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Williams Paving Co. - Exhibit 8 Insurance Certificate EXHIBIT8 INSURANCE CERTIFICATE • ACCo DATE(MM /DD /YYYY) CERTIFICATE OF LIABILITY INSURANCE page 1 of 2 11/19/2010 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 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 CONTACT NAMF • Willis of Florida, Inc. PHONE AX 26 Century Blvd. (Arc NO FXT) 877- 945 -7378 I ( NO) 888- 467 -2378 P. O. Box 305191 E - MAIL Nashville, TN 37230 -5191 AnnRFSS CertlficateS@w1111B.COfl INSURER(S)AFFORDING COVERAGE NAIC 6 INSURER A: Wausau Business Insurance Company 26069 - 091 INSURED • Williams Paving Co., Inc. INSURER B: Wausau Underwriters Insurance Company 26042 -091 11300 NW South River Dr. INSURER C: Medley, FL 33178 INSURER D: INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: 15029717 REVISION NUMBER:see Remarks 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. INSR T YPE OF INSURANCE ADD'L SUB F P OLICY NUMBER POLICY EFF POLICY EXP LIMITS ITR ]NSRn WVn ,oMM /nn/YYYY) tMM /nn/YYY A GENERAL LIABILITY Y N TBRZ914488910 3/25/2010 3/25/2011 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY PREMI DAMAGE TORENTED PREMISES R NTED ce) $ 300,000 CLAIMS- MADELJ OCCUR MEDEXP(Anyoneperson) $ 5,000 PERSONAL BADV INJURY $ 1,000,000 % ((( /0 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: _ PRODUCTS - COMP/OP AGG $ 2, 000,000 7 POLICY X PRO- LOC $ 7FCT A AUTOMOBILE LIABILITY Y N ASKZ91448891090 3/25/2010 3/25/2011 COMBINED SINGLE LIMIT 1,000,000 (Ea accident) $ X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS X HIRED AUTOS X NON -OWNED PROPERTY DAMAGE AUTOS (Per accident) $ _ UMBRELLALIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE AGGREGATE $ DED RETENTIONS $ B WORKERS COMPENSATION N WCJZ91448891100 3/25/2010 3/25/2011 X WCSTATU- S FR OTH- AND EMPLOYERS' LIABILITY TC)RYI IMIT ANY PROPRIETOR/PARTNER/EXECUTIVE fi N/A E.L. EACH ACCIDENT $ 500,000 OFFICER/MEMBER EXCLUDED? Mandato NH) E.L. DISEASE - EA EMPLOYEE $ 500,000 1f es,descnbe under DESCRIPTION OF OPERATIONS below E.L.DISEASE - POLICY $ 500,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach Acord 101, Additonal Remarks Schedule, if more space is required) THIS VOIDS AND REPLACES PREVIOUSLY ISSUED CERTIFICATE DATED: 11/18/2010 WITH ID: 15025162 Bid No: 37- 09/10. Job order contract - Streetscape Utilities Independent Contractors, Contractual Liability and XCU are included in General Liability. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of M iami Beach AUTHORIZED REPRESENTATIVE Procurement Division 1700 Convention Center Drive M iami B each, F 33139 Co11:3190079 Tp1:1062974 Cert:150297 7 © 1988- 2010 ACORD CORPORATION. All rights reserved. • ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: 100380 LOC#: A ADDITIONAL REMARKS SCHEDULE Paged of .2__ AGENCY NAMED INSURED Williams Paving Co., Inc. Willis of Florida, Inc. 11300 NW South River Dr. POLICY NUMBER Medley, FL 33178 See First Page CARRIER NAIC CODE See First Page EFFECTIVE DATE: See First Page ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE It is agreed that City of Miami Beach is included as an Additional Insured as respects to General Liability and Automobile Liability policies, but solely in regards to work being performed by or on behalf of the Named Insured in connection with the job described herein, as required by contract. • • • • ACORD 101 (2008/01) Coll:3190079 Tpl:1062974 Cert:15029717 © 2008 ACORDCORPORATION .Allrightsreserved. The ACORD name and logo are registered marks of ACORD