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CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD,YYYY) ACO® 2/25/2016 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). TACT PRODUCER NAME: FAX Risk Management Underwriters, Inc. PHONE - 2 Arc No: 1420 Kensington Road ADDRESS: I n Suite 114 NAIL# Oak Brook IL 60523 INSURE S AFFORDING COVERAGE INSURER A INSURED 1227 INSURER B.WESCO Insurance Co501 Cohesive Networks, Inc Alt. Empl: INSURERC: SafeSpace, Inc. INSURER D: 4224 West Henderson Blvd INSURER E: Tampa FL 33629 INSURER F COVERAGES CERTIFICATE NUMBER:1132621695 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 AD51 9W Y PAID POLICY EPBPCLAS IM TN-SR POLICY NUMBER MMIDD MhUDD LIMITS LTR TYPE OF INSURANCE INR WVD EACH OCCURRENCE $ GENERAL LIABILITY pA A E TO RENTED COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ CLAIMS-MADE r-1 OCCUR MED EXP(Any one person) $ PERSONAL 8 ADV INJURY S GENERAL AGGREGATE S PRODUCTS-COMP/OP AGG S GEML AGGREGATE LIMIT APPLIES PER: $ POLICY M PRO LOC COMEIINEIINGLF LIMIT AUTOMOBILE LIABILITY Ea accident S BODILY INJURY(Per person) $ ANY AUTO BODILY INJURY(Per accident) S ALL OWNED SCHEDULED AUTOS NON-OWNED Perra�denDAMAGE $ HIRED AUTOS AUTOS $ EACH OCCURRENCE $ UMBRELLA LIAB OCCUR AGGREGATE $ EXCESS LIAB CLAIMS-MADE $ DED RETENTIONS 3/1/2016 31112017 X WIT C STATU- OTH- A WORKERS COMPENSATION N TWC3536853 3/1/2016 311/2017 B AND EMPLOYERS'LIABILITY YIN WWC3191003 E.L.EACH ACCIDENT 51,000,000 ANY PROPRIETOR/PARTNEWEXECUTIVE❑ N I A OFFICERIMEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYE $1,000,000 (Mandatory In NH) If yes,describe under E.L.DISEASE-POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS below LL DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) Location Coverage Period:3/1/2016-3/1/2017 but not SCoverage is afeSpaceS Inc.o612 SErDixie Hwy, S uthose artyFL 34994-Clio contractors o ent#15926 f 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. Safe Space 612 SE Dixie Hwy Stuart FL 34994 AUTHORIZED REPRESENTATIVE ©1986-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD _ f