Trans Florida Development Corp - Exhibit 8 Insurance Certificate EXHIBIT 8
INSURANCE. CERTIFICATE
DATE (MM /DD/YYYY)
CERTIFICATE - OF LIABILITY INSURANCE
./ OP ML 12/09/10 .
THIS CERTIFICATE 1S ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE :HOLDER:
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES..
BELOW. , THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE CONTRACT *BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
"IMPORTANT: if the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. 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).
PRODUCER WNIALA
NAME:
PHONE FAX
BROWN & BROWN -HBA DIVISION A/C, No Ext : (A/C, No):
2500 NW 79TH AVE', SUITE 101 ADDRESS:
MIAMI FL 33122 PRODUCER
CUSTOMER ID #: TRANSI7
INSURER(S) AFFORDING'COVERAGE NAIC #
INSURED INSURER A: Travelers Indemnity Of America 25666
Trans Florida Development Corp INSURER B Charter Oak` Fire Insurance Co.
13960 Sw 144Th Avenue Road
Miami FL 33186 INSURERC: Travelers Property Casualty Co
INSURER D: Bridgefield Employers Ins. Co.
INSURER E
INSURER F t
COVERAGES CERTIFICATE "NUMBER: REVISION NUMBER:
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.
LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER (MM /DD /YYYY) (MM /DD /YYYY) LIMITS
GENERAL LIABILITY EACH OCCURRENCE $1,000,000
A X' COMMERCIAL GENERAL LIABILITY DTC01229R53ATIA10 05/22/10 05/22/11 PREMISES (Ea occurrence) $ 300 , OOO
CLAIMS -MADE 7 OCCUR MED EXP (Any one person) s5,000
X PERSONAL &ADV INJURY $1,000,000
r ( GENERAL AGGREGATE s
_
GEN'L AGGREGATE LIMIT APPLIES PER: v PRODUCTS - COMP /OP AGG s2,000,000
POLICY X PRO - LOC $
JECT
AUTOMOBILE LIABILITY" COMBINED SINGLE LIMIT $ 1 OOO OOO
'(Ea accident) r r
B X ANY AUTO DT8161229R53ACOFIO 05/22/10 05/22/11 BODILY INJURY (Per person) $10,000
ALL OWNED AUTOS
BODILY INJURY (Per accident] $
SCHEDULED AUTOS X PROPERTY DAMAGE
X HIRED AUTOS (Per accident) $
X NON -OWNED AUTOS $ .
• $
C UMBRELLA LIAB X OCCUR DTCUP1229R53ATIL10 " 05/22/10 05/22/11 EACH OCCURRENCE $ 4 , 000 i 000
EXCESS LIAB CLAIMS -MADE AGGREGATE $ 4,000,000
DEDUCTIBLE $
X RETENTION $ 10,000 $
D WORKERS COMPENSATION - 083045058 05/22•/10 05/22/11 X - -
AND EMPLOYERS' LIABILITY TORY LIMITS ER Y/N
'ANY PROPRIETOR /PARTNER /EXECUTIV.ED NIA E.L.-EACH ACCIDENT $ 500,000
OFFICER /MEMBER EXCLUDED?
(Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ 500,000
If yes, describe under'
DESCRIPTION OF OPERATIONS below _ E.L. DISEASE - POLICY LIMIT $ 500,000
DESCRIPTION OF PERATIONS / LOCATIONS 1 VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required)
No-- 37 -09/10 Job Order Contract - Streetscape Utilities, Projects.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE .
THE EXPIRATION DATE THEREOF; NOTICE WILL BE DELIVERED IN .
City Of Miami Beach. ACCORDANCE WITH THE POLICY PROVISIONS.
Procurement Division
Kenneth Patterson AUTHORIZED REPRESENTATIVE
1700 Convention Way
Miami Beach'FL 33139
ACORD CORPORATION. All rights reserved.
ACORD 25 (2009/09) The ACORD name and logo are. registered marks of ACORD
. � HOLDER,CODE ' TRANSIT 'PAGE 2
NC?TEPA
INSU.RED`S NAME Tram Florida,:Deirelopment Corp OP ID; ML DATE 12/09/1.0
GL Other Type Ins: - N CONSTRUCTION PAYROLL $2,794,150 - COMPOSITE RATE
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