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COI Expires 08/17/2017
EVERSOL-01 MILLINGT N ACOROp CERTIFICATE OF LIABILITY INSURANCE DATE 05/08/2017Y) 05/08/2017 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 Roggers, Gunter, Vaughn Insurance, Inc. 1117 Thomasville Road Tallahassee, FL 32303 CONTACT NAME: PHONE FAX (A/C, No, Ezt): (850) 386-1111 (A/c, No):(850) 385-9827 ADDRIE : INSURERS AFFORDING COVERAGE NAIC # INSURER A:MAPFRE Insurance 34932 INSURED INSURER B : Foremost Insurance 11185 Evergreen Solutions LLC Dr Linda Recio INSURER C : Hartford 22357 2878 Remington Green Cir INSURER D : INSURER E : Tallahassee, FL 32308 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 EXPLTR LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X OCCUR X CP0008008576000 APPROVED B BY DATE 08/17/2016 I MANIA 08/17/2017 - EACH OCCURRENCE $ 1,000,000, DAMAGE TO RENTED Ea occurrence 300,000. $ -PREMISES MED EXP (Any oneperson) $ 10,000 PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY PRO ❑ LOC JECT OTHER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG Included $ ^ $ A AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS AUTOS ONLY X A� 0 ONL� CP0008008576000 08/17/2016 �- 08/17/2017 COMBINED SINGLE LIMIT Ea accident 1,000,000 $ BODILY INJURY Perperson) $ BODILYBODILY INJURY Per accident $ X PROPERTY acEcidentDAMAGE $ A X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE 42600500005901 08/17/2016 08/17/2017 EACH OCCURRENCE $ 1,000,000 AGGREGATE $ DED RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIIMBER/EXCLUDED? ECUTIVE [ OFF(Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A WCO267520709 10/24/2016 10/24/2017 PER OTH- STAT TE OR E.L. EACH ACCIDENT 1,000,000 $ E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT 1,000,000 $ C Professional Errors 21PG0258846 08/17/2016 08/17/2017 Each Claim 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) Professional Liability has a $2,000,000 Aggregate limit Monroe County 1100 Simonton Street Key West, FL 33040 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 Gc, ACORD 25 (2016/03) ©1988-2016 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD