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COI Expires 07/06/2019 .i--1 SGMEN-1 OP ID: LH AC CoRO CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) `� 04/08/2019 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 Cp NTACT Kristin McIntosh JCJ Insurance Agency NAME: 2208 Hillcrest Street Y (A/C,No,Ext):321-445-1117 FAX No):321-445-1076 Orlando,FL 32803 MSS,certs@jcj-insurance.com Mark E.Jackson INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Charter Oak Fire Ins Co 25615 SINEp INSURER B:Travelers Indemnity Co. 25658 n ineerinq,Inc. 935 LakeBaldwiPf Lane INSURER C:Travelers Casualty&Surety Co 19038 Orlando,FL 32814 INSURER D: IndemnityCompany Maxum Com 26743 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 IYPOLICY EFF POLICY EXP LIMITS LTR INSD WVD (MM/DD/YYYYI IMMIDDYVY) A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 2,000,000 CLAIMS-MADE X OCCUR 680-2J774323 07/06/2018 07/06/2019 DAMAGE TO RENTED 1,000,000 X PREMISES(Ea occurtence) $ MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000 POLICY X JEef , LOC PRODUCTS-COMP/OPAGG $ 4,000,000 OTHER: Emp Ben. $ 2,000,000 B AUTOMOBILE LIABILITY - COMBINED SINGLE LIMIT 1,000,000 (Ea accident! $ X ANY AUTO X BA-0G879957 07/06/2018 07/06/2019 BODILY INJURY(Per person) $ OWNED — SCHEDULED AUTOSE� ONLY AUTOSO W p BODILYO INJURY(Per accident) $ X AUT OS ONLY X AUUTOS ONNLY (Perr accdentDAMAGE S S B X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 4,000,000 EXCESS LIAB CLAIMS-MADE CUP-0G887945 07/06/2018 07/06/2019 AGGREGATE $ 4,000,000 DED X RETENTION$ 10,000 $ C WORKERS COMPENSATION X AND EMPLOYERS'LIABILITY STATUTE ERH Y/N UB-4458167-6 07/06/2018 07/06/2019 - - 1,000,000PROPRIETOR/PARTNER/EXECUTIVE R/ ?EEUTIVE E.L.EACHPCCIDENT .$ OFFICER/MEMBEREXCLUDED NIA __ __ (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE S 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S D Professional Liab PFP-6034431-01 . 04/08/2019 04/08/2020 Per Claim 2,000,000 Claims Made Aggregate 2,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached it more space Is required) Certificate Holder is an Additional Insureds with regards to General&Auto Liability when required by written contract BPR ! R' M AEly7 (1 WAIVER /AA. .S CERTIFICATE HOLDER CANCELLATION MONR110 • SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe CountyTHE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton Street Rm 2-216 Key West,FL 33040 AUTHORIZED REPRESENTATIVE I „Ill'emile (2a€1....__ ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD •