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Pro Lift Solutions LLC, GL/Umbrella 9/3/23-24 A�o DATE(MMlDDIYYI'Y) ® CERTIFICATE OF LIABILITY INSURANCE 09/06/2023 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 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 CONTACT LeAnn Willis NAME: Relation Insurance Services of North Carolina,Inc. HOONN Bet): (336)217-6902 FAX No): (336)378-1332 A/C,4900 Koger Blvd E-MAIL leann.willis@relationinsurance.com ADDRESS: Suite 450 INSURER(S)AFFORDING COVERAGE NAIC U Greensboro NC 27407 INSURERA: Great American Insurance Co 16691 INSURED INSURER B: National Indemnity Co of the South 42137 Professional Lift Solutions LLC,DBA:Stair Lift Pro INSURER C: National Liability&Fire Ins 20052 1925 12th Street INSURER D: American Interstate Insurance Co 31895 INSURER E: Sarasota FL 34236 INSURER F: COVERAGES CERTIFICATE NUMBER: 23/24 GL/XS/CA/WC 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 ADOL SUER POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DDIYYYY) (MMIDOIYYYY) LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCEDAMA S 1,000,000 D CLAIMS-MADE I"I OCCUR PREMISESO(EaEN occE ence) $ 300,000 MED EXP(Any one person) $ 10,000 A MAC529217200 09/03/2023 09/03/2024 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000 POLICY X PJRO LOC 0000PRODUCTS-COMP/OP AGG S40 , X OTHER: Hired&Non Owned Auto MAXIMUM Annual s 10,000,000 AUTOMOBILE LIABILITY CEIMBINEENSINGLE LIMIT S 1,000,000 (Ea accident) ANY AUTO BODILY INJURY(Per person) $ B OWNED AUTOS ONLY AUTOS X SCHEDULED 74APB006875 07/23/2023 07/23/2024 BODILY INJURY(Per accident) $ HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY (Per accident) _ _- S X UMBRELLA LIAB X OCCUR EACH OCCURRENCE S 5,000,000 C EXCESS LIAB CLAIMS-MADEEBU025059773 09/03/2023 09/03/2024 AGGREGATE $ 5,000,000 DED RETENTION$ $ WORKERS COMPENSATION X STATUTE EOTH AND EMPLOYERS'LIABILITY Y IN ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT S 1,000,000 D OFFICER/MEMBEREXCLUDED? I N 1 N/A AVWCFL3208452023 09/05/2023 09/05/202i (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ , DESCRIPTION OF OPERATIONS I LOCATIONS I 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 THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN City of Okeechobee ACCORDANCE WITH THE POLICY PROVISIONS. 55 SE 3rd Avenue AUTHORIZED REPRESENTATIVE Okeechobee FL 34974 I CJCt,.\ ,,Ct-_LL.L, ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Additional Named Insureds Other Named Insureds ADA Constructors Doing Business As Custom Lifts Doing Business As PJGT Inc Doing Business As Stair Lift Pro Doing Business As OFAPPINF(02/2007) COPYRIGHT 2007,AMS SERVICES INC