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HomeMy WebLinkAboutexhibit 4-certificate of insurance............................. DATE (MM/DD/YY) 12/12/2003 PRODUCER ARC Excess & Surplus, LLC 901 Route 168, Suite 202 Blackwood, NJ 08012 INSURED Unisys Corporation P.O. Box 500 Blue Be].]., PA 19085 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND, OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE COMPANY National Union Fire Insurance A Coin COMPANY B COMPANY C COMPANY D COVERAGES, THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS 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. CO LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MMIDD!YY) POLICY EXPIRATION DATE (MMIDDNY) LIMITS GENERAL LIABILITY MMERCIAL GENERAL LIABILITY S MADE r I OCCUR OWNER'S & - ✓I RACTOR'S PROT GENERAL AGGREGATE $ PRODUCTS-COMP/OP AGG $ PERSONAL & ADV INJURY EACH OCCURRENCE FIRE DAMAGE (Any one fire) $ MED EXP (Any one person) $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS COMBINED SINGLE LIMIT BODILY INJURY (Per person) $ BODILY INJURY (Per accident) PROPERTY DAMAGE GA RAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT OTHER THAN AUTO ONLY: EACH ACCIDENT AGGREGATE EXCESS LIABILITY UMBRELLA FORM OTHER THAN UMBRELLA FORM WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY THE PROPRIETOR! PARTNERS/EXECUTIVE INCL OFFICERS ARE; EA • CURRENCE AGGREGAT EXCL STATU- TORYWC M T$ EL EACH ACCIDENT OTHE EL DISEASE - POLICY LIMIT EL DISEASE • EA EMPLOYEE $ A OTHER PROFESSIONAL LIABILITY 360-89-47 10/17/ 2003 10/17/ 2004 US$15, 000, 000 AGGREGATE DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES/SPECIAL ITEMS ER'I IFICATE'` H QLDER City of Miami 444 S.W. 2nd Avenue Miami FL 33130 CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE or- CORPOI ° • TI014 37'993'I