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WC 2022-2024CLEMRUT-01 DSMITH2 ,d►�oRo CERTIFICATE OF LIABILITY INSURANCE DATE 1 6/291229/2023 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 have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the ter 7,o s of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the cert uch endorsement(s). .ACT PRODUCER , = Hub International Florida Q E FA%1117 Thomasville Road ry �' ' +1 No, Ext): (850) 386-1111 (A/c, No):(850) 385-9827 JCN Tallahassee, FL 32303 ++ I j tL Certificates.FLA@Hubinternational.com �- N 3p 2023 INSURERS AFFORDING COVERAGE NAICERA:The p Phoenix Insurance Com an 25623 INSURED J ER 6 : Travelers Property Casualty Company of America 25674 13269 Clemons, Rutherford & Assoc In URERC:Zenith Insurance Company 2027 Thomasville Rd IN SURER D: Continental CasualtyCompany 20443 Tallahassee, FL 32308 s` y INSURER E : INSURER F : 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, ILTR NSR TYPE OF INSURANCE ADD SUER WVD - POLICY NUMBER POLICY EFF MMIDDrffYYI MMJ ICY EXP DDIYYYYI LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ?OCCUR X 6802H4989432247 9/13/2022 9/13/2023 EACH OCCURRENCE 5 1,000,000 DREMSETOEaoccuence 5 1,000,000 MED EXP (Any oneperson) S 5,000 PERSONAL & ADV INJURY $ 1,000,000 AGGREGATE LIMIT APPLIES PER: POLICY ❑ jECDT E LOC GENERAL AGGREGATE 5 2,000,000 GEN'L X PRODUCTS - COMP/OPAGG 5 2,000,000 5 OTHER: B AUTOMOBILE LIABILITY (CEO, ccidenl MBINED SINGLE LIMIT a 5 1,000,000 X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS X BA8P5752912247G 9/13/2022 9/13/2023 BODILY INJURY Perperson) 5 BODILY INJURY Per accident) 5 HIRED NON -OWNED AUTOS ONLY AUTOS ONLY L PROPERTY DAMAGE Per acadent 5 S B X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE CUP5A3606772247 9/13/2022 9/13/2023 EACH OCCURRENCE 5 5,000,600 AGGREGATE 5 5,000,000 DED I X J RETENTIONS 10,000 5 C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA M1210507 7/4/2023 7/4/2024 X PER OTH- TATUTE ER E.L. EACH ACCIDENT 5 500,000 E.L. DISEASE - EA EMPLOYEE 5 $00,000 E.L. DISEASE - POLICY LIMIT S 500,000 D Errors & Omissions AEH591924749 11/29/2022 11/29/2023 Occr & Aggr each> 5,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Okeechobee is Additional Insured & both Primary & Non-contributory terms apply for General Liability & Auto Liability, as per the terms & conditions of the policies referenced above. Umbrella (or Excess) coverage is subject to the terms & conditions of the underlying policy endorsements for General Liability, Auto Liability, & Employers' Liability. Should the General Liability, Auto Liability, or Workers' Compensation be cancelled before the expiration date, a 30 days' notice. 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 ACORD 25 (2015103) @ 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD CLEMRUT-01 MSAAVEDRA ACORO CERTIFICATE OF LIABILITY INSURANCE DATE 10/13/2022Y) 10/13/2022 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 have ADDITIONAL INSURED provisions or 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 Florida 1117 Thomasville Road Tallahassee, FL 32303 CONTACT Manuela Stokes NAME: PHONE FAX (A/C, No, EXt): (850) 205-0336 (A/C, No):(850) 317-8142 ADDRESS: manuela.stokes@hubinternational.com INSURERS AFFORDING COVERAGE NAIC # INSURERA:The Phoenix Insurance Company 25623 INSURED INSURER B: Travelers Property Casualty Company of America 25674 INSURER C: Zenith Insurance Company 13269 Clemons Rutherford & Assoc. Inc. INSURER D: Continental Casualty Company 20443 2027 Thomasville Rd Tallahassee, FL 32308 INSURER E INSURER F : 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 ADDL INSD SUB' WVD POLICY NUMBER POLICY EFF MM DD YYYY POLICY EXP MM DD YY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FX OCCUR 6802H4989432147 9/13/2022 9/13/2023 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES Ea occurrence 1,000,000 $ MED EXP (Any oneperson) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY F7 JECOT- LOC OTHER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 $ B AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY BA8P5752912147G 9/13/2022 9/13/2023 COMBINED SINGLE LIMIT Ea accident 1,000,000 $ X BODILY INJURY Perperson) $ BODILY INJURY Per accident $ PROPERTY DAMAGE Per accident) ccident $ B X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE CUP5A3606772147 9/13/2022 9/13/2023 EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 DED X RETENTION $ 10,000 $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ ((Mandatory in NH) EXCLUDED? If yes, describe under DESCRIPTION OF OPERATIONS below N / A M 1210506 7/4/2022 7/4/2023 X PER OTH- STATUTE ER E.L. EACH ACCIDENT 500,000 $ E.L. DISEASE - EA EMPLOYEE 500,000 $ E.L. DISEASE - POLICY LIMIT SOO,000 $ D D Errors & Omissions Errors & Omissions 591924749 591924749 11/29/2021 11/29/2021 11/29/2022 11/29/2022 Each Claim Aggregate 5,000,000 5,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City Administrator Y THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Okeechobee 55 SE 3rd Avenue Room 201 AUTHORIZED REPRESENTATIVE Okeechobee, FL 34974 ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD