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Ins Cert/1 of 2/Gen Liability & Auto/Clean Sweep/D BenardCLEAN -3 OP ID: DJ ACOR6 ry r� CERTIFICATE OF LIABILITY INSURANCE DATE (MM /DD/YYYY) 11/09/2015 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 Brown & Brown of Florida, Inc Suite 400 1401 Forum Way West Palm Beach, FL 33401 Nicholas DiBattisto CONTACT PHON: (A /C. No, Ext): 561- 686 -2266 FAX No): 561 - 686 -2313 E -MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Crum & Forster Indemnity Co COMMERCIAL GENERAL LIABILITY INSURED Clean Sweep & Vac, LLC 8255 Business Park Dr Port St Lucie, FL 34952 INSURER B : United States Fire Ins Co 5068831284 INSURER C : 11/09/2016 INSURER D : $ 1,000,000 INSURER E : $ 100,000 INSURER F : 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 ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF (MM/DD/YYYY) POLICY EXP (MM /DD /YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY 5068831284 11/09/2015 11/09/2016 EACH OCCURRENCE $ 1,000,000 DAMAGETO RENTED PREMISES (Ea occurrence) $ 100,000 CLAIMS -MADE X OCCUR MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GE 'L AGGREGATE POLICY OTHER: X LIMIT APPLIES !ET- PER LOC PRODUCTS - COMP /OP AGG $ 2,000,000 $ A AUTOMOBILE X LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS SCHEDULED AUTOS NON -OWNED 5068831284 11/09/2015 11/09/2016 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ 1,000 ded B X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE 5238033372 11/09/2015 11/09/2016 EACH OCCURRENCE $ 1,000,000 AGGREGATE $ 1,000,000 $ DED X RETENTION $ 0 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y ANY PROPRIETOR /PARTNER /EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below / N N / A PER STATUTE OTH- ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Street Sweeping. Certificate holder is inc uded as additional insured with regard to General Liability and Auto Liab lity coverages as required by written contract. City of Okeechobee tY 55 SE 3rd Ave Okeechobee, FL 34974 I 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 ACORD 25 (2014/01) © 1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD AC'.0 RL CERTIFICATE OF LIABILITY INSURANCE CLEAN -2 OP ID: DATE (M M 11/12/ ''4 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOL R. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY TH- POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), UTHORIZED 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 AIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement A statement on this certificate does n confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Phone: 561 -622 -2550 CONTACT T Celedinas Insurance Group -PBG 4283 Northlake Blvd. Fax 561 -721 -0540 2 N EXIT: Palm Beach Gardens, FL 33410 Ray S Celedinas INSURED Clean Sweep & Vac LLC 8255 Business Park Dr Port St Lucie, FL 34952 E-MAIL ADDRESS: INSURER'S�AFFOROING Ce• ERAGE INSURER A ; UnKed Specialty Ins Co INSURER B : Progressive Insurance Co INSURER C ; RockhlIl Insurance Co INSURER 0 : INSURER E INSURER F : COVERAGES CERTIFICATE NUMBER: FAX AX: No): NAIC to 12537 24260 28053 THIS IS TO CERTIFY THAT THE POLICIES INDICATED. NOTWITHSTANDING ANY REQUIREMENT, CERTIFICATE MAY BE ISSUED OR MAY EXCLUSIONS AND CONDITIONS OF SUCH OF PERTAIN, POLICIES. ABM INSR INSURANCE LISTED BELOW HAVE BEEN ISSUED TO ' E INSURED NAMED ABOVE FOR THE POLICY PERIOD TERM OR CONDITION OF ANY CONTRACT •R OTHER DOCUMENT WITH RESPECT TO WHICH THIS THE INSURANCE AFFORDED BY THE POLI S DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. LIMITS SHOWN MAY HAVE BEEN REDUCE, :Y PAID CLAIMS. 14 W TYPE OF INSURANCE - - � POLICY NUMBER -P F (MM . • YY) POLICY EXP IMMIOD/YYYYI LIMITS A GENERAL X LIABILITY COMMERCIAL GENERAL LIABILITY [Id OCCUR USA4069412 109/2014 11/09/2015 EACH OCCURRENCE E 1,000,000 DAMAGE TO RtN TED PREMISES (Ea occurrence) - MED EXP (My one person) E s 100,000 5,000 ...._ _ GIAIMS -MADE PERSONAL B ADV INJURY $ 1,000,000 GENERAL AGGREGATE E 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: 1-7 POLICY( 1 JECTT n LOC PRODUCTS - COMP/OP AGG S Included E AUTOMOBILE B X- X LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS A NON-OWNED 02479142.1 11/09/2014 11/09/2015 CO SINSO SINGLE LIMIT E 1,000,000 BODILY INJURY (Per person) E BODILY INJURY (Per accident) $ PROPERTY ) DAMAGE Per PROPER E E c X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE S R001142-00 11/09/2014 11/09/2015 EACH OCCURRENCE AGGREGATE E s 1,000,000 1,000,000 DEO I I RABETENTIONS S WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNER/EXECUTIVE YI N OFFICER/MEMBER EXCLUDED? L I (Mandatory in NH) It yes, describe under DESCRIPTION OFOPERATIONS below N I A \ 1_!. C STAT TS L I ER EL EACH ACCIDENT S EL DISEASE- EA EMPLOYEE S E DISEASE - POLICY LIMIT S 1 DESCRIPTION OF OPERATIONS I LOCATIONS IV- ICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) CERTIFICATE HOLD CANCELLATION Ci of Okeechobee SE 3rd Avenue keechobee, 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 .�--e� ACO,RD 25 (2010/05) ©1968 -2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Q Q - v t_ cioL1 al. 51(319 i5 PC 8cX 3;20e, 3-ktat-t- Wi I/ado cu axitholua 1 koa, ‘x Wue lx) y1 CERTIFICATE OF LIABILITY INSURANCE CLEAN -2 OP ID: MG DATE (MMIDDTYYYY) 11/11/2013 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 Celedinas Insurance Group -PBG 4283 Northlake Blvd. Palm Beach Gardens, FL 33410 David Kincaid, CIC Phone: 561 -622 -2550 Fax: 561 - 721 -0540 CONTACT NAME PHONE INC No. EMI EMAIL ADDRESS: FAX _JN+C, NoE INSURER(S) AFFORDING COVERAGE INSURER A : United Specialty Ins Co INSURED Clean Sweep & Vac 2201 SE Indian St, #M6 Stuart, FL 34997 INSURER B : Progressive Insurance Co INSURER C: INSURER 0: INSURER E INSURER F : NMC# 12537 24260 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 F INSURANCE TYPE OF ADOL INSR SU WVR I Y EFF POLICY NUMBER : (MMIDDITYYY) POLICY EXP (MAUDDMWYI LIMAS A GENERAL X LIABILITY COMMERCIAL GENERAL LIABILITY USA4030052 11/09/2013 11/09/2014 iGENERAL EACH EACH OCCURRENCE $ 1,000,000 DAMAGE 10 RENTED PREMISES (Ea occurrence) $ 100.000 CLAIMS -MADE [ X l OCCUR MED EXP (Any one person) $ 5,000 I_GENt PERSONAL 8 ADV INJURY $ 1,000,000 AGGREGATE PRODUCTS - COMPIOP AGG S 2,000,000 s Included $ AGGREGATE LIMIT APPLIES PER: POLICY I iCI JET LOC B AUTOMOBILE X X LIABILITY ANY AUTO ALL OWNED -I SCHEDULED AUTOS ___I AUTOS HIRED AUTOS v I NON -OWNED AUTOS 024791420 11/09/2013 11/09/2014 COMBINED SINGLE LIMIT COMBINED acadent) $ 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ c -- PROPERTY DAMAGE 1 $ (Per accident./ UMBRELLA /JAB I OCCUR EXCESS LIAB CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ S DED I I RETENTIONS WORI(ERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) II yes. describe under DESCRIPTION OF OPERATIONS below NIA WC STATU- 1 1141 TORY LIMITSR .. S $ $ E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE E.L. DISEASE - POLICY LIMIT DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, it room space is required) ANCELLATION City of Okeechobee 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 I�J --'C�. ACORD 25 (2010105) ©1988 -2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ;\412- 11("c14-Q i`-t_ U,q C 3-- Cji(CCt,Q.c> 1- I2- 261V AWRO" CERTIFICATE OF LIABILITY INSURANCE CLEAN -2 OP ID: MG DATE (MM /DD/YYYY) 05/15/13 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 561- 622 -2550 Celedinas Insurance Group -PBG 561- 721 -0540 4283 Northlake Blvd. Palm Beach Gardens, FL 33410 David Kincaid, CIC INSURED Clean Sweep & Vac 2201 SE Indian St, #M6 Stuart, FL 34997 CONTACT NAME: PHONE (A/C, No, Ext): E -MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE INSURER A ; Hanover American Insurance Co. INSURER B B. Hanover Insurance Group INSURER C C. Underwriters at Lloyd's,London INSURER D : INSURER E : INSURER F : FAX (A/C, No): NAIC # 22292 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 1 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 LTR pro Iry u, ne000 , IRS ..