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HomeMy WebLinkAboutCertificates of InsuranceCORD RTI FL BILI I e $ S ,�DNCE , DR'E'(MM/DD107 _�- �AEN-1� 09/11/07..; PRODUCER HIS CERTIFICATE 15 ISSUED A5 A I`•>rlATTER OF INFORMATIOFd j ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE ?sCEC /T u�S i f HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 76 c01 2s[et/5 S i 0,:)j ALTER THE COVERAGE AFFORDED 5Y THE POLICIES BELOW. St. Louis Mo 63101 Phone:800-338-3.391 Fax:688-621-3173 INSURERS AFFORDING COVERAGE !NAIC# INSURED _ INSURER A, `Hertford nCcder.L L indeeni ty 22357 INSURER B y . m A.DA. Z *2�E*r17.CJ, :1r:, . Att : IV0t2 AT d1i2 INSURER C: 11401 SW40th JL. , Ste. 470 1INSURERD: I Maami FL 33165 - I j INSURER E: I ,aOVERAGES THE POLICIES OF INSURANCE LISTED BEL OW HAVE BEEN ISSUED TO THE INSURED1AVED ABOVE FOR THE POLICY PERIOD INDICATED. A':OTWfTHSTAN.DI[dG ANY RFQUIREI.iE,NT, TERM OR CONDITION OF ANY CONTi2ACT OR OTHER DOCLJir+E:JT MATH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERNS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAYHAVE BEEN REDUCED BY PAID CLAIMS. �- LTR JNSR TYPE OF INSURANCE i POLICY NUMBER �'O� COLIC O DATE (MtaUDD ! DATE (MMIDDIYY LIMITS I I GENERAL LIABILITY I EACH OCCURRENCE $1,000,000 PREMISES (Ea ece) - $300,000 A XI COMMERCIAL GENERAL LIABILITY ' D CLAIMS MADE If Xj OCCUR I X XCP 84SBTidCC-2118 11/01/07! 11/01/08 I MED EXP (Any one person,) $10,000 PERSONAL &ADV INJURY _ j $1,000,000 i X CONTRACTUAL. LIAR . GENERAL AGGREGATE I s2'000"000 r j GEWL AGGREGATE LIMIT APPLIES PER POLICY 5E-1 JECT LOG i PRODUCTS - COMP/OP AGG s2,000 , 0 0 0 T__ A AUTOMOBILE LIABILITY X;ANY AUTO i 84UEGPQ2064 11/01/07 1 11/0110$ CO accident) C(EsOMBINED SINGLE S1,000,000 ALL OWNED AUTOS I I SCHEDULED AUTOS i I BODILY INJURY (Per person) $ X HIRED AUTOS 1 X i NON -OWNED AUTOS BODILY INJURY i (Per accident) $ X jUninsured Motorst X iFL NoFault- Basic I I PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY i IfAUTO ONLY - EA ACCIDENT_ $ j j ANY AUTO OTHER THAN EA ACC $ j j 4 ! I AUTO ONLY: AGG $ ' A EXCESSIUMBRELLA LIABILITY ! X "OCCUR CLAUS MADE 184,S`EWCr.213.8 '• ! '11/01/07 i 11/01/08 EACH OCCURRENCE I AGGREGATE $•__�_ 1 Q-�j 0 r t0, 0 0 $1 000 000 DEDUCTIBLE i RETENTION $ A i WORKERS COMPENSATION AND t EMPLOYERS'LIABILITY f' ANY PROPRIETORIPARTNERIEXECUTIVE OFFICERIMfMBERECGLUDED? I If yes, SPE6 describe under PROVISIONS below j 84WEGLA3854 ! 11/01/07 11/01/08 I �, IE.L.DISEASE- XX i ORY LIMITS i,_ER E.L.EACHACCIpENT $ 500 000_ r EA EMPLOYEE _ $500,000 E.L DISEASE - POLICY LIMIT $ 5 Q Q 0 0 0 OTHER i DESCRIPTION OF OPERATIONS I LOCATIONS /VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS CITY OF MIAMI IS INCLDUED AS ADDITIONAL INSURED FOR GENERAL, L-I_nBILITY,AUTO LIABILITY AND EXCESS LIABILITY. 4CF I tPlt,.A I t MULUCIC CANCELLATION CTYMIAI SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE FXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL CITY OF MIAMI DEPT OF RISK MANAGEMENT IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 444 S.W. 2ND AVE, 9TH FL REPRESENTATIVES. MIAMI FL 33130AUTHORIZEDREP�R�=Ert 25 © ACORD COR AOAENGM DI CERTIFICATE OF � -M IA LITT If C-1 16107 V PRODUCERTFIS GE-`KTSFiCA T E IS ISSUED AS A is ATTER OF INFORMATION Suncoast Insurance Associates ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICA1-E .0. SOX 22668 :4OLIDER, THIS CERTIFICATE AGES NOT AMZND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Tampa, FL 33622-2668 813 289-5200 I INSURERS AFFORDING COVERAGE ! LAIC ?i INSURED INSURER A: Zurich American Insurance CornDany 1a 535 A.D.A. Engineering, Inc- '3550 KW 33rd St, Suite 101 Dora[, FL 33122 INSURER B: INSUREP, C: INSURER D: IiVSUR�R E: j COMMERCIAL GENERAL LIABILITY COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO T{E INSURED NAMED ABOVE FOR THE POLICY PERIOD I.ND(CATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIZICATE 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR NSR TYPE OF INSURANCE POLICYNUMBER POUCYEFFECTIVE AT PO EXPIRA7ION DUCYfumigpim LIMITS GENERAL LIABILITY EACH OCCURRENCE $ DAF AGE TO RENTED $ IRnencey COMMERCIAL GENERAL LIABILITY MED EXP (Any one person) $ CLAIMS MADE D OCCUR PERSONAL B ADV INJURY S GENERAL AGGREGATE $ GEN 'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ riPOLICY 1 E 0.[71 LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea accident] $ BODILY INJURY ALL OWNED AUTOS SCHEDULED AUTOS (Per person) $ BODILY INJURY HIRED AUTOS NON -OWNED AUTOS (Per accident) $ PROPERTY DAMAGE $ (Per arxident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT S OTHER THAN EA ACC S ANY AUTO ! j I AUTO ONLY: AGG $ EXCcSSARYBRELLA LL""BlLITY i EACH OCCURRENCE_ $ AGGREGATE $ OCCUR CLAIMS MADE $ s DEDUCTIBLE $ RETENTION S WORKERS COMPENSATION AND WC STAT!] OF H - EMPLOYERS' UABILITY ANY PROPRIETORJPARTNEP,1EXECUTIVE E.L. EACH ACCIDENT S E.L. DISEASE . EA EMPL DYEEI S OFFICERtMEMBER EXCLUDED? I±yes, describe under SPECIAL PROVISIONS below EL OtSEASE- POLICY LIMn Is A OTHER Professional EOC926289700 10/18107 10/18108 $2,000,000 per claim Liability $2,000,000 anni aggr. DESCRIPTION OF OPERATIONS I LOCATIONS /VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT } SPECIAL PROVISIONS Professional Liability is written on a claims made and reported basis. CERTIFICATE HOLDER CANCELLATION ACORD 25 (2001/08) 1 of 2 #M153433 KHK © ACORD CORPORATION 1988 SHOULD ANY OF THE ABOVE DESCRIBED POUICIES BE CANCELLED BEFORE THE EXPIRATION City of Miami DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL _30_ DAYS WRITTEN Dept of Capital Improvements NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL 444 SW 2nd Avenue, 8th Floor IMPOSE NO OBLIGATION OR LABILITY OF ANY VINO UPON THE INSURER, ITS AGENTS OR Miami, FL 33130 REPRESENTATIVES. A„l1/T q.;vED REPRESEjtTATtVE ACORD 25 (2001/08) 1 of 2 #M153433 KHK © ACORD CORPORATION 1988 POR T ANT € the cerci€fiicate holder is an ADDITIONAL IivSCRED, the oolicy(ies) must be endorsed. A statement :n ." io la:� _ ES C0 3 _ ¢ C :I c C ...v: a:e J: ... _, ` of such endorserre 4(s) f �L`BROGA , IS WAMED, S' b eCt t0 i1e'� mS an. -4 C4 CitiC 1S Of i e ^ IC?, ..e n ii^IBS m?j require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or after the coverage afforded by the policies listed thereon. ACORD 25-S (2001108) 2 of 2 #M153433