Certificate of Insurances 7/1/2024-25 ACORE CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYY)
08;14/2024
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 Beth Shapiro
NAME:
JDA Insurance Group PHONE (561)296-0373 FAX (561)828-0997
(A/C.No.Ext): (A/C,No):
120 N.Federal Hwy.,#301 E-MAIL beth@thejdagroup.com
ADDRESS:
INSURER(S)AFFORDING COVERAGE NAIC or
Lake Worth FL 33460 INSURER A: Philadelphia Indemnity Insurance Company 18058
INSURED INSURER B: Insurance Co of the West 27847
Okeechobee Christian Academy.Inc. INSURER C
701 South Parrott Ave INSURER D
INSURER E
Okeechobee FL 34974 INSURER F:
COVERAGES CERTIFICATE NUMBER: CL2481405251 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 SUBR POLICY EFF POLICY EXP
LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DDIYYYY) (MM/DD/YYYY) LIMITS
X COMMERCIAL GENERAL LIABILITY 1,000,000
EACH OCCURRENCE S
CLAIMS-MADE X OCCUR DAMAGE TO RENTED 500.000
PREMISES(Ea occurrence) S
MED EXP(Any one person) S 15.000
A Y PHPK2572515-016 07/01/2024 07/01/2025 PERSONAL BADvwJURv S 1.000..000
GENII.AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE S 3.000.000
X POLICY PRO- 3,000.000
JECT LOC PRODUCTS-COMP/OPAGG $
OTHER
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S 1,000.000
(Ea accident)
ANY AUTO BODILY INJURY(Per person) S
A OWNED SCHEDULED PHPK2572515-016 07/01/2024 07/01/2025 BODILY INJURY(Per accident) S
AUTOS ONLY _ AUTOS
X HIRED )/ NON-OWNED PROPERTY DAMAGE
AUTOS ONLY /— AUTOS ONLY (Per accident
S
X UMBRELLA LIAB X OCCUR EACH OCCURRENCE S 1,000..000
A EXCESS LIAB CLAIMS-MADE PHUB870809-016 07/01/2024 07/01/2025 AGGREGATE S 1.000.000
•
DED RETENTION$ S
WORKERS COMPENSATION PER OTH-
AND EMPLOYERS'LIABILITY Y/N "I STATUTE ER
B ANY PROPRIETOR/PARTNER/EXECUTIVE NIA WFL 5042021 06 07/02/2024 07/02/2025 1.000.000
OFFICER/MEMBER EXCLUDED E.L.EACH ACCIDENT S
(Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1.000.000
It yes.describe under 1,000,000
DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $
Each Claim $1.000.000
Professional Liability
A PHPK2572517-007 07/01/2024 07/01/2025 Aggregate $1.000.000
Retention $10.000
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101.Additional Remarks Schedule,may be attached if more space is required)
Re:School Resource Officer
The City of Okeechobee is included as an Additional Insured under the General Liability policy as required by written contract/agreement,with respects to
the operations performed by the named insured,as their interests may appear.
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 34972
)
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