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Certificates of Insurance
DATE(MM/DD/YYYY) A`COR" CERTIFICATE OF LIABILITY INSURANCE F9/29/2021 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 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 CONTACT NAME: Cherlce Tracy Scott Insurance PHONE FAX 3900 Westerre Parkway, Suite 200 WC, /C No Ext: 804-545-2234 (A/C, A/c No):434-455-8524 Richmond VA 23233 ADDRESS: etracy@scoftins.com INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Great Northern Insurance Company A++ 20303 INSURED CHERR-2 INSURER B:Federal Insurance Company A++ 20281 Cherry Bekaert LLP; Cherry Bekaert Wealth Mgmt LLC Cherry Bekaert-Chernoff Diamond LLC INSURER C:Vigilant Insurance Company A++ 20397 Cherry Bekaert International, Inc. INSURERD: PO Box 27327 INSURER E: Richmond VA 23261-7327 INSURER F COVERAGES CERTIFICATE NUMBER:528236893 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 EFF POLICY EXP LIMITS LTR INSD WVD POLICY NUMBER MMIDD/YYYY MM/DD/YYYY A X COMMERCIAL GENERAL LIABILITY Y 3589-47-97 RIC 10/1/2021 10/1/2022 EACH OCCURRENCE $1,000,000 Flvl DAMAGE TO RENTED CLAIMS-MADE OCCUR PREMISES Ea occurrence $1,000,000 MED EXP(Any one person) $10,000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY❑X PRO LOC PRODUCTS-COMP/OP AGG $ JECT OTHER: $ B AUTOMOBILE LIABILITY Y 7356-41-52 10/1/2021 10/1/2022 COMBINED SINGLE LIMIT $ Ea accident 1,000 000 ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS X HIRED AUTOS X NON-OWNED PROa RTY DAMAGE $ AUTOS (PerB X UMBRELLA LIAB X OCCUR 7983-29-98 10/1/2021 10/1/2022 EACH OCCURRENCE $10,000,000 EXCESS LIAR CLAIMS-MADE AGGREGATE $ DED X RETENTION$0 $ C WORKERS COMPENSATION 7171-66-16 10/1/2021 10/1/2022 )( PER OTH- AND EMPLOYERS'LIABILITY Y/N ISTATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) General Liability:Products and Completed Operations Subject to the General Aggregate Limit Monroe County BOCC is additional insured as respects general and auto liability for work performed by the Named Insured if required by written contract.The policy provides Employers Liability and Workers Compensation for the State of Florida. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Monroe County BOCC ACCORDANCE WITH THE POLICY PROVISIONS. Insurance Compliance PO Box 100085-FX AUTIJIORIZED REPRESENTATIVE Duluth GA 30096 f Wt kalZ �l«11J1t.�Gl ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD From: mail-server@csr24.email To: monroecountyfl monroecountyfl@Ebix.com CC: Subject: Proof of Insurance for Cherry Bekaert LLP Date: 9/29/2021 5:31:15 AM Attachment(s): Scott Insurance Stephanie Hazelwood sazelwood@scottins.com Commercial Processor 434- 832-1360 �,r^*,r^y 0 7A1TE(MM/DD/YYYY) Si .5�.�/Rf> CERTIFICATE OF LIABILITY INSURANCE /01/2021 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 1-847-385-6800 CONTACTNAME: Cathy Kuehl Edgewood Partners Insurance Center PHONE FAX Lemme, a division of EPIC WC, /C No Ext: 847-385-6800 A/C No), E-MAIL PSGCerts@lemme.com 111 West Campbell ADDRESS: 4 th Floor INSURER(S)AFFORDING COVERAGE NAIC# Arlington Heights, IL 60005 INSURERA: Scottsdale Ins Co and Various Insurers INSURED INSURER B: Cherry Bekaert LLP INSURER C 6806 Paragon Place INSURERD: Suite 310 INSURERE: Richmond, VA 23230 INSURERF: COVERAGES CERTIFICATE NUMBER: 63688820 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 EFF POLICY EXP LIMITS LTR INSD WVD POLICY NUMBER MM/DD/YYYY MM/DDIYYYY COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE ToCLAIMS-MADE1:1 OCCUR PREM SESOEa oNcur ante $ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY❑ PRO JECT ❑ LOC PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident L $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY YIN STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/M EMBER EXCLU DED? r NIA (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ A Professional Liability HWS0000138 10/30/21 10/30/22 Each Claim 3,000,000 Aggregate 3,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe County BOCC THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton Street AUTHORIZED REPRESENTATIVE Ke West, FL 33040 1 y USA ��•'�dti����- ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Cheryl.Donohue@lemme.com LEM 63688820 From: pwhite@cbh.com To: monroecountyfl monroecountyfl@Ebix.com CC: Subject: RE: [EXTERNAL] Monroe County Florida Certificate of Insurance Req Date: 11/2/2021 9:24:04 AM Attachment(s): Attached is the updated certificate requested. Thanks Pamela White Controller Cherry Bekaert LLP 6806 Paragon Place, Suite 310 Richmond, VA 23230 804.362.2342 direct 804.673.5700 phone 804.362.2402 fax pwhitep_cbh.com www.cbh.com From: Customer Service<monroecountyfl@ebix.com> Sent:Thursday, October 21, 2021 2:56 PM To: Pamela White<pwhite@cbh.com> Subject: [EXTERNAL] Monroe County Florida Certificate of Insurance Req Caution:This email is from outside of the organization. X The attached notice is being sent to you on behalf of Monroe County Florida by Ebix RCS. Monroe County Florida has engaged with Ebix to manage insurance compliance verification on its behalf. You must be properly insured while doing business with Monroe County Florida and comply with insurance requirements. As of the date of this notice we have not received proper evidence of insurance coverage. Please review the attached notice as it includes the information needed for compliance and where to send your Certificate of Insurance. Vendor Instructions:The attached notice is being sent to you and your agent, if we have their email address on file. Agent Instructions: Please review the attached notice as it includes the information needed for compliance. Please send your Certificate of Insurance via email to monroecountyfl@ebix.com; if you have any questions, please contact Ebix by calling(951) 925-1213; thank you for your prompt attention to this matter. =J Ebix,lnc. I One Ebix way I Johns Creek, GA 30097 1 Web-