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Home My WebLink AboutCertificate Of Liability InsuranceAC®RLI e CERTIFICATE OF LIABILITY INSURANCE DATE (1I.MIDDlYYYY) 21912022 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($), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(los) 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 Beecher Carlson Insurance Services a Brown & Brown compan CTNAME Alfreda Jenkins PHONE 404.46Q-1345 FAx 770-870.3031 E•1AAIL Alfreda.Jenkins bbrown.com6ConcourseParkway, Sul a 2300 Atlanta, GA 30328 INSURER[S) AFFORDING COVERAGE Roca INSURER A: Everest National Insurance CompanyGompany10120 wwwbbinsurance.com INSURED GFA International, Inc., DBA Universal Engineering Sciences 3532 Manole Blvd Orlando FL 32$11 INSURER e : Everest Premier Insurance Company 16045 INSURERC: StarStone Specialty Insurance Company 44776 INSURERD: AXIS Surplus insurance Company 26620 INSURERE: Evanston Insurance Company 35378 INSURERF: Landmark American Insurance Company 33138 COVERAGES CERTIFICATE NUMBER: nss7r,171REVISION 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 3S 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 ADDL PNSD SUBR two POLICY NUMBER POLICYEFF MMID POLICYEXP MIA: DDWYY LtMITs A COMMERCIALOENF-RALLIABILITY Ll 0 RM50L00058-221 11112022 1IM023 EACHOCCURRENCE 1,000000 CIAIIAS• MADE F—ii] OCCUR Ea uecurremal 100ODD MED EXP ( Any oneperson) 10 000 Blanket ContractualLiabilityPERSONAL. & ADV INJURY 1 000 000 GEN'LAGGREGATELIMITAPPLIESPER: POLICY El JECT I.oc GEtrERALAGGREGATE 2, 000,000 PRbOvcr9 - OOh1PlaP AOG 2 oa0 000 Employee Benefits 1,000 000 OTHER: AAUTOMOBILE LIABILITY 11 RM5CAOD05B•221 111/2022 11112023 COMBINED SINGLE LIMIT 3 ODD 000 J BODILY INJURY(Porperson) S ANYAUTO OWNEDSCHEDULED AUTOS ONLY AUTOS HIRED NON - OWNED AUTOS ONLY AUTOS ONLY BODILY INJURY ( Per accident) S PROPERTY DAMAGE S F UaIBRELLAUAB OCCUR LHA096670 11V2022 11V2023 EACHOCCURRENCE s2000000 7 AGGREGATE s2,000,000 EXCESS LIARCLAIMSMADEDEDRETENTIONS S B B WORKERSCOMPENSATION AND EMPLOYERS' LIABILITY YIN OOFFFYPROPRIETCEERAIEMBEREXC7L U DxECUTIVE ® NIA pRM5wC00084-221 ( AOS) RM5wC00085.221 (FL NJ ME) 11/12022 11912022 1/112023 1/ 112023 ST STATUTE ERH E.L. EACH ACCIDENT 31,000,000 Mandatory In NH) E.L. DISEASE- FA EMPLOYEE S 1.00O,D00 be under 13 RIPTION OF OPERATIONS below E.L. DISEASE- POLICY LIMIT 1,000 000 E Professional Liability MKLV7PL0005114 211f2022 2/112023 Per Claim $5,000,000 Aggregate $5,000, 000 C Excess General Liab. ($41A xs of $1 M) 77102C221ALI 1/112022 11112023 Limit $4,000,000 D I Excess Auto Liability $21M xs of S3%1 P-001-000769170-01 1/1/2022 1 111/2023 I Limit S2,000,000 DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES (ACORD 101, Additional Romarks Schodulo, may tw adtachod It more spaco Is required) Ocean Glass Residence Bldg, 2, 10101 South Ocean Drive, Jensen Beach, FL 34957 CERTIFICATE 11-101- nER CANCELLATION St Lucie County Building Department 2300 Virginia Avenue SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Ft. Pierce FL 34982 AUTHORIZED REPRESENTATIVE. Ls+ t Q00I II3rt9tiyCC .SC7TafC?a J:GG Beecher Carlson Insurance Services, LLC a 1988.2016 ACORD CORPORATION. All rights reserved, ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD 66675111 I rEa 22-23 GR. International, Inc., I rilfreda Jenkins 12ig/2422 10:21:24 AM (=57) 1 Page 1 of I This certificate cancels and supersedes ALL previously issued certificates.