CERTIFICATE OF LIABILITY INSURANCE (4) DATE(MM/DD/YYYY)
CERTIFICATE OF LIABILITY INSURANCE,�..,..- 1/29/2021 2/21/2020
THIS CERTIFICATE IS ISSUED ASA 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 LOCKTON COMPANIES CONTACT
NAME:
2100 ROSS AVENUE,SUITE 1400 PHONE FAX
A/C No Ext), A/c No):
DALLAS TX 75201 E-MAIL
214-969-6700 ADDRESS:
INSURER(S)AFFORDING COVERAGE NAIC#
INSURER A:Navigators Specialty Insurance Company 36056
INSURED Connerton Holdings,LLC, INSURER B:
1432276 Pasco Investment Land,LLC INSURER C:
1601 Elm Street,Suite 3110 INSURER D:
Dallas TX 75201
INSURER E
INSURER F:
COVERAGES CERTIFICATE NUMBER: 16602324 REVISION NUMBER: XXXXXXX
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/DD/YYYY
COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1000 000
DAMAGE TO A X N N IS20CGLZ03QDJIC 1/29/2020 1/29/2021
CLAIMS-MADE OCCUR PREM SES(Ea occurrDence) $ 50,000
MED EXP(Any one person) $ XXXXXXX
PERSONAL&ADV INJURY $ 1,000,000
GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000
POLICY❑ PRO ❑ LOC PRODUCTS-COMP/OPAGG $ 2,000,000
JECT
OTHER: $
AUTOMOBILE LIABILITY NOT APPLICABLE COMBINED SINGLE LIMIT $
Ea accident XXXXXXX
ANY AUTO BODILY INJURY(Per person) $ XXXXXXX
OWNED SCHEDULED BODILY INJURY(Per accident) $
AUTOS ONLY AUTOS XXXXXXX
HIRED NON-OWNED PROPERTY DAMAGE $ XrXrXrXrXrXrXr
AUTOS ONLY AUTOS ONLY Per accident
$ XXXXXXX
UMBRELLA LAB OCCUR N N EACH OCCURRENCE $ 10,000,000
A X EXCESS LAB CLAIMS-MADE H019EXC896720IC 1/29/2020 1/29/2021 AGGREGATE $ 10,000,000
DED RETENTION$ $ XXXXXXX
WORKERS COMPENSATION NOT APPLICABLE PER OTH-
AND EMPLOYERS'LIABILITY STATUTE ER
Y
ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ E.L.EACH ACCIDENT $ XXXXXXX
OFFICER/MEMBER EXCLUDED? N/A
(Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ XXXXXXX
If yes,describe under
DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ XXXXXXX
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required)
CERTIFICATE HOLDER CANCELLATION
16602324
Pasco Investment Land SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
777 Maple St. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
p
Clearwater FL 33755 ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE f
C,1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD