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HomeMy WebLinkAboutInsurance2.AGORA CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 09/07/2005 PRODUCER (305)822-7800 FAX 305-362-2443 Collinsworth, Alter, Fowler, Dowling & French P. 0. Box 9315 Miami Lakes, FL 33014-9315 Angie Yruretagoyena angiey@canfd.com 305-503-9189 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERT FICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INsuRED Duany Plater-Zyberk & Co. 1023 S.W. 2Sth Ave. Miami, FL 33135 INSURER A: Illinois Union Insurance Co. A XV INSURER 8 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 ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.. INSR LTR ADD'L JNSRC TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE _DATEJMM/DD/YTI POLICY EXPIRATION DATE IMM/OD/YYI LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PRFMISFS /Fa nrri rPnrp) $ CLAIMS MADE OCCUR MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEM. AGGREGATE LIMIT APPLIES PER. PRODUCTS - COMP/OP AGG $ POLICY JECTI LOC AUTOMOBILE LIABILITY ANY AUTO n COMBINED SINGLE LIMIT (Ea accident) $ ALL OWNED AUTOS SCHED'U AUTOS t C:..CIA {ryt BODILY INJURY (Per person) $ TO HIRED AUTOS NON -OWNED AUTOS (., r BODILY INJURY (Per accident) $ Grl 1 9- QrV PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY y AUTO ONLY - EA ACCIDENT $ ANY AUTO EA ACC OTHER THAN $ AUTO ONLY. AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND WC STATU- OTH- TORY LIMITS FR EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ A Claims Professional Liability Made Form E0NG21924593002 09/12/2005 09/12/2006 $4,000,000 General Aggregate $3,000,000 Each Claim $25,000 Deductible DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Retro: 4-1-80 for First lmil/2mil Retro: 9/12/05 for Increased Limits 2mi1/2mi1 CERTIFICATE HOLDER City of Miami Attn: Frank Gomez 444 SW 2nd Avenue 9th Floor Miami, FL 33130 CANCELLATION 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 MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Meade Collinsworth/ZO ACORD 25 (2001/08) FAX: (305)416-1390 ©ACORD CORPORATION 1988 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may 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 alter the coverage afforded by the policies listed thereon. ACORD 25 (2001/08) ACORD CERTIFICA. OF LIABILITY INSURAN . OP ID SG DATE (MMIDDIYY Y) DUANY-1 01/21/05 PRODUCER InSource, Inc. 9500 South Dadeland Blvd.,#200 P.O. Box 561567 Miami FL 33256-1567 Phone:305-670-6111 Fax:305-670-9699 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 Duany Plater-Zyberk & Co., Inc d/b/a DPZ & Co. & Decumanus Inc. 1023 SW 25 Avenue Miami FL 33135 INSURER A Twin City Fire Insurance Co. 29459 INSURER B: Assurance Company of America 19305 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 ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR AUU1 NSRC TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MMIDD/YY) POLICY EXPIRATION DATE (MM/ODIYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 2000000 B X X COMMERCIAL GENERAL LIABILITY PAS24213853 12/18/04 12/18/05 UAMAt,t IU HtNI tU PREMISES(Eaoccurence) $ 2000000 CLAIMS MADE X OCCUR MEDEXP(Any one person) $ 10000 PERSONAL& ADV GENERALAGGRE GEN'LAGGREGATE LIMIT APPLIES PER'. PRODUCTS • COMP/OP coA $ 4000000 POLICY 7 PROCT- I JErX LOC B AUTOMOBILE X LIABILITY ANY AUTO PAS24213853 12/18/04 12/18/05 COMBINED SIN (Ea accident) 0000 ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per person) $ X X HIRED AUTOS NON -OWNED AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE rl jjj{{{jjj t 3 (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO jjj��� L...a `,i '� u /1' �� / OTHER THAN EA ACC $ • ttt AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY t.62/18/05 EACH OCCURRENCE $ 4000000 B X OCCUR CLAIMSMADE PAS24213853 12/18/04 AGGREGATE $ 4000000 $ DEDUCTIBLE $ X RETENTION $ 0 $ WORKERS COMPENSATION AND W C—S I ATU- X TORY LIMITS O rW ER A EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE 21WEKZ3451 10/01/04 10/01/05 E.L. EACH ACCIDENT $ 1000000 OFFICER/MEMBER EXCLUDED? E L DISEASE - EA EMPLOYEE $ 1000000 II yes, describe under SPECIAL PROVISIONS below El. DISEASE - POLICY LIMIT $ 10 00000 OTHER DESCRIPTION OF OPERATIONS / LOCATIONS 1 VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Certificate holder is included as additional insured with respects to general liability re: Project Miami 21 #0425. *Except 10 days notice for non payment. CERTIFICATE HOLDER CANCELLATION City of Miami Risk Management 9th Floor 444 SW 2 Avenue Miami FL 33130 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 D0 50 SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. ACORD 25 (2001/08) ©ACORD CORPORATION 19/ IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights 10 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 alter the coverage afforded by the policies listed thereon. ACORD 25 (2001/08) i