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A� D® CERTIFICATE OF LIABILITY INSURANCE
<br />DYYY)
<br />M IY
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
<br />9/DATE
<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
<br />CONTACT Jessiq Fale
<br />k Insurance Group, Inc.
<br />1105 U
<br />1105 US Hwy 27 North
<br />=. 863-337-4020 Fax 863-683-3309
<br />E-MAIL . fale heacock.com
<br />j
<br />Sebring FL 33870
<br />INSURERS AFFORDING COVERAGE NAIC 0
<br />2/27/2017
<br />INSURER A : Wesco Insurance Company
<br />DAMAGE TO RENTED
<br />PREMISES Ea occurrence s300,000
<br />INSURED CIVIDES-01
<br />INSURER B :Travelers Pro Casualty Company 25674
<br />CivilSury Design Group, Inc.
<br />INSURERC,Travelers Indemnity Company 25658
<br />2525 Drane Field Road, Ste 7
<br />Lakeland FL 33811
<br />INSURER D :Travelers Casualty & Surety 19038
<br />INSURER E:
<br />INSURER F:
<br />PERSONAL & ADV INJURY S1,000,000
<br />COVERAGES CERTIFICATE NUMBER: /4bUU1 /Z5 RFVI31nM MI IMRFR•
<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 />INSR
<br />LTR
<br />TYPE OF INSURANCE
<br />ALKIL15LIUK
<br />INSD
<br />WVD
<br />POLICY NUMBER
<br />POLICY EFF
<br />MM/DD
<br />POLICY EXP
<br />MMIDD
<br />LIMITS
<br />B
<br />X COMMERCIAL GENERAL LIABILITY
<br />CLAIMS-MADEX❑ OCCUR
<br />Y
<br />6805F946119
<br />2127/2016
<br />2/27/2017
<br />EACH OCCURRENCE 51,000 000
<br />DAMAGE TO RENTED
<br />PREMISES Ea occurrence s300,000
<br />MED EXP (Any one mon) $5,000
<br />PERSONAL & ADV INJURY S1,000,000
<br />GEN'LAGGREGATE LIMIT APPLIES PER:
<br />POLICY X❑ PRO-
<br />JECT F—] LOC
<br />GENERAL AGGREGATE s2,000,000
<br />PRODUCTS - COMP/OP AGG s2,000,000
<br />$
<br />OTHER:
<br />B
<br />AUTOMOBILE
<br />LIABILITY
<br />Y
<br />Y
<br />BA5F947417
<br />2/27/2016
<br />2/27/2017
<br />Ea accident51,000,000
<br />X
<br />ANY AUTO
<br />BODILY INJURY (Per person) S
<br />ALL OWNED ASUTOSULED
<br />TO
<br />BODILY INJURY (Per accident) S
<br />NON -OWNED
<br />HIRED AUTOS IAUTOS
<br />PROPERTY DAMAGE
<br />Per accident s
<br />S
<br />C
<br />X
<br />UMBRELLA LtAB
<br />X
<br />OCCUR
<br />Y
<br />Y
<br />CUP5F95257A
<br />2/27/2016
<br />2127/2017
<br />EACH OCCURRENCE 51,000,000
<br />AGGREGATE 51,000,000
<br />EXCESS LIAB
<br />CLAIMS -MADE
<br />DED X I RETENTION s 10 000
<br />S
<br />D
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY y / N
<br />ANY PROPRIETOR/PARTNER/EXECUTIVE
<br />OFFICERIMEMBER EXCLUDED?
<br />N / A
<br />y
<br />UB4402T275
<br />2/27/2016
<br />2/27/2017
<br />XPER X OTH-
<br />STATUTE ER
<br />E.LEACHACCIDENT $1,000,000
<br />E.L. DISEASE - EA EMPLOYE S 1,000,000
<br />(Mandatory In NH)
<br />It yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />E.L. DISEASE- POLICY LIMB I 51,000,000
<br />A
<br />Professional Liability
<br />ARA111969902
<br />2/27/2016
<br />2/27/2017
<br />Per Claim 2,000,000
<br />Aggregate 2,000,000
<br />DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more apace is required)
<br />IRC Project #1605
<br />Indian River County
<br />1800 27 Street
<br />Vero Beach FL 32960
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />REPRESENTATIVE
<br />©1988-2014 ACORD CORPORATION. All rights reserved.
<br />ACORD 26 (2014/01) The ACORD name and logo are registered marks of ACORD
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