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CERTIFICATE OF LIABILITY INSURANCE (10) Client#: 93777 GOVEBRAN DATE(MM/DD/YWY) ACORDT. CERTIFICATE OF LIABILITY INSURANCE 1 06/27/2022 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Patricia O'Neil NAME: Edgewood Partners Ins. CenterPHONE 67875-5738 FAX A/C,No,Ext: A/C,No 2405 Satellite Blvd.,Ste.200 E-MAIL atricia.oneil a Icbrokers.com ADDRESS: p p Duluth, GA 30096 INSURER(S)AFFORDING COVERAGE NAIC# 770 232-0202 Hartford Fire Insurance Company 19682 INSURER A: P Y INSURED INSURER B: Hartford Casualty Ins.Co. 29424 Bi112Pay, LLC INSURER C: Twin City Fire Insurance Co. 29459 9428 Baymeadows Rd.Ste 500 INSURER D: Indian Harbor Insurance Co 36940 Jacksonville, FL 32256 Trumbull Insurance Company 27120 INSURER E: P Y INSURER F COVERAGES CERTIFICATE NUMBER: 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 INSR WVD POLICY NUMBER MM/DD/YWY MM/DD/YWY A X COMMERCIAL GENERAL LIABILITY x x 2000NEF2748 06/20/2022 06/20/2023 EACHOCCURRENCE $1,000,000 CLAIMS-MADE [X]OCCUR PREMISESOEaoccurrDence $300,000 MED EXP(Any one person) $10,000 PERSONAL&ADV INJURY $1,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 PRO- POLICY JECT LOC PRODUCTS-COMP/OPAGG $2,000,000 OTHER: $ E AUTOMOBILE LIABILITY x x 20UENEHO329 06/20/2022 06/20/202 COMBINED SINGLE LIMIT 1e 000e 000 Ea accident $ X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ HIRED NON-OWNED PROPERTY DAMAGE X AUTOS ONLY FX AUTOS ONLY Per accident) ccident $ B X UMBRELLA LIAB X OCCUR X X 20XHUEF3101 06/20/2022 06/20/2023 EACH OCCURRENCE $5,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $5,000,000 DED I X RETENTION$10000 $ C WORKERS COMPENSATION x 20WEAH8FBG 01/01/2022 01/01/202 X PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N 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$1,000,000 D Professional Liab x MTP903664304 06/20/2022 06/20/2023 $5,000,000 D Cyber Liability x MTP903664304 06/20/2022 06/20/2023 $5,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION CI of Clearwater Attn: SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Customer Service ACCORDANCE WITH THE POLICY PROVISIONS. 100 South Myrtle Ave Clearwater, FL 33756-0000 AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) 1 of 1 The ACORD name and logo are registered marks of ACORD #S3308468/M3308379 VBIA1