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ACORO0 1 DATE(MMIDDIYYYY) <br /> CERTIFICATE OF LIABILITY INSURANCE <br /> F9/6/2016 <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(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to <br /> the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br /> certificate holder in lieu of such endorsement(s). <br /> PRODUCER CONTANAME: Jessica Fale <br /> Heacock Insurance Group, Inc. PHONE 863-337 4020 I FAX <br /> 1105 US Hwy 27 North 863-683-3309 <br /> E- AIL <br /> Sebring FL 33870 jfale@heacock.com <br /> INSURER(S)AFFORDING COVERAGE I NAICls <br /> INSURER A.Wesco Insurance Company I <br /> INSURED CIVIDES-01 INSURER B Travelers Property Casualty Company 125674 <br /> CivilSury Design Group, Inc. INSURER C.Travelers Indemnity Company 125658 <br /> 2525 Drane Field Road, Ste 7 INSURER D.Travelers Casualty&Surety 19038 <br /> Lakeland FL 33811 <br /> INSURER E. <br /> INSURER F. I <br /> COVERAGES CERTIFICATE NUMBER:745001728 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 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 THE TERMS, <br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> 1NSR TR TYPE OF INSURANCE I INSD WVD POLICY NUMBER I MMIDDIYY I MMIDD/YPOLICYFYXP LIMITS <br /> B I X I COMMERCIAL GENERAL LIABILITY Y 6805F946119 2/27/2016 2/27/2017 EACH OCCURRENCE 51.0001000 <br /> 1 CLAIMS-MADE X� PREMISES OCCUR DAMAGES(Ea ocRENcuTEDnence) I S300,000 <br /> MED EXP(Any one person) I S5,000 <br /> PERSONAL&ADV INJURY 1 51,000.000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 1 52,000.000 <br /> POLICY�JEC7 F—]LOC PRODUCTS-COMPIOP AGG 1$2.000,000 <br /> OTHER: Is <br /> B I AUTOMOBILE LIABILITY Y Y BA5F947417 2/27/2016 2127/2017 1Ea act Dn IN L I 151.000,000 <br /> X ANY AUTO BODILY INJURY(Per person) S <br /> AUTOS OWNED SSCHHOEDULED BODILY INJURY(Per accident) S <br /> NON-OWNED' ROPER Z DAMAGE 15 <br /> HIRED AUTOS AUTOS <br /> I Is <br /> C X UMBRELLA LU\B �j OCCUR Y Y �CUP5F95257A 2/27/2016 2/27/2017 EACH OCCURRENCE S 1.000,000 <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE 1 51,000.000 <br /> DED 1 X I RETENTION 510,000 I S <br /> D WORKERS COMPENSATIONY UB4402T275 2/27/2016 2127/2017 X I PER X OTH- <br /> AND EMPLOYERS'LIABILITY YIN STATUTE OR <br /> ANY PROPRIETORIPARTNER/EXECUTIVE E.L.EACH ACCIDENT $1.000:000 <br /> OFFICER/MEMBER EXCLUDED? N/A I <br /> (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $1,000.000 <br /> DESCdescribe under <br /> RIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT I S 1,000.000 <br /> A Professional Liability ARA111969902 2/27/2016 2/27/2017 Per Claim 2,000,000 <br /> Aggregate 2,000,000 <br /> DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) <br /> IRC Project #1605 <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> Indian River County THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> 1800 27 Street ACCORDANCE WITH THE POLICY PROVISIONS. <br /> Vero Beach FL 32960 <br /> AUTHORtZP REPRESENTATIVE <br /> htT <br /> I <br /> ©1988-2014 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD <br />