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GL/Umbrella/Workers Comp 7/30/23-24
CRAIASM-03 KKENNEDY A �RO CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDMIYYI 7/25/2023 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 Diane Traynor CAL Risk Management PHONE I FAx 23 Eganfuskee Street INC.No,Ext):(561)776-9001 I(Ate.so):(561)427-6730 Suite 102 nl E-MAIL S;Dtraynor@callIc.com Jupiter,FL 33477 INSURER(S)AFFORDING COVERAGE NAIC/I INSURER A:Travelers Indemnity Co.of America 25666 INSURED INSURER a:Travelers Property Casualty Co.of America 25674 Craig A.Smith 8,Associates LLC INSURER c:Travelers Casua &Sure Com an 1425 E Newport Center Dr INSURER D:Aspen American Insurance Company___ 43460 Deerfield Beach,FL 33442 -- 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 AODL SUBRI POLICY NUMBER POLICY EFF� PO—L CY OW SITS LTN INSD WVD IMM/DD/YYYYI IMI MIODIYYYYI A X COMMERCIAL GENERAL LIABILITY i I .EACH OCCURRENCE S _ 1,000,000 i CLAIMS-MADE OCCUR 6606S217911 7/30/2023 1 7/30/2024 l DAMAGE TO RENTED 1,000 00(1 j PREM(S€S tEa n 1026 $ --- - ----. MED EXP(Any one person)_ S 5'000 -— PERSONAL 8 ADV INJURY_ S 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2,000,000 I POLICY I X I.Pi cPT X LOC 2,000,000 PRODUCTS-COMP/OP AGG 3 OTHER'Subject to$2,000,000 Cap 3 A AUTOMOBILE LIABILITY COMBINED SINGLE UNIT 1,000,000 _(.Es triann S X ANY AUTO E 8106W5530882343G 4/27/2023 4/27/2024 BODILY INJURY(Par person) SO AUTOS EOS ONLY _ AUTOSULEED BODILY INJURY(Per accident) S AZRTOOS ONLY AUTO ONLY PROPERTY DAMAGE Aper acci nt S S B X UMBRELLA LIAB X OCCUR EACH OCCURRENCE S 5,000,000 EXCESS LIAB j CLAIMS-MADE CUP6S2187112347 7/30/2023 7/30/2024 AGGREGATE _ S 5,000,000 DED I X I RETENTIONS 10,000 $ C WORKERS COMPENSATION AND EMPLOYERS'LIABILITY Y/N X STATUTEI �ERA ANY PROPRIETOR/PARTNER/EXECUTIVE UB4S881501 7130/2023 7/30/2024 1,000,000 OFFICER/MEMBER EXCLUDED^ I N/A E.L.EACH ACCIDENT S Mandeto 1,000,000 ( ry in NH) II yes,describe vr/eer E.L.DISEASE-EA EMPLOYEES _ DESCRIPTION OF OPERATIONS below 1,000,000 EL.DISEASE-POLICY LIMIT S D Equipment Floater IM00P7D22 10/29/2022 10/29/2023 Leased/Rented 100,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) Certificate holder is included as additional insured for General Liability 8,Auto Liability when required by written contract. General Liability and Auto Liability are primary and non-contributory for the certificate holder when required by written contract. Waiver or subrogation applies to General Liability,Auto Liability and Employers Liability when required by written contract. Umbrella covers over General Liability and Workers Compensations policies. Cancellation 30-days'notice of cancellation applies except 10-days for non-payment of premium per policy terms and conditions. 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 ACCORDANCE WITH THE POLICY PROVISIONS. 55 SE Third Avenue Okeechobee,FL 34974 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD