HomeMy WebLinkAboutcertificate of liability -6Paonuer (305 S22-7800 FAX 3 58270i85
Collinsworth, Alter, Fowler, Dowling
& French Group Inc.
P, 0, Box 9315
Miami.Lakes, FL 33014-931S
INSuN!5)1etriC Engineering, Inc,
13940 S.W. 136 Strait
Metric Plaza - Suite 200
Miami, FL 33186
23. 2(03 ..3)Pv, V 567 o3 �/as/aoa3
AC u� C:EK t trICATE OF LIABILITY INSURANCE yIM'DDNY,
(
THIS CERTIFICATE 13 ISSUED AS A MATTER OF 1NFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLI IE$ BEL_ . yti.._
INSURERS AFFORDING COVERAGE
INII Ra At Hartford Ins Co of the SE
INSURERS: Hartford -Fire Insurance Co.
IH t!A c' Hart ord Casual ty Ins . Co
NAIC U
INSURIRO Twin City Fire Insurance Co
'4VRERs Lumbermen's Mutual Casualt Co*
COVERAGES
THE POLICIES Of INSURANCE LISTED BELOW HAVE SEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE PQLICV PERIOD INCiwATED, NOT1 IHSTA.YDIN
ANY REQUIREMENT, TERM DR GOND:'iiMN OF ANY C0 tTRACT OR OTHER DOCUMENT WITH RESFECT TO WHICH THIS CERTIFICATE MAY eE ISSUED OR
MAY PERTAIN, THE INSURANCE AIIFOR:40 SY THE POLICIES DESCRIBED HEREIN iS SUBJECT TO ALL THE TERMS, EXCLUSIONS ANC CONDITIONS OF SUCH
POLICIES. AOOREGATE UMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLA��I�(MpQS.N�P���-�1�
I�# R
C
1YPEOrIN$URkNCE
• POLICY NUMBER
1SI7�If�M igriY
,�T
EZY "ATtON
�-
LINfTE
GENERALMAaIUTY
X
COMMERCIAL GENERAL LIASILITr
21UUNLKS938K3
03/01/2003
01/01/2004
sAcriCCCvamiNcE
s 1,000,000
--
1 000
1
1,000fVW
QAMAGE TO RANTED
CWNSLIAOi CD OCCUR
MED EXPFigniulip¢Ary ono WWI
A
!,
PERSONA. S ADv INJURY
GENERAL AGGREGATE
1 2 , 000) 0G0
GEM
1...1
AOOREGATE LPICT APPLIES Pull.:
yOLICY n JLi9T n 6oc
Ftl40Ur"E • t D11PrOP A0G
1 . 000 , 00C
B
AUTOMQe1L1ILIAIVUTY
p
11�
I A
ANY AUTO
AU. O'A'NEe AUTOS
SCiitCULe6AUTC8
NiIRGD AUTOS
j t4ON•OW`EDAUTOS
21UFNUF0057K3
03/01/2003
P\??
03/01/2004
COMBNED1IINGL!L 111T
MA
1
1, 000, 40C
IODItr INJURY
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1
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Y INJt '
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PROPER.?DAMAO&
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$
OTHER THAN eAACC
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EXCISSiUMIKELLAUAIILITY
ROECDUCr
)P.EYENTION
OCCUIF ED CLKIM3 MADE
1LE
1 1.0p000
21XHUIN9763K3
03/01/2003
03/01/2004
EACroccumsNoe
s 1,000,00C
-AGGREGATE
1 1, IMMIX
1
1
s
0
WORKERS ;OMPEwIAnoN AND
EMPLOYERS' L'ASILm
ANY PROPRIETAR'PARTNEFUEPECuTIVE
0PPICE/UMEMBERBxC6U007
u yrNN,� *KIN ur*p�rr
SPECIAL PROVISIONS bs
2IWBGC2630
03/01/2003
03/01/2004
_
X Aa SLAT J. 1 awn•
El. EACH
! 500400R
1 500,00(
-
E.L. DISEASE• EAP.JrIPLdrn
I L. DISEASE • PO04Y !Turf
1 500,00(
F'°Ai`essional i.iability
Claims -Made Form
60L-021.792-00
07/01/2001
07/01/2003
S2,000,000 Each Claim
13,000,000 Policy Agg
Full Prior Acts Retro-Cate
:AM 'MN OP OP1AATlQ r LOCA11OP.$ VerecL i LW ADD= EY NDO NT IEPICdAL PR (ONE *The insurers poi icy payment obli at s ara backed a cut -tough to National Indemnity Company, an
A++ rated Berkshire Hathaway subsidiary. For this clams -Trade policy, the cut -through is effective
as of the policy inception date.
CERTIFICATE HOLDER
City of Miami
Attn: City Manager
P 0 Box 330708
Miami, FL 33233-0708
ACORD 25 (2001l08)
CA1JmLATION . -
SH0U1,0 ANY OP THE ABOVE D!SC RIMED POLICIES 0C CAROLLED UFORE THE
weIRATION DATI TNIAIOP, 'RE IMMING INSURER WILL IND1AVOR TO MAIL
30 DAY! WRITTEN NOTICE TOTHE CEP TIPRIATE HOLIER BANNED TO TN E LOT,
au'T PAILuRI TO MAIL TUCK NOTIC E RHAU. IMPOSE NO 3SWGATION OR LUA AM Y
OP ANY RUST UPON *e lasumIR, cm AOR REPRESENT163Nl111.
AuTKORIYED RRPRVISV'ATivE
Meade Collinsworth
OACOR + RPORATION iSi