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Certificate of Insurance LiabillityA� o® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 11/7/2018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIMAI';E 1 -19L -DER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFF f.DED BY THE" I?9L1pES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUI YG , SURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER./0/1-)/• i)r. `- • `--�\,, IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must have ADDITIONAL IN R 0 provisfotts°of f}eiendorsed.-1\ If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require • , ndorwn nt. A statement'on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). Au b A. -' PRODUCER HUB International Midwest Limited 1411 Opus Place, Suite 450 Downers Grove IL 60515 CONTACT NAME: 6, Li iii PHONE FAX C. No. Ext): 630-468-5600 (A/C, No): ^ . a AIL V ADDRESS: CSUConstruction@hubinternati• : INSURER(S) AFFORDING COVERA• - c)AIN. INSURER A: United States Fire Insurance Compan *� L 113 INSURED SWEECOR-01 USA Services of Florida, Inc. P.O. Box 520580 Longwood FL 32752 INSURER 6 506-893913-1 INSURER C : 6/1/2019 INSURER D : $1,000,000 INSURER E : $ 500,000 INSURER F : • 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 506-893913-1 11/8/2018 6/1/2019 EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED PREMISES (Ea occurrence) $ 500,000 CLAIMS -MADE X OCCUR MED EXP (Any one person) $10,000 PERSONAL & ADV INJURY $ 1,000,000 X XCU GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE POLICY OTHER: X LIMIT APPLIES PRO- JECT' X PER: LOC PRODUCTS - COMP/OP AGG $ 2,000,000 $ A AUTOMOBILE X X LIABILITY ANY AUTO OWNED AUTOS ONLY HIRED AUTOS ONLY y _ SCHEDULED AUTOS NON -OWNED AUTOS ONLY 506-893913-1 11/8/2018 6/1/2019 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ A X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE 523-808641-8 11/8/2018 6/1/2019 EACH OCCURRENCE $ 10,000,000 AGGREGATE $ $ DED X RETENT ON $ n WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANYPROPRIETOR/PARTNER/EXECUTIVE rl OFFICER/MEMBEREXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A SER TATUTE H- ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ A Leased/Rented Equipment 506-893913-1 11/8/2018 6/1/2019 Limit: $100,000 DESCRIPTION OF OPERATIONS !LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) Job: Tampa office Sweeping the City of Okeechobee, FL. City of Okeechobee is included as an Additional Insured on General Liability, when required in a written contract or agreement with the Insured. Should a policy be cancelled before the expiration date, a 30 days notice is to be provided by the Insurer to the Certificate Holder. • CERTIFICATE HOLDER CANCELLATION City of Okeechobee 55 Southeast 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 .rl ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD