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11/15/2022 Agreement (2) DATE(MMIDD/YYYY) A�" CERTIFICATE OF LIABILITY INSURANCE 0/10/2022 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 CONTACT Nikki McKelvey NAME: Threlkeld&Company Insurance HCNN. Ext: (903)581-0077 a/c,No): (903)306-0652 515 WSW Loop 323 E-MAIL nmckelvey@threlkeld.com ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# Tyler TX 75701 INSURERA: Allied World Surplus Lines Ins.Co. 24319 INSURED INSURER B: Mercury County Mutual Insurance Company 29394 RollKall Technologies,LLC. INSURER C: Texas Mututal Insurance Company 600 Las Colinas Blvd INSURER D: Trisura Specialty Insurance Company Ste 900 INSURER E: Berkley Insurance Company Irving TX 75039 INSURER F: Argonaut Ins.Co. COVERAGES CERTIFICATE NUMBER: 22/23 Auto w/WC 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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 INSURANCEAUULbUBK POLICY EFF POLICY EXP LTR INSD WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE FX OCCUR PREM SDAMAGES Ea oNcurDreme $ 100'000 MED EXP(Any one person) $ 10,000 A 5200-4107-00 09/01/2022 09/01/2023 PERSONAL&ADV INJURY $ 1,000,000 MOTHER LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ 3,000,000 POLICY PRO ❑ LOC PRODUCTS-COMP/OP AGG $ 3'000'000 JECT: Errors&Omissions $ 1,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 Ea accident ANYAUTO BODILY INJURY(Per person) $ B OWNED rx SCHEDULED BA420000020741 09/23/2022 09/23/2023 BODILY INJURY(Peraccident) $ AUTOS ONLY AUTOS X HIRED NON-OWNED PROPERTYDAMAGE $ AUTOS ONLY AUTOS ONLY Per accident X UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 10,000,000 A EXCESS LAB HCLAIMS-MADE 5201-1783-00 09/01/2022 09/01/2023 AGGREGATE $ 10,000,000 DED I I RETENTION $ $ WORKERS COMPENSATION X STATUTE EORH AND EMPLOYERS'LIABI LI TY Y/N 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ C OFFICER/MEMBER EXCLUDED? N/A 0002079181 06/13/2022 06/13/2023 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ Cyber Liability D ATB-6612495-02 09/01/2022 09/01/2023 Aggregate $1,000,000 Deductible $10,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) The general liability,automobile and umbrella policies include a blanket automatic additional insured endorsement provision that provides additional insured status to the certificate holder only when there is a written contract between the insured and the certificate holder that requires such status. The general liability,automobile,workers compensation and umbrella policies include a blanket automatic waiver of subrogation endorsement that provides this feature only when there is a written contract between the named insured and the certificate holder that requires it. CERTIFICATE HOLDER CANCELLATION APPROVED BY RISK MANAGEMENT SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE BY THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Monroe County BOCC DATE 101111/2..022 w ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton Street WAIVER N/A YES AUTHORIZED REPRESENTATIVE Key West FL 33040 .—.ae @ 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Additional Named Insureds Other Named Insureds Athos Group, LLC Limited Liability Company, Additional Named Insured OFAPPINF(02/2007) COPYRIGHT 2007,AMS SERVICES INC AGENCY CUSTOMER ID: LOC#: ADDITIONAL REMARKS SCHEDULE Page of AGENCY NAMED INSURED Threlkeld&Company Insurance RollKall Technologies,LLC. POLICY NUMBER CARRIER NAIC CODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance:Notes Crime Coverage Carrier(E):Berkley Insurance Company Policy#:BCCR-45004935-20 Effective Date:9/1/2022 to 9/1/2023 Employee Theft:$1,000,000 Forgery or Alteration:$1,000,000 Computer&Funds Transfer Fraud:$1,000,000 Money Orders and Counterfeit Money:$50,000 Corporation Deception Fraud:$50,000 Deductible:$10,000 Other States Workers'Compensation Carrier(F):Argonaut Ins.Co. Policy#WC 928878776574 Effective Date:06/13/2022 to 06/13/2023 E.L.Each Accident:$1,000,000 E.L.Disease-EA Employ:$1,000,000 E.L.Disease-Policy Limit:$1,000,000 ACORD 101 (2008/01) © 2008ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD