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TIMOR -1 UN lu: <br />DATE (MMJDD/YYYY) <br />�►��' CERTIFICATE OF LIABILITY INSURANCE 06/09/2021 <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(les) must have ADDITIONAL INSURED provisions or be endorsed. <br />if SUBROGATION iS WANED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br />ei,i_s certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />Stuart Insurance, Inc. <br />3070 S W Mapp <br />Palm City, FL 34990 <br />Rick Halcomb, CIG, ARM <br />)SE CONTRACTING, ING. <br />,t <br />FL 32962 <br />Co <br />RFVIR10N NUMBER: <br />COVERAGES CERTIFICATE <br />NUMI3tR: <br />HAVE BEEN ISSUED TO THE INSURED NAMED ABQVE FOR THE POLICY PERIOD <br />THIS IS TO CERTIFY THAT THE POLICIES OF. INSURANCE <br />LiSTED BELOW <br />OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THiS <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, <br />TERM OR CONDITION <br />BY THE POLiCIESS DESCRIBED HEREIN iS SUBJECT TO ALL THE TERMS, <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, <br />THE <br />INSURANCE AFFORDED <br />LIMITS SHOWN MAY HAVE BEEN R All <br />PP ID <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES" <br />PDUCY EFF CY PS LIMITS <br />DDLUBR <br />OF INSURANCE <br />POLICY NUMBER OTYPE 1,000,000 <br />)( COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE <br />MAGETORENTED 100,000 <br />CLAIMS -MADE X] OCCUR <br />rA <br />O6/D6/2021 06106/2022 <br />7015727381 15,000 <br />MED EXP An onerson $ <br />PERSONAL&ADV INJURY 1,000,000 <br />GENERALAGGREGATE $ 2,000,000 <br />GEN'LAGGREGATELIIMITAPPLIES PER: <br />POLICY F 78?- LOC <br />2,000,000 <br />PRODUCTS-COMPJOPAGG $ <br />OTHER:COMBIdEeDSINGLELIMIT <br />7015727395 <br />06/06/2021 <br />06106/2022 <br />1,000,000 <br />B <br />AUTOMOBILELIABILITY <br />BODILY INJURY Per person)$ <br />BODILY Peracctdent <br />X ANY AUTO <br />OWNED SCHEDULED <br />P OPERTY DAMAGE <br />erecradetd <br />AUTOS ONLY AUTOS <br />2( HIRED pp�� <br />AUTOS ONLY X AUTOSot <br />$ <br />7015727400 <br />06/06/2021 <br />06/06/2022 <br />EACH OCCURRENCE 3,000,000 <br />C <br />X <br />uMBRELLALIAB X OCCUR <br />3,000i <br />AGGREGATE ' <br />EXCESS Ll CLAIMSMADE <br />$ <br />DED %� RETEMION$ 10000 <br />pER DTH- <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />STATUTE — <br />E.L. EACH ACCIDENT $ <br />EL DISEASE -EA EMPLOYE $ <br />ANY PROPRIETOR/PARTNER/ FJCECUTNE ❑ <br />in BE EXCLUDED? <br />N / A <br />E.L. DISEASE -POLICY LIMIT $ <br />100,000 <br />(Manda�toty <br />If yes, describe under <br />DESCRIPTION OFOPERATIONS bekwv7015029465 <br />06/06/2021 <br />06/06/2022 <br />RENTED EQ <br />C <br />Contractors Equi <br />DED $1000 <br />Rented/Leased <br />101, Additional Remarks Schedule, may be attached if more space is required) <br />DESCRIPTION OF OPERATIONS / LOCATIONS f VEHICLES (ACORD <br />CANCELLATION <br />CERTIFICATE HOLDER <br />BLANK -`[ <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES 13E CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />SAMPLE CERTIFICATE <br />AUTHORIZED REPRESENTATIVE <br />FOR BID PURPOSES <br />n 1989_217115 ACORD CORPORATION. All rights reserved. <br />ACORD 26 (2016/03) . —1— 1— .,f A('ORT) <br />