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Pro Lift Solutions LLC, Auto COI 7/23/23-24 AC Rom® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) `.------- 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(les)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. PHONE (336)217-6902 FAX (336)378-1332 (A/C,No,Ext): (A/C,No): _ 4900 Koger Blvd E-MAIL leann.willis@relationinsurance.com ADDRESS: Suite 450 INSURER(S)AFFORDING COVERAGE NAIC Y Greensboro NC 27407 INSURER A: Great American Insurance Co 16691 INSURED National IndemnityCo of the South 42137 INSURER B: 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 GUXS/CANVC 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 ADDL SUER POLICY EFF POLICY ESP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DDIYYYY) (MMIDDIYYYY) LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 5 1,000,000 CLAIMS-MADE X OCCUR DAMAGE TO RENT ED 300,000 PREMISES(Ea occurrence) 5 MED EXP(Any one person) 5 10,000 A MAC529217200 09/03/2023 09/03/2024 PERSONAL BADVINJURY 5 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000 POLICY X file,: LOC 0000PRODUCTS-COMP/OPAGG 5 , X OTHER: Hired&Non Owned Auto MAXIMUM Annual s 10,000,000 AUTOMOBILE IJABILITY CGMB4NEO'6INGLE LIMIT $ 1,000,000 (Ea accident) ANY AUTO BODILY INJURY(Per person) 5 B OWNED AUTOS ONLY X SCHEDULED 74APB006875 07/23/2023 07/23/2024 BODILY INJURY(Per accident) 5 AUTO HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY - AUTOS ONLY (Per accident) $ X UMBRELLA LIAB X OCCUR 5,000,000 EACH OCCURRENCE s C EXCESS LIAB CLAIMS-MADEEBU025059773 09/03/2023 09/03/2324 AGGREGATE 5 5,000,000 DED RETENTION $ 5 WORKERS COMPENSATION X STATUTE OTH- ER AND EMPLOYERS'LIABILITY Y N D ANY PROPRIETOR/PARTNER/EXECUTIVE N N/A AVWCFL3208452023 09/05/2023 09/05/2024 E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE 5 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 5 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If morn 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 1 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) 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 A4CCOR" CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 01 /23/2024 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. plC.N o Ext : (336) 217-6902 qlc No : (336) 378-1332 E-MAIL leann.willis@relationinsurance.com 4900 Koger Blvd ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # Suite 450 INSURERA: Great American Insurance Co 16691 Greensboro NC 27407 INSURED INSURER B : National Indemnity Co of the South 42137 INSURER C : National Liability & Fire Ins 20052 Professional Lift Solutions, LLC INSURER D : American Interstate Insurance Cc 31895 1925 12th Street INSURER E : INSURER F : Sarasota FL 34236 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 LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER POLICY EFF MMIDD/YYYY POLICY EXP MMIDD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X DAMAGE300,000 CLAIMS -MADE OCCUR PREMISES Ea occurrence $ MED EXP (Any one person) $ 10,000 PERSONAL &ADV INJURY $ 1,000,000 A MAC529217200 09/03/2023 09/03/2024 GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000 POLICY JECT PRO ❑ LOC PRODUCTS - COMP/OPAGG $ 4,000,000 Hired & Non -owned $ 1,000,000 X OTHER Hired & Non Owned Auto AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) S ANYAUTO B OWNED X SCHEDULED 74APBOO6875 07/23/2023 07/23/2024 BODILY INJURY (Per accident) $ AUTOS ONLY AUTOS PROPERTY DAMAGE Per accident $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 C EXCESS LIAB I CLAIMS -MADE EBU025059773 09/03/2023 09/03/2024 DED I I RETENTION $ $ WORKERS COMPENSATION X AND EMPLOYERS' LIABILITY Y / N STATUTE EORH E.L. EACH ACCIDENT 1,000,000 $ D ANY PROPRIETOR/PARTNER/EXECUTIVE N] N /A AVWCFL3208452023 09/05/2023 09/05/2024 1,000,000 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ If yes, describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L. DISEASE - PO $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) r F L11991 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 @ 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