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Certificates of InsuranceBRYCER ACORDTM CERTIFICATE OF LIABILITY INSURANCE MMlDDIYYYY) DATE 212 (( /DDIY 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 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 Chicago Commercial Lines HUB International Midwest Limited 55 East Jackson Boulevard Chicago, IL 60604 CONTACT Jennifer Trudeau PHONE (AIC, No, Ext): 312 279 -4708 FAX (A/C, No): 866 526 -5418 ADDREEMAIL SS: jennifer.trudeau@hubintemational.com INSURER(S) AFFORDING COVERAGE NAIC N INSURERA: Atlantic Specialty Insurance Co 27154 INSURED Brycer, LLC 4355 Weaver Pkwy. Suite 100 Warrenville, IL 60555 INSURER B: ACE American Insurance Company 22667 INSURER C 02/17/2015 INSURER 0 : $1,000,000 INSURER E : $500,000 INSURER F : $10,000 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 LTR TYPE OF INSURANCE ADDLSUBR INSR WVD POLICY NUMBER POLICY EFF (MM/DDIYYYY) POLICY EXP (MM /DD/YYYY) LIMITS A GENERAL X LIABILITY COMMERCIAL GENERAL LIABILITY X 7110123920003 02/17/2014 02/17/2015 EACH $1,000,000 PREM +EaEoaunence) $500,000 MED EXP (Any one person) $10,000 CLAIMS -MADE I X OCCUR PERSONAL & ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 PRODUCTS - COMP /OP AGG $2,000,000 GEN'L AGGREGATE POLICY LIMIT APPLIES PER: JE& I1 LOC $ A AUTOMOBILE - X LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS - _ X SCHEDULED AUTOS AUTOS ED 7110123920003 02/1712014 02M 7/201 COMBINEDSINGLE LIMIT (Ea accident) � 1,000 Q00 $ BODILY INJURY (Per person) BODILY INJURY (Per accident) $ (P PROPERTY AMAGE $ $ A UMBRELLA LIAR EXCESS UAB _ OCCUR CLAIMS -MADE 7110123920003 02/17/2014 02/17/2015 EACH OCCURRENCE $1,000,000 $1,000,000 AGGREGATE $ DED RETENTION $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OEWIBEXRL ED ECUTIVEY OFFICER/MEMBER NI (Mandatory in NH) If yes, describe under DESCRIPTION CF OPERATIONS below N/A 4060368990003 02/17/2014 02/17/2015 X 70RY IAIM TS I I OR" EL, BACH ACCIDENT $500,000 E.L. DISEASE - EA EMPLOYEE $500,000 $500,000 E.L. DISEASE - POLICY LIMIT B Technology E &O G24308170003 02/17/2014 02/17/2015 2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, It more space is required) The City of Okeechobee is included as additional insured with respects to the General Liability when ag to in a written contract. : _ 4b /v 4C REOEtVCQ MAR 0 4 2014 CERTIFICATE HOLDER CANCELLATION City of Okeechobee Office of City Clerk - Lane Gamiotea 55 SE 3rd Avenue Okeechobee, FL 34974 1 ANY OF THE SHOULD EXPIRATION H DATE V THEREOF, E NOTICE - • f a IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE (24.64.7$--- ACORD 25 (2010/05) 1 of 1 #S885911/M885908 © 1988 -2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD LP01 ient#: 91301 BRYCER ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY) 9/05/2013 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 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 HUB International Midwest Limited Chicago Commercial Lines 55 E. Jackson Blvd. Chicago, IL 60604 CONTACT Chrischien Sherrod PHONE (A/C, No, Eat): 312 279 -4801 FAx (A/C, No): 866 740 -3090 EDORIESS: Chris .sherrod @hubinternational.com INSURER(S) AFFORDING COVERAGE NAIL # INSURER America Insurance Co. INSURER A 20621 INSURED Brycer, LLC 4355 Weaver Pkwy. Suite 100 Warrenville, IL 60555 INSURER B : ACE American Insurance Co. 22667 INSURER C : 02/17/2014 INSURER D : $ 1,000,000 INSURER E : $ 500,000 INSURER F : $10,000 RAGES 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. LTR TYPE OF INSURANCE NSR WVD POLICY NUMBER (MM/DDY�) (MMM/LDD//YYYY) LIMITS A GENERAL X LIABILITY COMMERCIAL GENERAL LIABILITY 7110123920002 02/17/2013 02/17/2014 EACH OCCURRENCE $ 1,000,000 PREMISES C EaEoccccurrence) $ 500,000 MED EXP (Any one person) $10,000 CLAIMS -MADE X OCCUR PERSONAL & ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 PRODUCTS - COMP /OP AGG $ 2,000,000 GEN'L AGGREGATE POLICY LIMIT APPLIES PRO- JECT PER: LOC $ A AUTOMOBILE X LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS X SCHEDULED AUTOS NON OWNED AUTO-S 7110123920002 02/17/2013 02/17/2014 COIN S (Ea MB accidentED ) INGLE LIMIT J1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ A X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE 7110123920002 02/17/2013 02/17/2014 EACH OCCURRENCE $1,000,000 $1,000,000 $ AGGREGATE DED RETENTION $ A WORKERS COMPENSATION EMPLOYERS' LIABILITY OF RIETOR PARTNER E ECUTIVE (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below Y / N N / A 4060368990002 02/17/2013 02/17/2014 X TORY LIMITS TO Y LIMIT OTH- ER E.L. EACH ACCIDENT $500,000 E.L. DISEASE - EA EMPLOYEE $500,000 E.L. DISEASE - POLICY LIMIT $500,000 B Technology E &O G24308170002 02/17/2013 02/17/2014 $2,000,000 Each Claim $2,000,000 Aggregate Retro Date: 08/06/2012 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) The City of Okeechobee is included as additional insured with respects to the General Liability by written contract. LATION City of Okeechobee Y Office of City Clerk Attn: Lane Gamiotea 55 SE 3rd Avenue Okeechobee, FL 34974 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 "..7144-44L4,9 ACORD 25 (2010/05) 1 of 1 #S779033/M746939 © 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD CS02