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AC RV CERTIFICATE OF LIABILITY INSURANCE <br />DATE 412021 <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 have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br />this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br />PRODUCER 1-813-229-8021 <br />M. E. Wilson Company, LLC <br />ACT <br />NAME, Diana Defreeuw <br />PHONE 813-984-3619 ac N.): 813-434-2492 <br />0 <br />300 W. Platt St. <br />ADDRESS: ddefreeuw@mewilson.com <br />INSURERS AFFORDING COVERAGE NAICit <br />Ste 200 <br />INSURERA:WESTFIELD INS CO 24112 <br />Tampa, FL 33606 <br />INSURED <br />INSURER 8:$RIDGEFIELD CAS INS CO 10335 <br />INSURER C: TRAVELERS PROP CAS CO OF AMER 25674 <br />TLC Diversified, Inc. <br />INSURER 0: <br />2719 17th Street East <br />IJOCCUR <br />INSURER E <br />INSURER F: <br />Palmetto, PL 34221 <br />r�nv�nwr•re f`CRTICIL`ATr- Al11MRPR• 61709329 KtV131UN IVUmt3CK: <br />yTHIS 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 />TYPE OF INSURANCE <br />rABD <br />BR <br />POLICY NUMBER <br />MMIUDDP EFF <br />POLICY EXP <br />LIMITS <br />]C COMMERCIAL GENERAL LIABILITY <br />TRA3972460 <br />04/01/21 <br />04/01/22 <br />EACHOCCURRENCE S 1.000,000CLAIMS•MADE <br />PREMISES E�aoccurrence S SD0,000 <br />rAH$500 <br />IJOCCUR <br />MEDEXP(An one person) S 5,000 <br />Contractual Liability <br />Prop Deg Dad <br />PERSONAL&ADV INJURY $ 1,000,000 <br />GENERALAGGREGATE $ 2,000,000 <br />PRODUCTS -COMPjop AGG 5 2,000,000 <br />HGENt <br />POLICY (" 1 jECT LOC <br />OTHEL <br />$ <br />A <br />AUTOM081LELIA8ILITY <br />TRA3972460 <br />04/01/21 <br />04/01/22 <br />COMBINED SINGLE LIMB <br />(Ea accident) s 1,000,000 <br />BODILY INJURY (Per pomoa) S <br />I ANY AUTO <br />BODILY INJURY (Per mcidam) $ <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />HIRED NON -OWNED <br />I AUTOS ONLY I AUTOS ONLY <br />- <br />PROPERTY DAMAGE $ <br />Per aocZ <br />$ <br />A <br />I <br />UMBRELLALIA8 I X <br />I OCCUR <br />TRA3972460 <br />04/01/21 <br />04/01/22 <br />EACH OCCURRENCE Is 5,000,000 <br />AGGREGATE s 5,000,000 <br />EXCESS LIAR <br />CLAIMS-MOE <br />1 <br />DED I I RETENTIONS 0 <br />s <br />1 <br />$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS LIABILITY <br />ANYPROPRIETORIPARTNER/EXECUTIVE a <br />OFFICERddEMBEREXCLU0E0? <br />(Mandatory in NH) <br />NIA <br />019652704 <br />04/01/21 <br />04/01/22 <br />I PER <br />ERH <br />E.L. EACH ACCIDENT $ 1.000,000 <br />E.L. DISEASE -EA EMPLOYEE S 1,000,000 <br />E.L.DISEASE • POLICY UM1T S <br />It yes, describe under1-000-000 <br />DESCRIPTION OF OPERATIONS below <br />C <br />Installation Floater <br />QT660SH309215TIL20 <br />04/01/21 <br />04/01/22 <br />$5,000 Dad 11000,000 <br />Transit & Storage: 1,000,000 <br />Deductible: 5,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule. may be attached N more space is required) <br />For Informational Purposes Only <br />uL-1ci <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 />AUTHORIZED REPRESENTATIVE <br />1988-2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD 164 <br />DD002 <br />61709329 <br />