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Ami o CERTIFICATE OF LIABILITY INSURANCE I 1;26/201S
<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 poncy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to
<br />the leans and conditions of the Dollry, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
<br />cartlficate holder In lieu of such ondomement e .
<br />PRUCU.E0. NAi e� Nieols Towelay, CPCO
<br />Frank R. Furman, Inc. oMe (951)943-5050 — -1 N0t9E[I9u-5]_Le
<br />1314 East Atlantic Blvd. : niC0l4tBfurmaninsurance.com
<br />P. 0. Box 1927 __ INSURERD AFFORONO COVEIUGE _N`ICe
<br />Pompano Beach FL 33061 INSURER A:Ironshore SpIcialty Ins25445
<br />NSVREO INsuletaefiD Mz ins_ Co FL. _ 34932
<br />The Roof Authority, Inc; The Roof Authority Nest INsunutc:FRSA Self Insurer. Fund Evanston 35378 _
<br />6771 North Old DiXi. HwyNeuREaDA- GC3 Harine Insurance Company ;'22837
<br />NSUREa E: __..._1___.....—
<br />Ft Pierce FL 34946 NsuR¢R •--------- ----
<br />rMVPOAr1rC 1-11 Ir ATF MIIMRFC.2019
<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 REOUIREMENT, 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!ANO CONOI710HS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN_ REDUCED BY PAID CLAIMS.
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />li�j TYPE OF MSURMCE _ i a .__._�uCY MUN.FN
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<br />SACH Iccu RDJCE S
<br />1:000 ,000
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<br />100,000
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<br />1/1/2015
<br />1/1/2019 MEO E2P I" one pe,w0 3
<br />5,000
<br />PERSONAL 6 AOy NJURY s
<br />1,000,000
<br />IGEHL AGGREGATE LWpIIT APPLIES PER.
<br />GENERAL AGGREGATE S
<br />2,000,000
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<br />-M_000CTS-C(NJVAP AGG -S
<br />2,000,000
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<br />1,000,000
<br />AUTOMOOILE LIMnm
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<br />1,000,000
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<br />I EI EAC"ACGDEM i S
<br />1000,000
<br />C iN•nene7MNp
<br />570-040306
<br />1/1/201.1 1/1/2019 EL OISEASe_EA EMPLOYEe S
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<br />OA(Sao-'ev LI
<br />4AUUHU GVRHUATIVN. All rights reserved.
<br />ACORD 25 (2014101) The ACORO name and logo are registered marks of ACORD
<br />iNS02S 120,402)
<br />RICK SCOTT, GOVERNOR
<br />KEN LAWSON, SECRETARY
<br />STATE OF FLORIDA
<br />DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
<br />CONSTRUCTION INDUSTRY LICENSING BOARD
<br />CCCO56933
<br />The Rnc)FINC, (C)NTRACTnR
<br />Named below IS CERTIFIED
<br />Under the provisions of Chapter 489 FS.
<br />Expiration date: AUG 31, 2018 s
<br />LONG, CHRISTOPHER ANTHONY �.•
<br />THE ROOF AUTHORIT',61NC-
<br />6771 N OLD DIXIE HWM;
<br />FORT PIERCE — _EL 34946
<br />ISSUED: 09/04/2016 DISPLAY AS REQUIRED BY LAW
<br />SEQ # L1609040001668
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />**Proof Of insurance—
<br />THE EXPIRATION DATE THEREOF. NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />AUTNOR12E0 REPAESENTAT14
<br />Dirk DeJong/NT '�`� '���—
<br />OA(Sao-'ev LI
<br />4AUUHU GVRHUATIVN. All rights reserved.
<br />ACORD 25 (2014101) The ACORO name and logo are registered marks of ACORD
<br />iNS02S 120,402)
<br />RICK SCOTT, GOVERNOR
<br />KEN LAWSON, SECRETARY
<br />STATE OF FLORIDA
<br />DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
<br />CONSTRUCTION INDUSTRY LICENSING BOARD
<br />CCCO56933
<br />The Rnc)FINC, (C)NTRACTnR
<br />Named below IS CERTIFIED
<br />Under the provisions of Chapter 489 FS.
<br />Expiration date: AUG 31, 2018 s
<br />LONG, CHRISTOPHER ANTHONY �.•
<br />THE ROOF AUTHORIT',61NC-
<br />6771 N OLD DIXIE HWM;
<br />FORT PIERCE — _EL 34946
<br />ISSUED: 09/04/2016 DISPLAY AS REQUIRED BY LAW
<br />SEQ # L1609040001668
<br />
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