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RFP No. 17-04-01 Informational Touchscreen Kiosks and Software Services
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Intermedia
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Last modified
5/25/2017 3:16:28 PM
Creation date
5/25/2017 3:16:27 PM
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Template:
CityClerk-Bids_RFP_RFQ
Project Name
Informational Touchscreen Kiosks and Software Services
Bid No. (xx-xx-xx)
17-04-01
Project Type (Bid, RFP, RFQ)
RFP
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• <br /> A�® . CERTIFICATE OF LIABILITY INSURANCE DTE(MWD017Y) <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 /> ELOW. 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 endorsement(s). <br /> PRODUCER CONTACT Marianne Sioli <br /> NAME: <br /> Benefit Life Corporation PHONE <br /> (AIC, (305)777-9888 I_(FAXAlC,No) (305)777-9889 <br /> __— <br /> 400 University Drive E-MAIL <br /> ADDRESS:_ • <br /> First Floor <br /> INSURER(S)AFFORDING COVERAGE NAIC tY <br /> Coral Gables FL 33134 INSURERA:Travelers <br /> INSURED INSURER B:Berkshire Hathaway GUARD <br /> ) _ <br /> Intermedia Touch Inc INSURER C:Underwriters at Lloyds, London _� <br /> 2600 NW 75th Avenue INSURER D: <br /> Suite 200 INSURERE: _ <br /> Miami FL 33122 INSURERF: <br /> COVERAGES CERTIFICATE NUMBER:CL1751700611 REVISION NUMBER: <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 /> (LTR I POLICY EFF 1 POLICY EXP — . <br /> TYPE OF INSURANCE I NSDI NSR DDI WVDI POLICY NUMBER 1(MM/DD!YYYY)I(MM DD!YYYY): LIMITS <br /> COMMERCIAL GENERAL LIABIUTY I I <br /> EACH OCCURRENCE __ $ � 1,000,000 <br /> A _ J CLAIMS-MADE [X 1 OCCUR PRMTO RENTED 100,000 <br /> J PREMMGE ISES(Ea occurrence)_ $___.____ <br /> i 660-0H990170 3/28/2017 3/28/2018 I MED EXP(Any one person) $ 10,000 <br /> I PERSONAL 8ADV INJURY $ 1,000,000 <br /> GENT AGGREGATE LIMIT APPLIES PER: 12,000,000i GENERAL AGGREGATE $ <br /> X POLICY(Li JECOT �_ I LOC I PRODUCTS-COMP/OP AGG S 2,000,000 <br /> OTHER: I i -- ------- $---- <br /> AUTOMOBILE LIABILITY <br /> IY _(EOR BINED)accident) LIMIT $ 1,000,000 <br /> X ANY AUTO BODILY INJURY(Per person) $ <br /> ALL OWNED SCHEDULED BA-9G162324 3/24/2017 3/24/2018 BODILY INJURY(Per accident) $ <br /> —__ AUTOS _ AUTOS <br /> NON-OWNED PROPERTY DAMAGE <br /> HIRED AUTOS AUTOS I (Per accident) ___ $ <br /> 1 I 1 i $ <br /> 1 X I UMBRELLA LIAB 1 OCCUR I EACH OCCURRENCE__ 1$ 1,000,000 <br /> A I EXCESS UAB _ CLAIMS-MADE AGGREGATE $__ 1,0,000 <br /> 1 DED 1 RETENTIONS CUP-003J381052 3/28/2017 13/28/2018 $ <br /> WORKERS COMPENSATION ' X PER 0TH- <br /> AND EMPLOYERS'UABILITY Y/N I STATUTE I I ER _ <br /> ANY PROPRIETOR/PARTNER/EXECUTIVEE.L.EACH ACCIDENT $ 1,000,000 <br /> OFFICER/MEMBER EXCLUDED? I INI I N!A ---_---- <br /> B (Mandatory in NH) INWC761275 8/17/2016 8/17/2017 E.L.DISEASE-EA EMPLOYEE$ 1,000,000 <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below I I E.L.DISEASE-POLICY LIMIT I$ 1,000,000 <br /> C •Professional Liability/ W1EA12170101 5/8/2017 5/8/2018 1,000,000 <br /> Cyber Liability <br /> I <br /> DESCRIPTION OF OPERATIONS 1 LOCATIONS!VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> CERTIFICATE HOLDER CANCELLATION <br /> Sunny Isles Beach Government Center <br /> 18070 Collins Ave <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 /> Sunny Isles Beach, FL 33160 <br /> AUTHORIZED REPRESENTATIVE .'i' <br /> 7, ' % <br /> Marianne Sioli/MSIOLI • �_ <br /> ©1988-2014 ACORD -ORPORATION. All rights reserved. <br /> ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD <br /> INS025(201401) <br />
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