 <br />Ft. Lauderdale. FL 33316 <br /> <br />954-776.2222 <br />954-776-4446 <br /> <br />CONTACT <br />NAME, <br />.PHONE-'" <br />(A/C. No, Exl): _u. <br />E-MAIL <br />ADDRESS, <br /> <br />=:~~=.~~~:'=::~~==~=~l'r~:~~;,'" <br /> <br />.INSURER(S) AFFOROING..COVERAGE. ._ . ...NAIC # <br />.1~SUIlER..~.'.I::I~rt!<?rd .C::'!~.'!.a.ltyl.~!i,.C::~ ~.~.~~__..... <br />INSURERe ,!:I.'!.'!f..l?!~~,!!-c::.~<?!~i~~e_~t _. 37478 <br />!~SU.RER.c, American Guar .!.!:.iab Ins Co ._____._....._ ~~~_ <br />INSURER 0: H..art!l?~~.!.r.e I.n!i.l!!.a.n~e <::l? 19682 <br />INSURER E ,c::()'!tll1lll1'i11 c::a~ualty C<>.mpal1y 20443 <br /> <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 />I~f:-l---;;PE OF INSURANCE ._.'--~~~.?bL1~~nR;------;~~~~;~~~.~~;~-- - :SM'6}'y~~-r:~h~'&ry~~~ -r.----------~I;..~~---------- <br /> <br />.GENERAL LIABILITY I I i EACH OCCURRENCE S .. ~~~.~..~~.C <br />A X COMMERCIAL GENERAL LIABILITY 21UUNLK3645 01/01/12 01/01/13 ~~Wl~~J?f~~~r?noo) S 300.00C <br /> <br />] CLAIMS.MAOE 1 OCCUR .!..1EI? EX~.~~y~~ ~~~~) ~ 10100~ <br />_ _ 08/27/11 08/27/12 PIORS~L.~UVINJUH.Y ~ _. ~oOii.ooo <br />(3ENERAL.. ^GGR"-c>!,!,~ . $ 2.000.000 <br />$ __ ."~~Oii;ooo <br />$ <br /> <br />q.~~'l AGGRE.~~rE LIMIT A~Pll~S PER <br />I POLICY r X 1 ~~9~ I IIOC <br />AUTOMOBILE LIABILITY I <br /> <br />B X I ~~: ;~~~O I.] SCIIEDUlW ' <br />AUTOS AUTOS I <br />- I '1 NON.OWNED <br />_+__ tUHEO Autos _ i AUTOS <br />I I I <br />'I X j UMBRELLA lIAe i X I OCCUIl I <br />C'"'' EX.CESS lIAB . j- ClAIMS. MADE I <br />- l;~~ Ix 1 ;;mN';~NS' ... - 0; <br />WORKERS COMPENSATION I I <br />AND EMPLOYERS' LIABILITY Y I N I I <br />o ANY PfWPRIETORIPARTNERiEXECUTlVE D i 1 <br />r~:~~~~~~[l~~~~ EXCLUOED? ! N I A i <br /> <br />~~~t~f~Tr~ 'OWOPERA liONS below : I <br />E 'Professional L1ab I I <br />iClaim Made ! I <br /> <br />121UENJB7000 <br />I <br />I <br /> <br />IAUC594612803 <br />I <br />I <br />21WBN03209 <br />I <br /> <br />I ~w~!..~ C2-MP!-~ AGG <br /> <br />COMBINED SINGLE LIMIT <br />(E;)aCCtdent}~.___ __ <br />BODILY INJURY (per pefson) <br /> <br />S __ . _.1.000.000 <br />S <br /> <br />01/01/12 <br /> <br />01/01/13 <br /> <br />BODILY INJURY (Per aCCIdent) S <br />----.--- <br />PROPER TY DAMAGE <br />(Per accident) __~_ <br /> <br />10.000.000 <br />~.~.O~.Q.~O <br /> <br />I EACII OCCUIlRENCE S <br /> <br />I!'~G~~~~'-=-::'- : <br />I :I';~;'!~~:E~'. !OJ~IEtl <br /> <br />' E L DISEASE. EA EMPLOYEE $ <br />i E L ~;SEASE ~ ~~L;~~'lI~1I .~ <br />Per Claim <br />IAggregate <br />I <br /> <br /> i <br />01/01/12 I 01/01/13 <br /> , <br />01/01/12 01/01/13 <br />08/27/11 I 08/27/12 <br /> I <br /> i <br /> <br />1.000.000 <br />.......1.000.000 <br />1.000.000 <br />5.000.Ooc <br />5,OOO.Ooc <br /> <br />'AEH288358005 <br />I <br />RETENTION: $200.000 <br />I <br /> <br />DESCRIPTION OF OPERATIONS' lOCATIONS' VEHICLES (Allach ACORD 101. Additional Remarks Schedule. If more apace is requiredl <br /> <br />CERTIFICATE HOLDER <br /> <br />Calvin. Giordano & Associates <br />Inc <br />1800 Eller Drive #600 <br />Ft Lauderdale. FL 33316 <br /> <br />ACORD 25 (2010/05) <br /> <br />CANCELLATION <br /> <br />CALVING <br /> <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF. NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br /> <br />AUTHORIZED REPRESENTA liVE <br /> <br />~(u4./~ <br /> <br />@1988-2010 ACORD CORPORATION. All rights reserved. <br /> <br />The ACORD name and logo are registered marks of ACORD <br /> <br />1- 3 <br /> <br />RFQ 12-04-04 Sunny Isles Beach Intracoastal Parks <br />