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ACORU® DATE (MMOD/YYYY) <br /> CERTIFICATE OF LIABILITY INSURANCE <br /> 6 / 29 / 2011 <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br /> CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br /> BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br /> REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER, <br /> IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, <br /> subject to <br /> the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer <br /> rights to the <br /> certificate holder In lieu of such endorsement(s), <br /> PRODUCER <br /> CONTACT <br /> NAM : Jerry Noyola <br /> Greyling Insurance Brokerage PHONE ( 770 ) 552 - 4225 FAX <br /> 450 Northridge ParkwayA/c Not, <br /> SO . noyolaQgreyling . comSuite 102 ER 00001398 <br /> Atlanta GA 30350 INSURERS AFFORDING COVERAGE <br /> INSURED NAIC Y <br /> 7INSURERZTralvelers Indemnity Co . of CT 5682 <br /> INsuRERs :Travelers Indemnit Com an 5658 <br /> Kimley-Horn and Associates , Inc . INSURERc :Travelers Property Casualt Co . 5674 <br /> P . O . Box 33068 <br /> INSURERD :Phoenix Insurance Com an 5623 <br /> , Raleigh INSURERE :Lexin ton Insurance Com an 9437 <br /> NC 27636 <br /> INSURE F : <br /> COVERAGES CERTIFICATE NUMBER:* 10 - 11 ( Kimley Sharda ) REVISION NUMBER: <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY <br /> PERIOD <br /> INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN , THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL <br /> THE TERMS, <br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> INSR <br /> LTR TYPE OF INSURANCE A SU POLICY NUMBER M DDfrfYY)LICY EFF POLICY EXPO <br /> fXCOMMERCIAL <br /> L LIABILITY MMIDD <br /> EACH OCCURRENCE S 1 , 000 , 000 <br /> GENERAL LIABILITY PREMISES Ea occurrence S 1 , 000 , 000 <br /> ACLAIMS-MADE OCCUR — 630- 8193699A-TCT- 10 2 / 1 /2010 2 / 1 /2011 MED EXP (Any one person) S 10 , 000 <br /> PERSONAL & ADV INJURY S 11000 , 000 <br /> GENERAL AGGREGATE i 2 , 000 , 000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: <br /> POLICY X PRO PRODUCTS - COMP/OP AGG $ 1 , 000 , 000 <br /> }( LOC <br /> AUTOMOBILE LIABILITY $ <br /> COMBINED SINGLE LIMIT <br /> X ANY AUTO (Ea accident) S 1 , 000 , 000 <br /> B ALL OWNED AUTOS —810-5724B497 - IND- 10 2 / 1/2010 2 / 1/2011 BODILY INJURY (Per person) $ <br /> SCHEDULED AUTOS BODILY INJURY (Per accident) S <br /> X HIRED AUTOS PROPERTY DAMAGE S <br /> (Per acddent) <br /> X NON-0WNED AUTOS Underinsured motorist BI split $ <br /> Uninsured motorist property $ <br /> X UMBRELLA LIAO TX OCCUR EACH OCCURRENCE $_ 51000 , 000 <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $ 5 , 000 , 000 <br /> DEDUCTIBLE <br /> S <br /> CJAND <br /> XRETENTION $ 10 000 SM- CLIP- 81931199A-TIL- 10 2 / 1 /2010 2 / 1/2011 $ <br /> KERS COMPENSATION WC STATU- GTH- <br /> EMPLOYERS' LIABILITY Y / N X <br /> PROPRIETOWPARTNER/EXECUTIVE 500 000 <br /> ER/MEMBER EXCLUDED? N / A E.L. EACH ACCIDENT iatory In NH) �NLJB- 8193B99A- 10 2 <br />/ 1 /2010 2 / 1/ 2011E. L. DISEASE - EA EMPLOYE $ 500 000 <br /> tlesaibe underRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 500 000 <br /> E Professional Liability 16017332 2 / 9/ 2010 2 / 1 / 2011 Per Claim $ 2 , 000 , 000 <br /> I iAggregate $ 2 , 000 , 000 <br /> DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101 , Additional Remarks Schedule, k mon space Is required) <br /> Re : Sports Village Quadrangle Fields ; Keith Pelan . Bill Bryant i Associates Inc , 6 Indian River <br /> County are named as <br /> Additional Insureds on the above referenced liability policies with the exception of workers compensation <br /> i <br /> professional liability . <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> Bill Bryant 6 Associates , Inc , ACCORDANCE WITH THE POLICY PROVISIONS. <br /> Insurance Compliance/ Risk Manager <br /> 1550 Old Dixie Highway AUTHORIZED REPRESENTATIVE <br /> Vero Beach , FL 32960 <br /> Matias Ormaza/NOYOLA <br /> ACORD 25 (2009/09) © 1988-2009 ACORD CORPORATION. All rights reserved. <br /> INS025 (2oo9oe) The ACORD name and logo are registered marks of ACORD <br />