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COIs, GL/Auto/Umbrella/Prof Liab, 8/17/2023-8/17/2024 �.....,% EVERSOL-01 MSTOKES ACORICI CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD YYYY) 44.------ 8/16/2023 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 ADDIT URED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to th *s'en 4:, ' •ons of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the e holde { f such endorsement(s). PRODUCER Q. O. CONTACT Hub International Florida Ary r PHONE 850 386-1111 FAX 850 385-9827 1117 Thomasville Road CP (A/C,No,Ex!):(850) (A/c,No):(850) Tallahassee,FL 32303 "' ). 41) .oss: o AUG 1 6 2023 0 INSURER(S)AFFORDING COVERAGE NAIC# Q, NSURERA:Cincinnati Indemnity Company 23280 INSURED tp INSURER B:Hartford Casualty Insurance Company 29424 Evergreen Solutions LLC INSURERC:Twin City Fire Insurance Company 29459 2528 Barrington Circle Unit 201 41 J INSURERD: Tallahassee,FL 32308 b e. wd Z L 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 TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVD IMMIDD/YYYY) (MMIDDIYYYY) A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR X X ENP0586602 8/17/2023 8/17/2024 pREM SESO(Ea oc urrence) $ 500,000 MED EXP(Any one person) $ 10,000 PERSONAL&ADVINJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY 'et. LOC PRODUCTS-COMP/OPAGG $ 2,000,000 OTHER: $ A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 (Ea accident) $ _ ANY AUTO EBA0586602 8/17/2023 8/17/2024 BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOSRE� ONLY AUTOS yy�� BODILY INJURY(Per accident) $_ X AUTOS ONLY X AUUTOS ONLDY ((Perr a Ecciident)AMAGE $ A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 2,000,000 EXCESS LIAB CLAIMS-MADE ENP0586602 8/17/2023 8/17/2024 AGGREGATE $ 2,000,000 DED RETENTION$ $ B WORKERS COMPENSATION uABILITl X STATUTE OTH- ER ANY PROPRIETOR/PARTNER/EXECUTIVE YIN X 21WECAB81M0 10/24/2022 10/24/2023 1,000,000 FFICER/MEM EXCLUDED? N/A E.L.EACH ACCIDENT $ (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE,$ 1,000,000 If yes,describe under1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ C Professional Liab 21PG025884623 8/17/2023 8/17/2024 per claim 2,000,000 C Professional Liab 21PG025884623 8/17/2023 8/17/2024 aggregate 2,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) City of Okeechobee is listed as an additional insured for general liability with a waiver of subrogation and coverage being primary&non contributory. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Okeechobee THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ty ACCORDANCE WITH THE POLICY PROVISIONS. 55 SE 3rd Avenue Okeechobee,FL 34974 AUTHORIZED REPRESENTATIVE L- - ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD