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Home My WebLink AboutCertificate of Liability InsuranceA� o® CERTIFICATE OF LIABILITY INSURANCE DATE /27/20n-YYY) 1o/27/zozo THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLYAND 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 Brown &Brown of Florida, Inc. 1661 Worthington Rd Ste 175 West Palm Beach FL 33409 CONTACT Maria MolinaAAI NAME: Pa/CN u Ext : (561) 686-2266 a/c No): (561) 686-2313 E-MAIL ADDRESS: mmolina@bb-wpb.com INSURER(S) AFFORDING COVERAGE NAIC p 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 INSURERS: 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 : CnVFRAr.FS CERTIFICATE NUMBER: Master 2020-2021 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 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. I�TR TYPE OF INSURANCE INSD WVD POLICYNUMBER MMIDD EFF POLIMMIDD EXP YY LIMITS X COMMERCIAL GENERAL LIABILITY EACH $ 1,000,000 �/ CLAIMS -MADE X OCCUR TCURRENCE A PREMISES Ea occurrence $ 1,000,000 X MED EXP (Any oneperson) $ 10,000 Contractual Liability A X Cross Liability/Separation of Ins. Y 6080697842 04/01/2020 04/01/2021 PERSONAL&ADV INJURY $ 1,000,000 GEN'LAGGREGATELIMITAPPLIESPER: GENERALAGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 POLICY ❑X JEa LOC $ OTHER: AUTOMOBILE LIABILITY COMBINED IN Ea accident $ 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ IANYAUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY 6080697887 04/01/2020 04/01/2021 PROPERTY DAMAGE Per accident $ UMBRELLALIAB X OCCUR EACH OCCURRENCE $ 5,000,000 C X EXCESSLUIB CLAIMS -MADE EBU049326298 04/01/2020 04/01/2021 AGGREGATE $ 5,000,000 DED I X1 RETENTION $ 0 $ D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE [—N] OFFICER/MEMBER EXCLUDED? (Mandatory in NH) NIA 680697839 04/01/2020 04/01/2021 STATUTE ER E.L. EACH ACCIDENT $ 1,000, 000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000, 000 If yes, describe under DESCRIPTION OF OPERATIONS below Each Claim 2,000,000 E ProfessionallPollution Liability Claims Made Policy MCH591908633 04/01/2020 04/01/2021 Aggregate 4,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) (Lot 82) — 3345 Trinity Circle, Ft. Pierce FL 34945 For Private Provider Plan Review and Inspections. DR Horton Inc 1430 Culver Drive NE Palm Bay FL 32907 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 01988-2015 ACORD CORPORATION. All rights reserved. ACORD 26 (2016103) The ACORD name and logo are registered marks of ACORD