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Metro Express -Exhibit 8 Insurance Certificate
EXHIBIT B INSURANCE CERTIFICATE RE CERTIFICATE O F LIABILITY INSURANCE OPIDAI DATE(M 11/19/10 - THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS - CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. • IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the poficy(esJ 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 • NAME: PHONE FAX BROWN & BROWN OF FLORIDA INC (A /C. No, xt): (A /C. No): E-MAIL 8000 GOVERNORS SQUARE BLVD 400 ADDRESS: • MIAMI LAKES FL 33016 -1588 PRODUCER CUSTOMER ID I: ME�TR002 Phone: 305 - 364 -7800 Fax: 305 -822 -5687 INSURER(S) AFFORCING COVERAGE NAIC0 • INSURED - INSURER A: TRAVELERS INDEMNITY COMPANY 25658 • METRO EXPRESS INC INSURER B: CHARTER OAK FIRE INS CO 25615 9442 NW 109 STREET MEDLEY FL 33178 INSURER C: TRAVELERS PROP CAS CO Or MI:R 36161 INSURER D: ERLDDE00000 EMPLOYERS INS CO 10701 INSURER E: FEDERAL INSURANCE COMPANY 20281 INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: • TIIIS IS TO CERTIFY THAT THE POLICIES DI: IIISI.IRA rT:E LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD . INDICATED. NOTWITHSTANDING NW REOVIFEMENT. TERI.I OR CONDITION OF ANY CONTR ACT OR OTHEF DOOJMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERT API. THE INSURANCE AFFORC0D BY THE POLIO ES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH 00010195, LIMITS SHOWN MAV HAVE BERT REDUCED EN PAID CLAIMS. INSR - ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER (MMIDO'WYY) (MMIDDIYYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED A X COMMERCIAL GENERAL LIMP LITY DTCO3209R709 -T $ -10 09/12/10 09/12/11 PREMISES (Ea occurrence) $ 300,000 CLAIMS -01 X "._CUR - MED EXP (Any one person( 4 5,000 X / PERSONAL 8 ADV INJURY $ 1,000,000 U GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMN P FPLIE &PER. F f I 1 PRODUCTS- DUMP /OP AGG $ 2,000,000 FRf,T . %%% 1, g POLICY X JEC L0C AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 (Ee accide01 B X ANY AUTO 0000080000000 001' - LO 09/12/10 09/12/11 BODILY INJURY Per person) 5 ALL OWNED AUTOS BODILY INJURY (Per accident) 4 SCHEDULEDAIJTOS X • PROPERTY DAMAGE 8 HIRED AUTOS (Per eccldent) NON -OWNED AUTOS - $ • • c UMBRELLALIAB X O_CUP DTSWIIP 100 - - 09/12/10 09/12/11 EACH OCCURRENCE $ 3,000,000 EXCESSLIAB CLAIMS-MACE - AGGREGATE $ 3,000,000 DEDUCTIBLE - $ X RETENTION $ 10,000 $ O WORIERS COMPENSATION 0830-38388 09/22/10 09/22/11 X' WC STATLL OTFL AND EMPLOYERS' LIABILITY TORY LIMITS ER Y ANYP0OPRIETOR /PARTNER/0XECUTIVE _ EL EACH ACCIDENT $ 1,000,000 OFFICER /MEMBER E,0CLUDEDP NIA (Mandatory In NM EL. DISEASE - EA EMPLOYEE $ 1,000,000 II yes. describe under DESCRIPTION OF OPERATIOTJSL •low EL. DISEASE - POLICY LIMIT $ 1,000,000 E Equipment Floater 06637653EUC 03/04/10 03/04/11 Max Per _ Lease /Rented Equip Item 100,000 DESCRIPTION OF OPERATIONS / LOCATIONS /VEHICLES (Attach ACORD 101. Additional Remade Schedul if more space Is required) RE: INVITATION TO BID (ITB) NO. 37- 09 -/10 JOB ORDER CONTRACT - STREETSCAPE UTILITIES ( "ITB ") The City of Miami Beach is an Additional Insured, with regard to General Liability, and Automobile Liability when required by written contract. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF TIE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE CIT3139 TIE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POUCY PROVISIONS. - CITY OF MIAMI BEACH PROCUREMENT DIVISION AUTHORIZED REPRESENTATIVE 1700 CONVENTION CENTER DR MIAMI BEACH FL 33139 • %l)� • • I ©1988 -2009 ACORD OR PORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD • • • c • 1