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Blk 139 Okee_FUMC_Alley_Insurance Certificates/� -�...JIQd® CERTIFICATE OF LIABILITY INSURANCE DATE(MM /DD/YYYY) 12192014 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 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 Aon Risk Services, Inc of Florida 7650 Courtney Campbell Causeway Suite 1000 Tampa FL 33607 USA CONTACT NAME: PHONE (866) 283 -7122 I FAX 800- 363 -0105 (ac. No. E :t): (A/C. No.): E -MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURED 360187 First UMC- Okeechobee 200 Nw 2nd St Okeechobee FL 34972 USA INSURERA: The Princeton Excess & Surp Lines Ins Co 10786 INSURER B: N2- A3 -RL- 0000017 -05 Excess GL SIR applies per policy terms INSURER C: 12/31/2017 INSURER D: $1,000,000 INSURER E: INSURER F: DAMAGE TO RENTED PREMISES (Ea occurrence) CERTIFICATE NUMBER: 570056220527 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. Limits shown are as requested INSR LTR TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF (MMIDD/YYYY) POLICY EXP MMIDD/YYYY) LIMITS A X COMMERCIAL. GENERAL LIABILITY N2- A3 -RL- 0000017 -05 Excess GL SIR applies per policy terms 12/31/2014 & conditions 12/31/2017 EACH OCCURRENCE $1,000,000 CLAIMS -MADE X OCCUR DAMAGE TO RENTED PREMISES (Ea occurrence) X SIR $1,000,000 MED EXP (Any one person) PERSONAL & ADV INJURY GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $1,000,000 X POLICY I PRO - JECT LOC I LOC PRODUCTS - COMP/OP AGG OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) ANY AUTO BODILY INJURY ( Per person) ALL OWNED '. AUTOS HIRED AUTOS', — _AUTOS SCHEDULED AUTOS NON -OWNED BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident) UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE AGGREGATE DED 'RETENTION WORKERS COMPEjNSAT EMPLOYERS' LIAB ANY PROPRIETOR / /M OFFICER/MEMBER EXCLUDED? ON AND LITY Y / N N I STATUTE I IFRH PARTNER / EXECUTIVE E. L. EACH ACCIDENT (Mandatory in NH) If describe under E.L. DISEASE -FA EMPLOYEE yes, DESCRIPTION OF QPERATIONS 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) RE: Use of Alley Agreement for Block 139. CERTIFICATE HOLDER CANCELLATION ACORD 25 (2014/01) 01988 -2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Holder Identifier : 360187 Certificate No : 570056220527 SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE City of Okeechobee Attn: Marty Thomas 55 SE 3rd Avenue Okeechobee FL 34974 USA EXPIRATION DATE THEREOF, NOTICE WILL BE DEUVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE S `J�� 7,0 c�4'Nalsa �uDLfclf ACORD 25 (2014/01) 01988 -2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Holder Identifier : 360187 Certificate No : 570056220527 —� ® A■COIRL-2,® CERTIFICATE OF LIABILITY INSURANCE DATE(MM /DD/YYYY) 12/20/2013 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 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 Aon Risk Services, Inc of Florida 7650 Courtney Campbell Causeway Suite 1000 Tampa FL 33607 USA CONTACT NAME: PHONE (A /C. No. Ext): (866) 283 -7122 I FAX No.): 800- 363 -0105 E -MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURED 360187 First uMC- Okeechobee 200 Nw 2nd St Okeechobee FL 34972 USA INSURER A: Princeton Excess & Surplus Lines Ins Co. 10786 INSURER B: 12/31/2013 & condi INSURER C: EACH OCCURRENCE INSURER D: — X X INSURER E: DAMAGE TO RENTED PREMISES (Ea occurrence) INSURER F: MED EXP (Any one person) COVERAGES CERTIFICATE NUMBER: 570052321787 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. Limits shown are as requested INSR LTR TYPE OF INSURANCE ADDL INSR SUBR WVD POLICY NUMBER POLICY EFF (MM/DD!YYYY) POLICY EXP (MM/DD/YYYY( LIMITS A GENERAL LIABILITY N2- A3 -RL- 0000017 -04 Excess GL SIR applies per policy terms 12/31/2013 & condi 12/31/2014 Lions EACH OCCURRENCE $1,000,000 — X X COMMERCIAL GENERAL LIABILITY I—1 CLAIMS -MADE I I OCCUR SIR $1,000,000 DAMAGE TO RENTED PREMISES (Ea occurrence) MED EXP (Any one person) PERSONAL & ADV INJURY GENERAL AGGREGATE $1,000,000 GEN'L AGGREGATE LIMIT APPLIES -xi POLICY I-1 PRO- 1 JECT I PER: I LOC PRODUCTS - COMP /OP AGG AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) ANY AUTO BODILY INJURY ( Per person) ALL OWNED AUTOS HIRED AUTOS — _ — SCHEDULED AUTOS NON -OWNED AUTOS BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident) UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE AGGREGATE DED I 'RETENTION WORKERS COMPENSATION AND EMPLOYERS' LIABILITY y / N ANY PROPRIETOR / PARTNER / EXECUTIVE I OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A TORY LIMITS I I OTH- ER E.L. EACH ACCIDENT E.L. DISEASE -EA EMPLOYEE E.L. DISEASE- POLICY LIMIT DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) RE: use of Alley Agreement for Block 139. CERTIFICATE HOLDER CANCELLATION city of okeechobee Attn: Lane Gamiotea 55 SE 3rd Avenue Okeechobee FL 34974 USA 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 c_ia i�� `alt a Jst frau(d ✓net 9/Y4444 Holder Identifier : Certificate No : 570052321787 ACORD 25 (2010/05) ©1988 -2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ALCO RD CERTIFICATE OF LIABILITY INSURANCE DATE12MM0 /DUD 3YYY) 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 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 ADD Risk Services, Inc of Florida 7650 Courtney Campbell Causeway Suite 1000 Tampa FL 33607 USA CONTACT NAME: PHONE .Ext): (866) 283 -7122 FAX 800 - 363 -0105 (ac. NO.): E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURED 360187 First UMC- Okeechobee 200 Nw 2nd St Okeechobee FL 34972 USA rnvcnAr -rc INSURER A: Princeton Excess & Surplus Lines Ins Co. 10786 INSURERS: INSURER C: INSURER D: INSURER E: INSURER F: CERTIFICATE NUMBER: DfUU51s11787 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INgJRANCE 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. Limits shown are as requested INSH LTR A TYPE OF INSURANCE AWL INSR SUER WVD POLICY NUMBER GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE I X 1 OCCUR X SIR $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: — —X7 POLICY PST LOC AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS N2- A3 -RL- 0000017 -04 Excess GL SIR applies per policy ter POLICY LI-I- (MM /DD/YYYY 12/31/2013 ns & condi POLICY EXP MM /DDIYYYY) 12/31/2014 :ions EACH OCCURRENCE LIMITS $1,000,000 DAMAGE TO RENTED PREMISES (Ea occurrence) MED EXP (Any one person) PERSONAL & ADV INJURY GENERAL AGGREGATE $1,000,000 PRODUCTS - COMP /OP AGG SCHEDULED AUTOS NON -OWNED AUTOS COMBINED SINGLE LIMIT (Ea accident) BODILY INJURY ( Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident) UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE DED RETENTION WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR / PARTNER / EXECUTIVE OFFICER /MEMBER EXCLUDED? (Mandatory in NH) If yes. describe under DESCRIPTION OF OPERATIONS below EACH OCCURRENCE AGGREGATE YIN N/A WC STATU- TORY LIMITS OTH- ER E.L. EACH ACCIDENT E.L. DISEASE -EA EMPLOYEE E L DISEASE - POLICY LIMIT DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, i more space is required) RE: use of Alley Agreement for Block 139. CERTIFICATE HOLDER CANCELLATION City of Okeechobee Attn: Lane Gamiotea 55 SE 3rd Avenue Okeechobee FL 34974 USA 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 c xXO�2 M41,49 ,456‘. �asz ACORD 25 (2010/05) ©1988 -2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Holder Identifier : Certificate No : 570052321787 ITN �-- A` °R° CERTIFICATE OF LIABILITY INSURANCE DATE(MWDD/YYYY) 12/20/2013 ADDL INSR 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 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 Aon Risk Services, Inc of Florida 7650 Courtney Campbell Causeway Suite 1000 Tampa FL 33607 USA CONTACT NAME: (NC. No. EXt): (866) 283 -7122 INC. No.): 800 -363 -0105 E -MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURED 360187 First uMC- Okeechobee 200 Nw 2nd St Okeechobee FL 34972 USA INSURER A: Princeton Excess & Surplus Lines Ins Co. 10786 INSURER B: EACH OCCURRENCE INSURER C: X X INSURER D: DAMAGE TO RENTED PREMISES (Ea occurrence) INSURER E: MED EXP (Any one person) INSURER F: PERSONAL & ADV INJURY COVERAGES CERTIFICATE NUMBER: 570052321787 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. Limits shown are as requested INSR LTR TYPE OF INSURANCE ADDL INSR SUER WVD POLICY NUMBER POLICY EFF (MMIDDFYYYY ) POLICY EXP (MMIDDIYYYY) LIMITS A GENERAL LIABILITY N2- A3 -RL- 0000017 -04 Excess GL SIR applies per policy terns 12/31/2013 & conditions 12/31/2014 EACH OCCURRENCE $1,000,000 X X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE I X 1 OCCUR SIR $1,000,000 DAMAGE TO RENTED PREMISES (Ea occurrence) MED EXP (Any one person) PERSONAL & ADV INJURY GENERAL AGGREGATE $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER POLICY I FCT LOC PRODUCTS - COMP /OP AGG AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) — ANY AUTO BODILY INJURY ( Per person) ALL OWNED AUTOS HIRED AUTOS — _ SCHEDULED AUTOS NON -OWNED AUTOS BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident) UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE AGGREGATE DED I (RETENTION WORKERS COMPENSAT ON AND EMPLOYERS' LIABILITY �, I N ANY PROPRIETOR / PARTNER / EXECUTIVE OFFICER/MEMBER EXCLUDED? I ( (Mandatory in NH) If yes. describe under DESCRIPTION OF OPERATIONS below N I A WC STATU- TORY LIMITS OTH- ER E L EACH ACCIDENT E L DISEASE -EA EMPLOYEE E L DISEASE - POLICY LIMIT DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, i more space is required) RE: Use of Alley Agreement for Block 139. CERTIFICATE HOLDER CANCELLATION city of Okeechobee Attn: Lane GamiOtea 55 SE 3rd Avenue Okeechobee FL 34974 USA 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 (2010/05) ©1988 -2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Holder Identifier : Certificate No : 5700523217 11/14/2013 10:34:16 AM Faxserver 847 - 953 -5390 Page 3 A CERTIFICATE OF LIABILITY INSURANCE DATE 1MM/Do/YWY) 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 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 Aon Risk Services, Inc of Florida 7650 Courtney Campbell causeway Suite 1000 Tampa FL 33607 USA CONTACT NAME: PHONE (866 ) 283 -7122 FAX 800- 363 -0105 (NC. No. Est): (A/C. No.): E-MAIL ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC # INSURED 360187 First UMC- Okeechobee 200 MN 2nd St Okeechobee FL 34972 USA INSURER A: Princeton Excess & Surplus Lines Ins Co. 10786 INSURER B: 12/31/2012 & condi.i INSURER C: EACH OCCURRENCE INSURER 0: X X INSURER E: DAMAGE IORENIEL) PREMISES (Ea occurrence) INSURER F: MED EXP (Any one person) OVERAGES CERTIFICATE NUMBER: 570051993435 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. Limits shown are as requested INSR LTR TYPE OF INSURANCE ADDL INSR SUBR WVO POLICY NUMBER POLICY EFF (MMIDDIVYYv1 POLICY EXP 1(MMIDDIVYYV) LIMITS A GENERAL LIABWTY N2- A3 -RL- 0000017 -03 Excess GL SIR applies per policy terms 12/31/2012 & condi.i 12/31/2013 ons EACH OCCURRENCE $1,000,000 X X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE I X I OCCUR 11 SIR $1,000,000 DAMAGE IORENIEL) PREMISES (Ea occurrence) MED EXP (Any one person) PERSONAL & ADV INJURY GENERAL AGGREGATE $1,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG POLICY n JF T n LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) — ANY AUTO BODILY INJURY ( Per person) ALL OWNED AUTOS HIRED AUTOS — — _, SCHEDULED AUTOS NON -OWNED AUTOS BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident) UMBRELLA LIAB EXCESS LIAB DED' 'RETENTION OCCUR CLAIMS -MADE EACH OCCURRENCE AGGREGATE WORKERS COMPENSATION AND EMPLOVERS' LIABILITY VIN ANY PROPRIETOR / PARTNER / EXECUTIVE I OFFICER/MEMBER EXCLUDED, (Mandatory in NH) IT yes, describe under DESCRIPTION OF OPERATIONS below N / A' I WC STATU- TORY LIMITS OTH- ER E.L. EACH ACCIDENT E.L. DISEASE -EA EMPLOYEE E.L. DISEASE- POLICY LIMIT DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) RE: Use of Alley Agreement for Block 139. CERTIFICATE HOLDER CANCELLATION Holder Identifier : Certificate No : 570051993435 City of Okeechobee Attn: Lane Gamiotea 55 SE 3rd Avenue Okeechobee FL 34974 USA 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 ©1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD AC- �® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 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 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 Aon Risk Services, Inc of Florida 7650 Courtney Campbell Causeway Suite 1000 Tampa FL 33607 USA CONTACT NAME: (AICNNo.Ext): ($66) 283 -7122 I FAX (847) (847) 953 -5390 E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC 8 INSURED 360187 First UMC- Okeechobee 200 Nw 2nd St Okeechobee FL 34972 USA INSURER A: Princeton Excess & Surplus Lines Ins. 10786 INSURER B: 12/31/2011 & conditions INSURER C: EACH OCCURRENCE INSURER D: X X INSURER E: DAMAGE TO RENTED PREMISES (Ea occurrence) INSURER F: CLAIMS -MADE COVERAGES CERTIFICATE NUMBER: 570044769840 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. Limits shown are as requested INSR LTR TYPE OF INSURANCE ADDL INSR SUBR WVD POLICY NUMBER POLICY EFF (MMIDD POLICY EXP MM/DD/YYYY) LIMITS '4 GENERAL LIABILITY N2-A3-RL- 0000017 -02 Excess GL SIR applies per policy terms 12/31/2011 & conditions 2/31/2012 EACH OCCURRENCE $1,000,000 X X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES (Ea occurrence) CLAIMS -MADE X OCCUR MED EXP (Any one person) SIR $1,000,000 PERSONAL & ADV INJURY GENERAL AGGREGATE $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY II PRO- n LOC JECT I 1 PRODUCTS - COMP /OP AGG AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) ANY AUTO BODILY INJURY ( Per person) ALL OWNED AUTOS HIRED AUTOS - _ _ SCHEDULED AUTOS NON -OWNED AUTOS BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident) UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE AGGREGATE DEDI (RETENTION WORKERS COMPENSATION AND EMPLOYERS' LIABILITY N / A I WORY STAT I IOTH- ER ANY PROPRIETOR / PARTNER / EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If describe y / N E.L. EACH ACCIDENT E.L. DISEASE -EA EMPLOYEE yes, under DESCRIPTION OF OPERATIONS below E.L. DISEASE- POLICY LIMIT DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) RE: use of Alley Agreement for Block 139. CERTIFICATE HOLDER CANCELLATION city of Okeechobee Attn: Lane Gamiotea 55 SE 3rd Avenue Okeechobee FL 34974 USA 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 eXXo�z c ��JsNxc�H Jssa. �JC�t.ra'� ©1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD Holder Identifier : Certificate No : 570044769840 Feb 08 11 09:53a AC RG? 0 First United Methodist Ch 8637632481 CERTIFICA OF LIABILITY INSURANCE p.2 IOATE(MM/DOM'YY) 02/042011 THIS CERTIFICATE IS ISSUED AS A MATTER OF I1FORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NESATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOE; NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER. AND THE CERT1SICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONML INSURED, the policy(Ies) must be endorsed. If SUBROGATION IS WANED, subject to the terms and conditions of the llc po y, 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 Aon Risk services, Inc of Florida 7650 courtney Campbell causeway Suite 1000 Tampa FL 33607 USA CONTACT NAME: PHONE (866) 283 -7122 (A/C. No. Ea): FAX (847) 953 -5390 (AIC. No.). E -MAIL ADDRESS: C MERIos: 570000042141 INSURER'S) AFFORDING COVERAGE NAIC * INSURED 360187 First UMC- Okeechobee 200 Nw 2nd St Okeechobee FL 34972 USA INSURER A: Princeton Excess & Surplus Lines Ins. 10786 INSURERS: INSURER C: INSURER 0: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 570041548431 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANC I LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TErr''R''M OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE 14SURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIM'jfS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Limits shown are as requested MISR LTR TYPE OF INSURANCE ADO- INSR SUER" WVD POLICY NUMBER POLICY EFF (MM/D�YYyY! POLICVEXP �lM�DgJYY�Y1 LIMITS A GENERAL(JABIUTY X X COMMERCIAL GENERAL CLAIMS -MADE X SIR 51,000,000 UABIUTY OCCUR N2- )3 -RL- 0000017 -01 SS GL SIRRappl i es per policy terns I 12/31JLOIOY.2/31/2011 & condi -ions EACH OCCURRENCE $1,000,000 OAMAGETORENTED PREMISES (Ea occurrence) MED EXP (Any one person) PERSONAL 8 AOV INJURY GENERAL AGGREGATE 51,000,000 � GEN'L AGGREGATE LIMIT APPLIES PER: ^ 1 POLICY n PRO- 1 LOC PRODUCTS - COMP/OP AGG AUTOMOBILE ^ _r -- LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON OWNED AUTOS j i I j i COMBINED SINGLE OMIT (Ea accident) BODILY INJURY ( Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident) UMBRELLA UAB EXCESS LIAB OCCUR CLAIMS-MADE j ]1 f i - EACH OCCURRENCE AGGREGATE .r DEDUCTIBLE RETENTION WORKERS COMPENSATION AND EMPLOYERS' L)ABN.ITY Y / N i i lto j OT WC LIMITS I JS ANY PROPRIETOR / PARTNER/ EXECUTIVE E.L. EACH ACCIDENT OFFICERSMEMBER EXOUI0007 (Mandatory in NH3 E yes, describe under DESCRIPTION OF OPERATIONS I N I A 1 E.L DISEASE -EA EMPLOYEE below E.L DISEASE- POLICY LIMIT DESCRIPTION OF OPERATIONS !LOCATIONS /VEHICLES (Attach ACORdl0more 1, Additional Remarks Schedule, W more space is required) RE: Use of Alley Agreement for Block 139. CERTIFICATE HOLDER CANCELLATION city of okeechobee Attn: Lane Gamiotea 55 SE 3rd Avenue Okeechobee FL 34974 USA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE W1711 THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2009 /09) The AC Holder Identifier : Certificate No : 570041548431 ©198S -2009 ACORD CORPORATION. Ail rights reserved. 2D name and Togo are registered marks of ACORD 05/06/09 ConfirmNet -> 18637631686 Pg 2/3 ACORDT. CERTIFICATE OF LIABILITY INSURANCE OATE(MM1DONYYY) 05/06/09 PRODUCER 1 -561- 995 -6706 Arthur S. Gallagher Risk Management Services, Inc. 2255 Glades Road Suite 400E Boca Raton, FL 33431 Ana: 800- 282 -8011 ext 126 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC# INSURED ME- 360187 FIRST UMC, OKEECHOBEE 200 N.W. 2ND. ST OKEECHOBEE, FL 34972 INSURERA:Princeton Excess Surplus Lines Ins 10786 INSURER B: Lexington Ine Co 19437 INSURER C:LM INS CORP 33600 INSURER 0: 12/31/09 INSURER E: $1,000,000 COVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IN SR LTR ADO'L INSRD TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM/DD/YYI POLICY EXPIRATION DATE (MM/00/YYI LIMITS A GENERAL X LIABILITY COMMERCIAL GENERAL LIABILITY G2A3XL000000100 12/31/08 12/31/09 EACH OCCURRENCE $1,000,000 PR TO WEN IEU PREMISES (Ea occurence) $ CLAIMS MADE X OCCUR MEDEXP (Any one Parson) $ X X GEN'L Incl. $250,000 Self PERSONAL &ADVINJURY $ Insured Retention GENERAL AGGREGATE $ AGGREGATE LIMIT APPLIES PER: POLICY JEC - n LOC PROOUCTS - COMP/OP AGG $ A AUTOMOBILE X X X X X LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS Incl. $250,000 Self G2A3XL000000100 12/31/08 12/31/09 COMBINED SINGLE LIMIT (Ea acadent) $1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ (Per ac dent) DAMAGE $ Insured Retention GARAGE LIABILITY ANY AUTO AUTO ONLY -EA ACCIDENT $ OTHERTHAN EA ACC $ AUTO ONLY: AGG $ B EXCESS/UMBRELLALIABILITY X OCCUR CLAIMS MADE DEDUCTIBLE RETENTION $ 15460169 12/31/08 12/31/09 EACH OCCURRENCE $15,000,000 AGGREGATE $ 15,000,000 $ $ $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTN ER/EXECUTIVE OFFICER/MEMBER EXCLUDED? dyes, escribe under SPECIAL PROVISIONS below EW565N289249018 12/31/08 12/31/09 X WCSTMU- OTH- ER E L. EACH ACCIDENT $1,000,000 EL DISEASE EA EMPLOYEE $ E. L. DISEASE POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS / LOCATIONS 1 VEHICLES 1 EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Florida Annual Conference of the United Methodist Church is an authorized self insurer for; Auto Liability Certificate #3831; Workers Compensation # 999 -09749 $500,000 SIR. HOLDER non City of Okeechobee Attn: Lane Gamiotea 55 SE 3rd Ave. Okeechobee FL 34974 USA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30* DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KING UPON THE INSURER ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE iC I W Aneeboca 11837535 ©ACORDCORPORATION 1988 01/03/08 ConfirmNet -> 18637631686 Pg 2/3 ACORDTN CERTIFICATE OF LIABILITY INSURANCE DATE (MMlDOIYYYY) 01/03/08 PRODUCER 1 -561- 995 -6706 Arthur 3. Gallagher Risk Management Services, Inc. 2255 Glades Road Suite 400E Boca Raton, FL 33431 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURED ME- 360187 FIRST UMC, OKEECHOBEE 200 N.W. 2ND. ST OKEECHOBEE, FL 34972 INSURERA:Princeton Excess Surplus Lines Ins 10786 INSURERB:Lexington Ins Co 19437 INSURERC:Midwest Employers Cas Co 23612 INSURER D: 12/31/08 INSURER E. $1,000,000 THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTVVITHSTANDING 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR INSRD AMYL TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE(MMIDOIYYI POLICYEXPIRATION DATE(MMNOIYYI LIMITS A GENERAL X LIABILITY COMMERCIAL GENERAL LIAB ILITY G2A3EX0000023 -00 12/31/07 12/31/08 EACH OCCURRENCE $1,000,000 DAMAGE WREN I EU PREMISES (Ea occurence) $ CLAIMS MADE I X1 OCCUR MEDEXP(Any one person) $ X X _ GE Incl. $250,000 Self PERSONAL & ADV INJURY $ Insured Retention GENERAL AGGREGATE $ 'L AGGREGATE LIMIT APPLIES PER. POLICY . —, PER i LOC PRODUCTS - COMP /OP AGG $ A AUTOMOBILELIABILITY X X XJ X ,- -_, X ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS Incl. $250,000 Self G2A3EX0000023 -00 12/31/07 12/31/08 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 BODILY INJURY (Per person) BODILY INJURY (Per accident) L $ PROPERTY DAMAGE (Per accident) t_. Insured Retention GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ AUTO ONLY: AGG $ B EXCESSIUMBRELLALIABILITY X OCCUR [ CLAIMS MADE DEOUCTIBLE RETENTION $ 1033601 12/31/07 12/31/08 EACH OCCURRENCE $15,000,000 AGGREGATE $ 15,000,000 $ $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNEWEXECUTIVE OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below EWC007817 12/31/07 12/31/08 X TORYLIIMITS OTH EL EACH ACCIDENT $1,000,000 E. L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT 1 SPECIAL PROVISIONS Florida Annual Conference of the United Methodist Church is an authorized self insurer for; Auto Liability Certificate #3789; Workers Compensation # 999 -09749 $400,000 SIR. CITY OF OKEECHOBEE IS LISTED AS ADDITIONAL NAMED INSURED IN RESPECTS THE THE USE OF THE ALLEY BY FIRST UNITED METHODIST CHURCH OF OKEECHOBEE CERTIFICATE HOLDER CANCELLATION *10 day cancellation for premium non payment CITY OF OKEECHOBEE MRS. LANE GAMIOTEA 55 SE 3RD AVE OKEECHOBEE, FL 34974 USA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION GATE THEREOF, THE ISSUING INSURER WILL ENOEAVOR TO MAIL 30* DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE �/ / /,err... ACORD 25 (2001108) aimbel 7903184 ©ACORDCORPORATION 1988 12/27/06 ConfirmNet -> 18637631686 AR PRODUCER Dr. CERTIFICATE OF LIABILITY INSURANCE Arthur J. Gallagher Risk Management Services l 995 -6706 Arthur J. Gallagher & Co. (Florida) 2255 Glades Road Suite 400E Boca Raton, FL 33431 INSURED ME- 360187 FIRST UMC, OKEECHOBEE 200 N.W. 2ND. ST OKEECHOBEE, FL 34972 COVERAGES Pg 2/3 DATE (MM/DD /yyyy) 12/27/06 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE INSURER 0: NAIC # 19437 23612 10786 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 . AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. FL'ER7.` C C GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR $100,000 Self Insured Retention GEN'L AGGREGATE LIMIT APPLIES PER POLICY ■ PRO- CT III LOC • AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS X HIRED AUTOS X NON OWNED AUTOS FX $100,000 Self IX Insured Retention GARAGE LIABILITY ANY AUTO POLICY NUMBER G2A3EX0000022 -00 G2A3EX0000022 -00 EXCESS/UMBRELLA LIABILITY 5629784 X OCCUR _J CLAIMS MACE DEDUCTIBLE RETENTION $ C II' WORKERS COMPENSATION AND EMPLOYERS' LIABILITY I ANY PROPRIETOR/PARTNER/EXECUTIVE IN OFFICER/MEMBER EXCLUDED? If yes dese under IXCL alb SPECIAL PROVISIONS bebw OTHER EWC007817 G2A3EX0000022 -00 DESCRIPTION OF OPERATIONS /LOCATIONS / VEHICL LUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS FL Annual Conf of the United Methodist Church is an authorized self insurer for: Auto Workers Compensation # 999 - 09749- $400,000 SIR. *Employer Liability Limit: $1,000,000. CITY ES POLICY EFFECTIVE AT MM i/YY 12/31/06 12/31/06 POLICY EXPIRATION D T M ../yy 12/31/07 12/31/07 111111111 12/31/06 12/31/06 12/31/06 12/31/07 12/31/07 12/31/07 ��EACH OCCURRENCE MED EXP(Any one person) PERSONAL& ADV INJURY GENERAL AGGREGATE PRODUCTS - COMP/OPAGG COMBINED SINGLE LIMIT (Ea accident) BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPER Tv DAMAGE (Per accident) AUTO ONLY - EA ACCIDENT OTHER THAN AUTO ONLY EACH OCCURRENCE_ AGGREGATE EA ACC AGG $ 900,000 $900,000 $15,000,000 $15,000,000 MOM EIESEMNIMMINEMIIMII $SeeBelow* E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE mmiTh1111111= E.L. DISEASE - POLICY LIMIT Liability Cert #3742; OF OKEECHOBEE IS LISTED AS ADDITIONAL NAMED INSURED IN RESPECTS THE THE USE OF THE UNITED METHODIST CHURCH OF OKEECHOBEE CERTIFICATE HOLDER CITY OF OKEECHOBEE MRS. LANE GAMIOTEA 55 SE 3RD AVE OKEECHOBEE, FL 34974 USA ACORD 25 (2001/08) aimbel 5403675 ALLEY BY FIRST CANCELLATION *10 day cancellation for premium non- payment SHOULD ANY OF THE/WOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30* DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD CORPORATION 1988 027'09406 ConfirmNet -> 18637631686 Pg 2/3 ACORD . CERTIFICATE OF LIABILITY INSURANCE DATE(MMroOIYYYY) 02/09/06 PRODUCER 1 -561- 995 -6706 Arthur J. Gallagher Risk Management Services Arthur J. Gallagher & Co. (Florida) 2255 Glades Road Suite 400E Boca Raton, FL 33431 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURED ME- 360187 FIRST UMC, OKEECHOBEE 200 N.W. 2ND. ST OKEECHOBEE, FL 34972 INSURERA:Princeton Excess Surplus Lines Ins 10786 INSURERB Continental Casualty 15105 INSURER C: Clarendon Amer Ins Co 43095 INSURER D: 12/31/06 INSURER E : $900,000 V V W G n n.a G,J 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR ADD'L NSRD TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM/0D /Y Y1 POLICY EXPIRATION DATE (MM/OD /YYI LIMITS A X GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY G2A3EX0000012 -01 12/31/05 12/31/06 EACH OCCURRENCE $900,000 X DAMAGE I0 REN IE0 PREMISES (Ea occurence) $ CLAIMS MADE X OCCUR MED EXP (Any one person) $ X $100,000 Self PERSONAL &ADV INJURY $ X Insured Retention GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY T LOC PRODUCTS - COMP/OP AGG $ —1 A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS $100,000 Self G2A3EX0000012 -01 12/31/05 12/31/06 COMBINED SINGLE LIMIT (Ea accident) $900,000 BODILY INJURY (Per person) $ X X X X BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) X Insured Retention GARAGE LIABILITY ANY AUTO AUTO ONLY - EAACCIDENT $ OTHERTHAN EA ACC $ AUTO ONLY: AGG $ A EXCESS/UMBRELLALIABILITY OCCUR CLAIMS MADE DEDUCTIBLE RETENTION $ R2A3FF0000038 -01 12/31/05 12/31/06 EACH OCCURRENCE $ 10,000,000 X AGGREGATE $ 10,000,000 $ $ $ A B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER /EXECUTIVE INCL OFFICER/MEMBER EXCLUDED? EXCL If yes, describe under SPECIAL PROVISIONS below G2A3EX0000012 -01 WC128 589 055 -A 12/31/05 12/31/05 12/31/06 12/31/06 I X TORY LITU-1 ITR E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE- EA EMPLOYEE $1,000,000 E.L. DISEASE - POLICY LIMIT $1,000,000 C OTHER Excess Liability XLX00311362 12/31/05 12/31/06 Each Occ 5,000,000 Aggregate 5,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS !V EHICLES 1 EXCLUSIONS ADDED BY ENDORSEMENT 1 SPECIAL PROVISIONS F1 Annual Conf of the United Methodist Church is an authorized self insurer for Auto Liability Cert #3699; WC #999- 09749 - $400,000 SIR /Emp Liab is shown at aggregate limits. 10Day Notice of Canc for nonpay preen CITY OF OKEECHOBEE IS LISTED AS ADDITIONAL NAMED INSURED IN RESPECTS THE THE USE OF THE ALLEY BY FIRST UNITED METHODIST CHURCH OF OKEECHOBEE CERTIFICATE HOLDER CANCELLATION CITY OF OKEECHOBEE MRS. LANE GAMIOTEA 55 SE 3RD AVE OKEECHOBEE, FL 34974 USA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION GATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE i�jJ , ACORD 25 (2001108) ]amgree 3977096 Powered BYCertificatesNow'"' ACORD CORPORATION 1988 02709/06 ConfirmNet -> 18637631686 Pg 3/3 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). 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). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or after the coverage afforded by the policies listed thereon. ACORD 25 (2001108) 02709/06 ConfirmNet -> 18637631686 Pg 1/3 Fax CITY OF OKEECHOBEE Pam 1- 863 - 763 -1686 Attn: MRS. LANE GAMIOTEA FROM: Florida Annual Conference United Methodist Church Phone: Arthur J. Gallagher Risk Management Services Agency: Arthur J. Gallagher & Co. (Florida) Phone: 1 -561- 995 -6706 Subject: This document was brought to you by CertificatesNow and Arthur J. Gallagher & Co. (Florida) in Boca Raton, FL. If you have questions regarding the content of this document, please contact the Producer /Agent listed on the certificate of insurance. The data included in this notice and in the attached document is confidential to ConfirmNet and Arthur J. Gallagher & Co. (Florida). CC: The data included in this notice and in the attached document is confidential to ConfirmNet and the party responsible for bringing you this information. Powered BYCertificatesNow7s