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./ ARCAS-1 OP ID: LH AC-COREY DATE(MM/DD/YYYY) k......---- CERTIFICATE OF LIABILITY INSURANCE 12/15/2020 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 have ADDITIONAL INSURED provisions or 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 321-445-1117 CONTACT Lauren Hampton JCJ Insurance Agency NAME: 2208 Hillcrest Street Y �NCNNo,Ext):321-445-1117 I FAX No):321-445-1076 Orlando,FL 32803 E-MAILDSS:certs@jcj-insurance.com Mark E.Jackson INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Travelers Indemnity Co. 25658 nINSURERB:Travelers Casualty&Surety Co 25623 ssn Creek IncRLI Insurance Company 19038 601 N.Fern Creek Av Ste 100 INSURER C: p Y Orlando,FL 32803-4899 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 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 BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVD IMM/DD/YYYYI IMM/DD/YYYYI A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR 680-0J890129 01/19/2021 01/19/2022 DAMAGE TO RENTED 1,000,000 X PREMISES(Ea occurrence) $ MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GE 'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY X LOC PRODUCTS-COMP/OPAGG $ 2,000,000 OTHER: A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 (Ea accident) $ ANY AUTO X 680-0J890129 01/19/2021 01/19/2022 BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ X HIREDTOONLY X AUUTOS ONLD P�20a�Rd�tDAMAGE $ >> $ A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE _ $ 5,000,000 EXCESS LIAB CLAIMS-MADE CUP-9D18366A 01/19/2021 01/19/2022 AGGREGATE $ 5,000,000 DED X RETENTION$ 10,000 B WORKERS ND EMPLOYERS COMPENSATION Y/NX PER ERH ANY PROPRIETOR/PARTNER/EXECUTIVE UB-9J66463A 01/19/2021 01/19/2022 E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBERoEXCLUDED? NIA 1,000,000 E.L.DISEASE-EA EMPLOYEE $ If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ C Professional Liab RDP0037839 11/04/2020 11/04/2021 Per Claim 1,000,000 Aggregate 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) Certificate Holder is an Additional Insureds with regards to General&Auto Liability when required by written contract.30 Day Notice of Cancellation, except for 10 days for non-payment. CERTIFICATE HOLDER CANCELLATION INDI180 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE DATE THEREOF, Indian River County ACCORDAINCE WITH THE POLICY PROVISIONS.NOTICE WILL BE DELIVERED IN 1801 27th Street Vero Beach,FL 32960 AUTHORIZED REPRESENTATIVE I ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD