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Certificate of Insurance Expires 06/01/2020 _ .`1 &111�4 r i L- 0 "t a tNA,f ! PIA) i f ael-,+ (Q f goepu��Q) A��EP ' ' '. CERTIFICATE OF LIABILITY INSURANCE e ft x-12. 9 ) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON T E ICA O 'E-. 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 HOCKR. ,R. IMPORTANT: If the certificate hyikirn is an{ADDITIONAL,INSUR D,the policy(les)must have ADDITIONAL INSURED provisions or be endorsed. We If SUBROGATION IS WAIVED, s' et to the terms and,Conis o ditiq'rf the policy, certain policies may require an endorsement. A statement on this certificate does not confer r to ttre:cQrtificate holder in how' of such endorsement(s). PRODUCER ` +r CONTACT NAME: HUB International Midwest Limited ✓ PHONE FAX 1411 Opus Place, Suite 450 MM (A/C.No.Ext):630-468-5600 (A/C,No): Downers Grove IL 60515 E-MAIL CSUConstructio AFFORDING tional.com / �- .1�\ INSURER(S)AFFORDING COVERAGE NAIL# INSURERA: Hartford Fire Insurance Company 19682 INSURED SWEECOR-01 INSURER B: Navigators Specialty Insurance Company 36056 USA Services of Florida, Inc. P.O. Box 520580 INSURER C:American Guarantee&Liability Insurance Company 26247 Longwood FL 32752 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:1784946788 REVISION NUMBER:-- THIS UMBER:-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 TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) A X COMMERCIAL GENERAL LIABILITY 83 CLR S67101 6/1/2019 6/1/2020 EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED CLAIMS-MADE X OCCUR PREMISES(Ea occurrence) $500,000 MED EXP(Any one person) $10,000 X XCU PERSONAL&ADV INJURY $1,000,000 GE 'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE _ $2,000,000 POLICY X PE2-f X LOC PRODUCTS-COMP/OP AGG $2,000,000 OTHER: $ A AUTOMOBILE LIABILITY 83 ABR S67102 6/1/2019 6/1/2020 COMBINED SINGLE LIMIT $2,000,000 (Ea accident) X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ — X HIRED X NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY (Per accident) $ B UMBRELLA LIAB X OCCUR CHI9EXCZ0250GIC 6/1/2019 6/1/2020 EACH OCCURRENCE $5,000,000 C AEC 1875258-00 6/1/2019 6/1/2020 - X EXCESS LIAB CLAIMS-MADE AGGREGATE $5,000,000 • DED X RETENTION$n EACH OCC/AGGR(5x5) $5MM/$5MM. WORKERS COMPENSATION AND EMPLOYERS'LIABILITY V/Is/ STATUTE ERH ANYPROPRIETOR/PARTNER/EXECUTIVE N/A OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under - E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS below A Leased/Rented Equipment 83 UUM EB9870 6/1/2019 6/1/2020 Limit: $100,000 B Pollution Liability CHI9ECPZ0IECGIC 3/1/2019 3/1/2020 Limit/Deductible $1,000,000/$10,000 DESCRIPTION OF OPERATIONS/LOCATIONS/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 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Okeechobee 55 Southeast 3rd Avenue AUTHORIZED,REPRESENTATIVE Okeechobee FL 34974 /�/ j1.-I�1 / L� //`` -2 _-- I ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD