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Home My WebLink AboutCertificate of Liability Insurance® A� o CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDNYYY) 11/11/2020 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(les) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WANED, 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 Brown &Brown of Florida, Inc. 1661 Worthington Rd Ste 175 West Palm Beach FL 33409 CONTACT Maria Molina AAI NAME: PHCNN E (561) 686-2266 FAX,,,): (561) 686-2313 E-MAIL SS: mmolina@bb-wpb.com ADDRE INSURERS) AFFORDING COVERAGE NAIC of INSURER A. American Casualty Company of Reading, Pennsylvania 20427 INSURED GFA International, INC.; Obsidian Group Holdings, LLC Obsidian Group Acquisitions, Inc. 1215 Wallace Drive Delray Beach FL 33444 INSURER B : Transportation Insurance Company 20494 INSURER C ; National Union Fire Insurance Company of Pittsburgh PA 19445 INSURER D: Valley Forge Insurance Company 20508 INSURER E : Continental Casualty Company 20443 INSURER F rrnVFaeaFc f`FRTIFIrATF NIIMRFR- Master2020-2021 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 LTR TYPE OF INSURANCE AUUL1bUt3K INSD WVD POLICY NUMBER POLICY EFF M/DD POLICY EXP MM/DDIYYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE � OCCUR PREMISES Ea occurrence S 1,000,000 X Contractual Liability MED EXP (Any one person) $ 10,000 A 6080697842 04/01/2020 04/01/2021 X Cross Liability/Separation of Ins. PERSONALBADV INJURY $ 1.000,000 GEN'LAGGREGATELIMITAPPLIESPER: RPOLICY ❑X JET LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS -COMPIOPAGG $ 2.000,000 $ OTHER: AUTOMOBILE LIABILITY C OMBINED SINGLE LIMIT Ea a.d.nt $ 1,000,000 BODILY INJURY (Per Person) $ X ANY AUTO BODILY INJURY (Per accident) $ B OWNED rJ SCHEDULED AUTOS ONLY AUTOS X HIRED NON -OWNED AUTOS ONLY !� AUTOS ONLY 6080697887 04/01/2020 04/01/2021 PROPERTY DAMAGE Per accldent $ $ UMBRELLA LIAB X OCCUR EACH OCCURRENCE S 5,000,000 C EXCESSLIAB CLAIMS -MADE EBU049326298 04/01/2020 04/01/2021 X AGGREGATE $ 5,000,OOD DED I X1 RETENTION $ 0 $ D WORKERS COMPENSATION AND EMPLOYERS' LLABILITY Y!N ANY PROPRIETORIPARTNER/EXECUTIVE a OFFICER/MEMBERFXCLUDEoy (Mandatory In NH) NIA 680697839 04/01/2020 04/01/2021 PER OTH- STATUTE ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT 1,000,000 $ Each Claim 2,000,000 E Professional/Pollution Liability Claims Made Policy MCH591908633 04/01/2020 04/01/2021 Aggregate 4,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Addltlonal Remarks Schedule, maybe attached If more space Is requlrod) GERTIFIGAT E HULUIai 7106 Lakeland SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE @ 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD