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COI Expires 04/08/2020 • •....---"1 SGMEN-1 QpiD;-KM A�o- CERTIFICATE OF LIABILITY INSURANCE DA06/11/2019Y) 06/11/2019 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(les)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 CONTACT Kristin McIntosh JCJ Insurance Agency PHONE 321.445-1117 FAX 321-445-1076 2208 Hillcrest Street (AID,No,E,di: (arc,No): Orlando,FL 32803 niioaiss:certs@jcj-insurance.com Mark E.Jackson INSURERS!AFFORDING COVERAGE NAIC if INSURER A:Charter Oak Fire Ins Co 25615 Inc. INSURER®:Travelers Indemnity Co. 25658 r3fifkririlit Lane INSURER C:Travelers Casualty&Surety Co 19038 anL4 INSURER D:Maxum Indemnity Company 26743 • INSURER S: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBERL 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 1M-IICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS ANDCONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUER POUCY NUMBER POLICY EFF POLICY EXP D INSD WVIMMIDDIYYYYI_(MMIDDNYYY1 UNITS A X COMMERCIAL GENERAL UABIUTY EACH OCCURRENCE $ 2,000,000 CLAIMS•MADE X OCCUR X 680-2J774323 07/06/2019 07/06/2020 PREMISES°(Ea ooarrrence) $ 1,000,000 AFT D ^ISt( f GEMENT MED EXP{Any one person) $ 5,000 PERSONAL8 ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: BY GENERAL AGGREGATE $ 4,000,000 POLICY X jEGT LOC DATE �'�� _( / PRODUCTS-COMP/OP AGG $ 4,000,000 OTHER: J Emp Ben. $ 2,000,000 B WAIVERWAY' /Iz YES_ CO aid DiUSINGLE LIMIT $ 1,000,000 AUTOMOBILE UABILITY X ANY AUTO _ X BA-0G879957 07/06/2019 07/06/2020 BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOStR{EEDp ONLY _ AUTOS BODILYBODILY INJURYp (Per acddent) $ X AUT0.5 ONLY X YAWS {Parr a denl) mAGE $ $ . B X UMBRELLA LIAR X OCCUR EACH OCCURRENCE __ $ 4,000,000 EXCESSLIAB CLAIMS-MADE CUP-0G887945 07/06/2019 07/06/2020 AGGREGATE - $ 4,000,000 DED X RETENTION$ 10,000 $ h C WORKERS POYERS COMPENSATION X PER ERH • • ANYPROPRIETgO�R�EXCLUDED? NIAIPARTNERIEXECUTIVE YIN U8-4458T67-S 07106/2019 07/06I2020 E.L EACH ACCIDENT $ 1,000,000 WIt5ataryinNH) 1,000,000 E.L.DISEASE-EA EMPLOYEE $ If es,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 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 10t,Additional Remarks Schedule,may be attached if more space Is required) Certificate Holder is an Additional Insureds with regards to General&Auto Liability when required by written contract • 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 iiiele al- ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD