CERTIFICATE OF LIABILITY INSURANCE (11) ACC)Ra CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY)
1 3,,8/2018
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 fNSURER(S),AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not conifer rights to the
certificate holder in lieu of such andorsoment(s).
PRODUCER CUNTAC[
NAME: SMoj Lopez
Main S"iec�t nsurws PHONNE, 7 2 7-7 D'Z-434 C. FA727-791 0699
JAIC, o IAfCX-N�):
1915 Fast Bavf)nfvt�Suite A-2,' E-MAIL
ADDRESS.
iNSURER(S)AFFORDING COVE RAGE NAIC 9
Lacgo F L 33,.,1 INSURER A: (-01011Y IOSWXY((=ComiDbily
INSURED
INSURER B-
?Par.!7n3 Faw,�,, nc
INSURER C
760G 01mc2i'toin Rd INSURER D:
INSURER E:
Largo FIL 33771 INSURER F
COVERAGES CERTIFICATE NUMBER: REVISION NUMB-ER:
THIS ISTO CERTIFY THAT THE 135LICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO TI II"INSURED NAMED A13O1rfE FOR THE POLICY PERIOD
INDICATED NOTWITHSTANDING ANY RE OU IREMENT.TE RM OR CONDITION OF ANY CONTRACT OR OTHER DOCUNIEN I VJTH RESPECT TO WH I CH Tid IS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IF)SUBJECT'TO ALL THE TERMS.
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,I-IMI TS SHOVNN MAY l-IAVF BEEN REDUCED BY PAID CLAIMS
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LTR TYPE OF INSURANCE INSD WV0 POLICY NUMBER 15OLICY EFF POLICY EXP LIMITS
(MMfl)DffYYY) IMM ID131YYYY),
X COMMERCIAL GENERAL LIABILITY
A C H R,R F N C 8 0 0(),0 0
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"LAIN, llNUIGE ,NTED
-VADE X occ;)R SRI MISES:Ea o�zurrencei $ 10().000
MED EXP�Ariy one porsonj
A '01 G L 0090 7?5-00 1/25.1QG18
2 511'20 19 PERSONN.,&ADV rNAjk,*Y s 1,00(11,000
0 EN L A(,,,,3 r F GAT A", E S PE R
GENERAL AGGRFGATE 5 2,0 0 0,'yl G
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F,C-1 PRODUC,'tS COW'IOPAGG i, i3O,00,000
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MITOMOBILF LIABILITY
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UMBRELLA LIAS OCCJR
EACH ,CCURRt,NC°-
EXCESS LIAB CLAIMS MADE AGGREGATE
BE,,-, R PTL N 11 ON S
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ORERSCOMPENSATION
AND EMPLOYERS'LIABILITY Y'N Ek,
ANY RORR!E-OR4-APTNER2E,XIECJ]"I'l, EL EACHACCO-N'!
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POL'Cy L!M'I
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DESCRIPTION OF OPERATIONS LOCATIONS t VEHICLES JACORO 101.Additionall Rernarks SchoduN,may be attached if move space is roquirod;f
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
'rHE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN
North Grvenwood Librjy ACCORDANCE WITH THE POLICY PROVISIONS,
CitvofClediwater
P.0.[aux 4?a AUTHORIZED REPRESENTATIVE
OearvvateFL 33756
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