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General Liability/Umbrella Liability 1/28/2024-1/28/2024
DATE(MM/DD/YYYY) ACORLI CERTIFICATE OF LIABILITY INSURANCE 01/24/2024 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 Diane Cunningham NAME: RSC Insurance Brokerage,Inc. PHONE (954)883-2900 FAX (954)517-7400 (A/C,No,Ext): (A/C,No): 2900 SW 149 Street E-MAIL dcunningham@risk-strategies.com ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC H Miramar FL 33027 INSURER A: Evanston Insurance Company 35378 INSURED INSURER B: American Design Engineering Construction,Inc. INSURER C: 2200 N.Commerce Parkway,#200 INSURER D: INSURER E: Weston FL 33326 INSURER F: COVERAGES CERTIFICATE NUMBER: 24-25 MASTER 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 VNTH 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 SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MMIDD/YYYY) (MMIDD/YYYY) LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR DAMAGE TO RENTED 100,000 PREMISES(Ea occurrence) $ MED EXP(Any one person) $ 5,000 A Y Y 3AA746112 01/28/2024 01/28/2025 PERSONAL BADVINJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE $ 2,000,000 POLICY PRO 2000,000 JECT LOC PRODUCTS-COMP/OPAGG $ , OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ _ AUTOS ONLY _ AUTOS ONLY (Per accident) UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 3,000,000 {/ A X EXCESS LIAB CLAIMS-MADE EZXS3143926 01/28/2024 01/28/2025 AGGREGATE $ 3000,000 DED RETENTION $ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE N/A E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Waiver of Subrogation applies. CERTIFICATE HOLDER CANCELLATION C ity of Okeechobee SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN 55 SE 3rd Avenue, ACCORDANCE WITH THE POLICY PROVISIONS. Okeechobee, Fl 34974 AUTHORIZED REPRESENTATIVE FL 33458 f� �_ 1 1 -,. ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD J_I k S WI } -, R • • `� r q ..`t,l :�..P. } 4..as' 4 •'•n!"f .. ;'kra. * `f. ifs !:1 �I 1 '1 �+J',�fj1 r,10 Ir•n _•�,r `j11'"• ft - ^iQ4a „4... .s• �q ' An. •' •n .4'�.r n_Y ? YYYRRR ' r l y , f 7,. u ie. .s ,a i flt: ;: •+: • :• 7 n . u •1.wa .4l•,ri i 74 1lre t{ a,•ti, —55,. A r �, �., ,r 7. „6 t•r ';ibif? �r rl 1 "�Ilr a cYjY.'''' ,, L NLy, r �,3. 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