HomeMy WebLinkAboutExhibit 15Attachment I:
The City's Insurance Requirements for
Provider with
Provider's
Insurance Certificates
rjj:Document PSA (3)
53
AG -EMU 4LK 1 1IIUA l, _:OI- LIABILITY INSURAW.,.
OP ID Pril
DAlt {MM/DINTTYY
MIAMPAR 01/06/06
PRODUCER.
Newman Insurance Agency, Inc.
5700 Stirling Road
Hollywood FL 33021-
Phone:954-963-9626
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.
INSURERS AFFORDING COVERAGE
NAIC #
INSURED
Miami Dade pFamily Learning
MiamPartnership, hnii yyxx��
i Biscayne Blvd. #500
INSURER A: Scottedala lneurance Company
INSURER B:
INSURER C:
INSURER D;
INSURER E:
COVERAGES
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 AU. THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
*tin
LTR
Au t%
NERD
TYPE OF INSURANCE
POLICY NUMBER
POLICYpp EWY)
DATE (A�MIDY)
4 � T •N
DATE {� -
DATE
LIMITS
A
GENERAL
LIABILITY
COMMERCIAL GENERAL LIABILITY
TBD
01/05/06
01/05/07
EACH OCCURRENCE
$ 1, 0 0 0, 0 0 0
X
DANIAM
PREMISES aoccur nce)
$ 100, 000
CLAIMS MADE I-1 OCCUR
MED EXP (Any one person)
$ 5 , 0 0 0
PERSONAL I ADV INJURY
S 1, 0 0 0, 0 0 0
X
NOA - $1, 000, 000
GENERAL AGGREGATE
$ 2, 000, 000
GEWI. AGOREGATE LIMIT APPLIES PER:
PRODUCTS - COMPIOPAGG
$2,000,000
'—I POLICY n jET n LOC
A
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
TBD
01/05/06
01/05/07
COMBINED SINGLE LIMIT
(Ea accident)
S
BODILY INJURY
(Per person)
S
r
_
—
BODILY INJURY
(PeraCCldentj
s
X
—1
PROPERTY DAMAGE
(Per aecldent)
S
^,
GARAGE
LIABILITY
ANY AUTO
AUTO ONLY - EA ACCIDENT
S
OTHER THAN EA ACC
$
AUTO ONLY: AGG
$
EXCESS/UMBRELLA LIABILITY
EACH OCCURRENCE
S
—1 OCCUR u CLAIMS MADE
AGGREGATE
$
DEDUCTIBLE
RETENTION $
S
$
$
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER .XCLUDRDT
H yes. deecrlba under
SPECIAL PROVISIONS Below
'
ITORY LIMITA iT$ I I ER
E.L. EACH ACCIDENT
$
E.L. DISEASE - EA EMPLOYEE
$
E.L. DISEASE - POLICY LIMIT
$
OTHER
DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT 1 SPECIAL PROVISIONS
CERTIFICATE HOLDER
CANCELLATION
MIAM002
City of Miami
444 SW 2nd Avenue
Miami FL 33130
ACORD 25 (2001/0B)
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
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 5O SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
REPRESENTATIVES.
rAUTI
r.
OR�DREPI��NNIVE,,,,�-,.
�/ 11 �/Ml '►'►IA/h
ID ACORD CORPORATION 1988