• •. ..... .'- ._................ , 1.111 I I,1 ,Iv'IvI/vv /,rllt II, GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY LZJ6669310 11/09/12 11/09/13 DAMAGE TO RENTED PREMISES (Ea occurrence) $ 100,000 CLAIMS -MADE X OCCUR MED EXP (Any one person) $ 5,000 PERSONAL &ADVINJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $ 1,000,000 POLICY X 'Jr,: LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 B X ANY AUTO AZJ6670339 11/09/12 11/09/13 BODILY INJURY (Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ X HIRED AUTOS X NON -OWNED PROPERTY DAMAGE AUTOS (Per accident) $ $ ''. UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE AGGREGATE $ DED RETENTION $ $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS' LIABILITY Y / N TORY LIMITS ER ANY PROPRIETOR /PARTNER /EXECUTIVE ,------1 E.L. EACH ACCIDENT OFFICER /MEMBER EXCLUDED? N / A $ ''. (Mandatory in NH) - - -' E.L. DISEASE - EA EMPLOYEE $ If yes. describe under L DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ C Property 412BR1151 11/09/12 11/09/13 BPP 25,000 BI W /EE 40,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) 5.ti. atO ' . 411/' . 61 .1 d/(-t/ X0 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Okeechobee ACCORDANCE WITH THE POLICY PROVISIONS. 55 SE 3rd Avenue AUTHORIZED REPRESENTATIVE Okeechobee, FL 34974 ACORD 25 (2010/05) © 1988 -2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD CLEASWE -01 AANDREASEN '��C)RL CERTIFICATE OF LIABILITY INSURANCE �,'. ✓- DATE (MMIDD/YYW) 5/1312015 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 CER11FICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE O 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 Celedinas Insurance Group 4400 PGA Blvd, Suite 1 QL00 Palm Beach Gardens, F 33410 CONTACT NAME: PHONE 561 622 -2550 FAX (NC. No, Eye): ( ) (NC, No): ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC 0 INSURER A: United Specialty Insurance Company 12537 INSURED Clean Sweep & Vac LLC David Benprd PO Box 3268 Stuart, FL 34995 INSURER B : The Progressive Corporation 11/092014 INSURER C : Rockhill Insurance Company 28053 INSURER D . REMISES (Ea occurrence) INSURER E : INSURER F : X 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 POLIC ES 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 OFIN$URANCE INSV SD y D POUCY NUMBER (MMMIDDITYYY) (MM/DDYWY) OMITS A X COMMERCIAL GENERAL LIABILITY X USA4069412 11/092014 11/092015 EACH OCCURRENCE $ 1,000,000 REMISES (Ea occurrence) $ 100,000 CLAIMS -MADE X OCCUR MED EXP (Any one person) $ 5,000 PERSONAL &ADV INJURY $ 1,000,000 GENERAL AGGREGATE S 2,000,000 GEN'L X AGGREGATE POLICY OTHER: LIMT APPLIES PO- JECTT PER: LOC PRODUCTS - COMP/OP AGG $ 1,000,000 $ B AUTOMOBILEUABIUTI! X X ANY AUTO ALL OWNED AUTOS HIRED AUTOS SCHEDULED AUTOS NON-OWNED AUTOS 02479142 -1 11/09/2014 11/09/2015 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 BODILYINJURY(Perperson) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ $ C X UMBRELLAUAB EXCESS UAB X OCCUR CLAIMS -MADE RXSLWGRO01742 -00 11/092014 11/09/2015 EACH OCCURRENCE $ 1,000,000 AGGREGATE $ 1,000,000 $ DED RETENTION S WORKERS COMPENSATION AND EMPLOYERS' UABIUTY ANY PROPRIETOR/PART)JER/EXECUTIVE OFFICER/MEMBER EXCLJDED? (Mandatory In NH) If yes describe under DESCRIPTION OFOPERIATIONSbelow I / N I j ��"" N /A PER STATUTE OTH- ER E.L. EACH ACCIDENT S E.L. DISEASE- EA EMPLOYEE $ EL DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS 1 LOCATIONS/ VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is requi ed) Holder is listed as additional insured with respects to written contract with named insured. City of Okeechobee 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 RREPRESEEN�TATIVVEE ACORD 25 (2014/01) © 1988 2014 ACORD CORPORATION. Ail rights reserved. The ACORD name and logo are registered marks of ACORD