HomeMy WebLinkAboutCertificateClient#: 103790
RACHLCOH
ACORD. CERTIFICATE OF LIABILITY INSURANCE
PRODUCER
US! Insurance of FL
Commercial Lines
3651 FAU Boulevard, Suite 300
Boca Raton, FL 33431
INSURED
Rachlin Cohen & Holtz LLP
Attn: Hilda Gilpin; 1 S.P. 3rd Ave.,
10th Floor
Miami, FL 33131
DATE (MMIDDIYYYY)
08/08/06
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
INSURER A: Valley Forge insurance Company
INSURER B: Twin City Fire Insurance Company
INSURER C:
NAIC#
20508
29459
INSURER 0:
INSURER E:
COVERAGES
r nG ruLa.ins ur INSUttANI. H LI51 kD BLOW 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 ADD'L
LTR
NSPX
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
PATE fMMIDP YY1
POLICY EXPIRATION
DATE iMMl06ATIO
LIMITS
A
GENERAL
LIABILITY
B1079451074
05/01/06
05/01/07
EACH OCCURRENCE
$500,000
X
COMMERCIAL GENERAL LIABILITY
RENTED
CLAIMS MADE I f OCCUR
_O.,QAEM SES (Ea
MED EXP
$300,000
(Any one person)
PERSONAL & ADV INJURY
$1 0,000
GENERAL AGGREGATE
$500,000
GEN'L AGGREGATE LIMIT APPPLIES PER:
—1
PRODUCTS • COMP/OP AGG
$1,000,000
$1,000,000
POLICY no 1 PRO- J 1 LOC
A
AUTOMOBILE
—
—
X
X
LIABILITY '•-
ANY AUTO
81079451074
05/01/06
05/01/07
COMBINED SINGLE LIMIT
(Ea accident)
$500,000
ALL OWNED AUTOS
SCHEDULED AUTOS
Iiyn
BODILY INJURY
(PBr person)
$
HIRED AUTOS
NON -OWNED AUTOS
�[yl
L.� Q V�
i\.
`f s /
BODILY INJURY
(Per accident)
$ri,
n
..
PROPERTY DAMAGE
(Per accident)
_
GARAGE
LIABILITY
AUTO ONLY • EA ACCIDENT
$
ANY AUTO
OTHER THAN EA ACC
$
AUTO ONLY: AGO
$
A
EXCESS/UMBRELLA LIABILITY
B1079451074
05/01/06
05/01/07
EACH OCCURRENCE
$5,000,000
OCCUR CLAIMS MADE
AGGREGATE
$5,000,000
$
DEDUCTIBLE
$
X RETENTION $ 10000
$
B
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
21WEEV1273
01 /01 /08
01/01/07
X
j
TO Y LiMITs IOER
ANY PROPRIETOR/PARTNER/EXECUTIVE
E.L, EACH ACCIDENT
$500,000
OFFICER/MEMBER EXCLUDED?
If yea, describe under
E.L. DISEASE - EA EMPLOYEE
$500 000
r
S
SPECIAL PROVISIONS below
E.L. DISEASE - POLICY LIMIT
$500,000
pESCRIPTION
OTHER
OF OPERATIONS 1 LOCATIONS ! VEHICLES! EXCLUSEONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
* 10 Day Notice of Canceialtion applies for non payment of premium.
Named Insured:
Rachlin Cohen & Holtz LLP
RCM Mangement Co.; LLC
(See Attached Descriptions)
CERTIFICATE HOLDER
City of Miami, Department of
Purchasing
444 S.W. 2nd Avenue, 6th Floor
Miami, FL 33132
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 70 THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT FAILURE TO DO 6O SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
REPRESENTATIVES.
ACORD 25 {2001/0e) 1 of 3 #S471926/M451519
AUTHORIZED�REPRESENTATIVE
! '1
EDAEU o ACORD CORPORATION 1988