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Insurance Certificates
AC®RI5° CERTIFICATE OF LIABILITY INSURANCE d+.... DATE(MMIDDIYYYY) 10/31/2016 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 poli ' may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsemenffs 3 - PRODUCER CONTACT NAME: CSU Chicago - Midwest HUB International Midwest Limited 55 East Jackson Boulevard Chicago IL 60604 I., f✓' ". J` 4. REcEivE0 t SIL - ------ PHONE (Air No Ext)• E-MAIL CSUChicago@hubinternational.com FAX fA/C, No). INSURER(S) AFFORDING COVERAGE NAIC # INSURER A:Lexington Insurance Company 19437 INSURED Ninv osquito- Clarke Environmental Mosquito..- �� Management, Inc. 's 3036 Michigan Ave. a ; y ,, Kissimmee FL 34744 G.' ��" ° ,-----. ,/� s'\' '+t v �'` _ INSURERB:COmmerCe & Industry Insurance Compa 19410 INSURER c :National Union Fire Insurance Compa 19445 INSURER D DAMAGE TO RENTED PREMISES (Ea occurrence) INSURER E: X INSURER F : MED EXP (Any one person) COVERAGES CERTIFICATE NUMB'E 1932428159 • 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 (MMIDD/YYYY) POLICY EXP (MM/DD/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY EG1950828 11/1/2016 11/1/2017 EACH OCCURRENCE $1,000,000 CLAIMS -MADE X OCCUR DAMAGE TO RENTED PREMISES (Ea occurrence) $300,000 X Pollution Legal MED EXP (Any one person) $25,000 Liability PERSONAL & ADV INJURY $1,000,000 GE X 'L AGGREGATE POLICY OTHER: LIMIT APPLIES PRO- JECT PER: LOC GENERAL AGGREGATE 52,000,000 PRODUCTS - COMP/OP AGG $2,000,000 Pollution Legal Liab $1,000,000 B AUTOMOBILE X X LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS — SCHEDULED AUTOS NON -OWNED AUTOS CA6530642 11/1/2016 11/1/2017 COMBINES -SINGLE LIMI (Ea accident) $ 1,000,000 BODILY INJURY (Per person) 5 BODILY INJURY(Per accident ) $ PROPERTY DAMAGE (Per accident) $ $ A X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE EGU1950829 11/1/2016 11/1/2017 EACH OCCURRENCE $10,000,000 AGGREGATE $10,000,000 DED X RETENTIONSO $ 00 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below Y / N N N / A 012-77-2854AOS) 012-77-5855 (CA Only) 11/1/2016 11/1/2016 11/1/2017 11/1/2017 X PER OTH- 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 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Pollution Legal Liability includes coverage for Third Party On-site, Third Party Off-site, Hostile Fire and Building Equipment, Products Pollution, Contractors Pollution and Transportation Cargo. City of Okeechobee is included as additional insureds under when agreed in a written contract, subject to policy terms, conditions and exclusions CERTIFICATE HOLDER CANCELLATION City of Okeechobee 55 SE 3rd Ave 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 ACORD 25 (2014/01) © 1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD