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ACOR©� CERTIFICATE OF LIABILITY INSURANCE FDATE(MM/DDfYYYY) 01131/2022 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 tateFarm G. A. RAINS INSURANCE AGENCY r 4527 S FEDERAL HWY 1 FT PIERCE, FL. 34982 CONTACT GLENN RAINS PHONE 772 464 4532 FAx 772-742-8837 A N x /UC No E-MAIL SS: glenn.rains.b26w@statefarm.com ADDRE INSURERS AFFORDING COVERAGE NAIC # INSURER A :-State Farm Mutual Automobile Insurance Company 25178 COMMERCIAL GENERALLIABILITY INSURED INSURER B: DON HINKLE CONSTRUCTION, INC INSURER C: 246 BIMINI DRIVE HUTCHINSON ISLAND, FL. 34949 INSURER 0: INSURERE: CLAIMS -MADE OCCUR INSURER F : COVERAGES CERTIFICATE IQ"MRFR• mcknctnu .--- 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—TD—DL LTR TYPE OF INSURANCE SUBR POLICY NUMBER POLICY EFF MM/DDNYYY POLICY EXP MMlDD/YYYY LIMITS COMMERCIAL GENERALLIABILITY -" CLAIMS -MADE OCCUR EACH OCCURRENCE $ DA MAGE TO RENTED PREMISES Ea occurrence) $ MED EXP (Any one person) $ PERSONAL 8 ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY ❑ PRO- ❑ JECT LOC GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGC $ OTHER $ AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED x G89 9620- F11 -59A 2016 FORD F250 12/11/2021 06/1/2022 COMBINED SINGLE LIMIT $ Ea accid_nt BODILY INJURY (Per person) $ 1,000,000 BODILY INJURY (Per accident) $ 1,000,000 AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY VIN #1 FT7`N2BT6GEA31976 PROPERTY DAMAGE $ 100.000Per accident UMBRELLA LIAR EXCESS UAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTION S WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNERIEXECUTIVE OFFICER/MEMBER EXCLUDED? ❑ N I A $ PER 07H - STATUTE ER E.L. EACH ACCIDENT $ (Mandatory in NH) If yesdescribe und . er E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additiona; Remarks Schedule, may be attached if more space is required) CFRTn:1f'ATC Lint nrE _ INDIAN RIVER COUNTY 1800 27TH ST VERO BEACH, FL. 32960 ACORD 25 (2016/03) CELLAI SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS, AUTHORIZED REPRESENTATIVE Completed by an authorized State Farm representative. If signature is required, please contact a State Farm agent. ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 1001486 132849.13 04-22-2020