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City of Sunny Isles Beach RFQ No. 18-08-01 | Consulting Engineering Services for Golden Shores Utility Undergrounding and Roadway Improvements (CCNA)
<br />DATE (MM/DD/YYYY)CERTIFICATE OF LIABILITY INSURANCE
<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(S), AUTHORIZED
<br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
<br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.
<br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement onthis certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
<br />CONTACTPRODUCERNAME:PHONE FAX(A/C, No, Ext):(A/C, No):
<br />E-MAILADDRESS:
<br />INSURER(S) AFFORDING COVERAGE NAIC #
<br />INSURER A :
<br />INSURED INSURER B :
<br />INSURER C :
<br />INSURER D :
<br />INSURER E :
<br />INSURER F :
<br />COVERAGES CERTIFICATE NUMBER: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 PERIODINDICATED. 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,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />INSR ADDL SUBR POLICY EFF POLICY EXPTYPE OF INSURANCE POLICY NUMBER LIMITSLTRINSD WVD (MM/DD/YYYY) (MM/DD/YYYY)
<br />COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $
<br />DAMAGE TO RENTEDCLAIMS-MADE OCCUR $PREMISES (Ea occurrence)
<br />MED EXP (Any one person)$
<br />PERSONAL & ADV INJURY $
<br />GEN'L AGGREGATE LIMIT APPLIES PER:GENERAL AGGREGATE $
<br />PRO-POLICY LOC PRODUCTS - COMP/OP AGG $JECT
<br />OTHER:$
<br />COMBINED SINGLE LIMITAUTOMOBILE LIABILITY $(Ea accident)
<br />ANY AUTO BODILY INJURY (Per person) $OWNED SCHEDULEDAUTOS ONLY AUTOS BODILY INJURY (Per accident) $
<br />PROPERTY DAMAGEHIREDNON-OWNED (Per accident)$AUTOS ONLY AUTOS ONLY
<br />$
<br />UMBRELLA LIAB OCCUR EACH OCCURRENCE $
<br />EXCESS LIAB CLAIMS-MADE AGGREGATE $
<br />DED RETENTION $$
<br />PER OTH-WORKERS COMPENSATION STATUTE ERAND EMPLOYERS' LIABILITY Y/NANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $N/AOFFICER/MEMBER EXCLUDED?(Mandatory in NH)E.L. DISEASE - EA EMPLOYEE $If yes, describe underDESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $
<br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
<br />CERTIFICATE HOLDER CANCELLATION
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED INACCORDANCE WITH THE POLICY PROVISIONS.
<br />AUTHORIZED REPRESENTATIVE
<br />ACORD 25 (2016/03)© 1988-2015 ACORD CORPORATION. All rights reserved.
<br />The ACORD name and logo are registered marks of ACORD
<br />CALVI-2 OP ID: RC
<br />01/02/2018
<br />954-776-2222
<br />Brown & Brown of Florida, Inc.1201 W Cypress Creek Rd # 130P.O. Box 5727Ft. Lauderdale, FL 33310-5727Eric Martin Woodling
<br />954-776-2222 954-776-4446
<br />Nat'l Fire Ins Co of Hartford 20478
<br />Transportation Insurance Co.20494Calvin, Giordano &Associates, Inc.Attn: Dennis Giordano1800 Eller Drive #600Ft. Lauderdale, FL 33316
<br />Continental Insurance Co.35289
<br />Valley Forge Ins. Co.20508
<br />Landmark American Ins. Co.33138
<br />A X 1,000,000
<br />X 500,000GL604548766301/01/2018 01/01/2019
<br />15,000
<br />1,000,000
<br />2,000,000
<br />X 2,000,000
<br />Emp Ben 1,000,000
<br />B 1,000,000
<br />X C6043661816 01/01/2018 01/01/2019
<br />C X X 10,000,000
<br />CUE6043661850 01/01/2018 01/01/2019 10,000,000
<br />X 0 Prod/CoOp 10,000,000
<br />D X
<br />WC6043661847 01/01/2018 01/01/2019 1,000,000
<br />1,000,000
<br />1,000,000
<br />E Prof Liab LHR765209 08/27/2017 08/27/2018 Each 3,000,000
<br />Ded: $200,000 RETRO 8/27/1959 Aggregate 3,000,000
<br />For bid purposes only
<br />CALVING
<br />Calvin, Giordano & Associates,
<br />Inc
<br />1800 Eller Drive #600
<br />Ft Lauderdale, FL 33316
<br />204
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