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ACORL'® CERTIFICATE OF LIABILITY INSURANCE 4,�,� DATE(MM/DDNYYY) 3/9/2017 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 American Specialty Insurance Group, Inc 3111 45th St Suite 16 West Palm Beach FL 33407-1981 CONTACT CSR CSR NAME: P/c. No Ext): (561)683-1220 NG): (561)683-1248 E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A Markel Insurance Company 38970 INSURED We Care of the Treasure Coast, Inc 1971 SW Biltmore Street Port St Lucie FL 34984 -- INSURER B : MTK700002832-04 INSURER C : 3/5/2018 INSURER D : $ 500,000 INSURER E : INSURERF: X Fl ATE NUMBER 17-18 MASTER • 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 LTR TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF IMMIDD/YYYYL(MM/DD/YYYY) POLICY EXP LIMITS A X COMMERCIAL GENERAL UABILITY / MTK700002832-04 3/5/2017 3/5/2018 EACH OCCURRENCE $ 500,000 IM CLAS -MADE X OCCUR DAMAGE TO RENTED PREMISES (Ea occurrence) $ 500,000 MED EXP(Any one person) $ 10,000 PERSONAL & ADV INJURY $ 500,000 GEN'L X AGGREGATE POLICY OTHER: LIMIT APPLIES JE PER: LOC GENERAL AGGREGATE $ 500,000 PRODUCTS - COMP/OP AGG $ 500,000 Professional Liability $ 500, 000 A AUTOMOBILE x S LIABIUTY ANY AUTO ALL OWNED AUTOS HIRED AUTOS %[ NON SCHEDULED AUTOS -OWNED AUTOS MTA700002832-04 3/5/2017 3/5/2018 COMBINED SINGLE LIMIT (Ea accident) $ 500, 000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ (Per accident) PROPERTY DAMAGE $ Uninsured motorist combined $ 20, 000 UMBRELLA LIABi EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTION $ $ WORKERS COMPENSATION_ AND EMPLOYERS' UABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE IM OFFICEREMBER EXCLUDED? (Mandatory in NH) If yes describe under DESCRIPTION OF OPERATIONS below Y/ N N/A STATUTE I ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Certificate Holder is to be listed as additional insured in respects to the operations of the named insured only. 30 DAY CANCELLATION CERTIFICATE HOLDER CANCELLATION Florida Department of Health Bureau of Emergency Medical Oversight SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 4052 Bald Cypress Way Bin A-22 AUTHORIZED REPRESENTATIVE Tallahassee, FL 32399 / Hugh Tamoney/SWG e''r•-21 �'a'..'irap "'A'j ACORD 25 (2014/01) INS025 nmann © 1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD P77