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Blk 61/CITY OF OKEE/United Feed/AlleyOctober 8, 1992 LETTER OF AGREEMENT The City of Okeechobee hereby grants UNITED FEED CO -OP, Inc. , owner of lots 1, 2, 11 & 12, Block 61, City of Okeechobee, (P.O. Box 485) permission to use the entire alley adjacent to the above four (4) lots, (The rest of the alley will remain open at this time) for swell /drainage of any other purposes. This agreement constitutes a mere license from the City for the wanted use, and is revocable by the City at any time without incurring any liability to the city upon demand. Owner shall not place, construct or erect any additional structure(s) on or over the street or alleyway without first obtaining the express written consent of the City Council. United Feed Co -op, Inc. (owner) agrees if at any time the City requires access or use of said street right of way for any purposes not limited to: drainage, utilities, etc., that the owner shall cause to be removed any improvements and /or cease this use temporarily or permanently, as directed by the City, at his own expense, within thirty (30) days after such written notice. If in fact the City requires earlier removal of said item(s) then the City employees or agents may at the City's expense remove said item(s) and will try to preserve the item(s) to the best of their ability; and if replacement of the item(s) is allowed, it will remain the owner's full responsibility. The owner agrees that this license shall not be transferrable or assignable by owner without the express written consent of the City of Okeechobee, and may be recorded by the City in the Public Records as an agreement affecting the use of owners properties. The owner shall hold the City of Okeechobee, its agents or employees harmless, and indemnify, including attorneys fees and costs, against any claim, loss, injury, accident, suit or demand of any nature that may be asserted against the City arising out of Owners use of this right of way or alley way, or any use made by owners agents, employees, guests or invitees; further, this hold harmless and indemnification shall include loss or damage from any environmental damage or injury to the street or alleyway, or adjoining City property adjacent to owner's properties, caused by owner, and by and from any enforcement action, fine, assessment or penalty imposed upon the City by any governmental regulatory agency. Furthermore, it shall be a requirement of this agreement that the granted right -of -way be properly maintained at all times with no expenses to be incurred by the City. Clfarles Elders Director of Public Works Ben Lofton Director of Public Utilities United Feed Co -op, Inc. - Owner Bonnie S. T omas City Clerk ACORLJ CERTIFICATE OF LIABILITY INSURANCE kar..■-. DATE(MM /DD /YYYY) 7/15/2014 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 85U 894 -3641 FAX: ( ) (866)296 -3641 FIC -LRA Insurance PO Box 948173 Maitland FL 32794 -8173 CONTACT NAME: Pamela Lumbra A!c °;No,Ext }: (407)838 -3445 (AA/C,No):(407)838 -3460 E -MAIL am @FICLRA. com ADDRESS: P INSURER(S) AFFORDING COVERAGE NAIC # INSURERA:Westfield Insurance Company 24112 INSURED United Feed Coop., Inc. P.O. Box 485 Okeechobee FL 34973 -0485 INSURERB:Bridgefield Employers Ins Co 10701 INSURERC: 9/1/2015 INSURERO: $ 1,000,000 INSURER E : $ 500 , 000 INSURERF: COVERAGES CERTIFICATE NUMBER:14 /15 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 INSR Swop POLICY NUMBER POLICY EFF (MMlODIYYYY! POLICY EXP (MMlDDlYYYY} LIMITS A GENERAL X LIABILITY COMMERCIAL GENERAL LIABILITY CAG5853642 9/1/2019 9/1/2015 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES (Ea occurrence) $ 500 , 000 CLAIMS -MADE X OCCUR MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER ° I POLICY I 0 n LOC PRODUCTS - COMP /OP AGG $ 2,000,000 $ A AUTOMOBILE X LIABILITY ANY AUTO ALL OVVNED AUTOS HIRED AUTOS _ _ SCHEDULED AUTOS NON- OVUVED AUTOS CAG5853642 4/1/2014 4/1/2015 COMBINED SINGLE LIMIT (Ea accident) i 500 , 000 $ BODILY INJURY (Per person) BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ Physcial Damage Perils $ A X UMBRELLA LIAB EXCESS LIAB X � — OCCUR CLAIMS -MADE CAG5853642 9/1/2019 9/1/2015 EACH OCCURRENCE $ 3,000,000 AGGREGATE $ 3,000,000 DED I RETENTION$ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR /PARTNER /EXECUTIVE OFFICER /MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below Y / N N/A 0830 -47026 4/1/2014 4/1/2015 X I TOAC RY STLIMITATU- S ER IOTH- E.L. EACH ACCIDENT $ 1,000,000 Et. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 A Leased /Rented Equip CAG5853642 4/1/2014 4/1/2015 Limit $125,000 Deductible $1,000 DESCRIPTION OF OPERATIONS I LOCATIONS! VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Feed, Grain or Hay Dealers. CERTIFICATE HOLDER CANCELLATION City of Okeechobee 55 S. 3rd Avenue Okeechobee, FL 34 974 I 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 T (Tommy) Folsom, III 'r -gercL- Z ACORD 25 (2010/05) INS025 (201005) 01 © 1988 -2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD SCar\ 4- F4: U SQ o ('0.11 -e3 - -Feed- t iL-K 1 +1,L(acicttc- LL+ ACORD" CERTIFICATE OF LIABILITY INSURANCE �..�' DATE(MMIDDIYYYY) 1/15/2014 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 850 894 -3641 FAX: ( ) (866)296 -3641 FIC-LRA Insurance PO Box 948173 Maitland FL 32794 -8173 CONTACT NAME: Pamela K. Lumbra ACNNo, Exq: (407) 838 -3445 IAIC, No): (907) 838 -3960 E -MAIL ADDRESS: corn am @FICLRA. co INSURER(S) AFFORDING COVERAGE NAIC # INSURER A :Westfield Insurance Company 24112 INSURED United Feed Coop., Inc. P.O. Box 485 Okeechobee FL 34973 -0485 INSURER B :Bridgefield Employers Ins Co 10701 INSURERC: 4/1/2013 INSURER D : EACH OCCURRENCE INSURER E : X INSURERF: $ 50,000 COVERAGES CERTIFICATE NUMBER:13 /14 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 ADDL INSR SUBR WVD POLICY NUMBER POLICY EFF (MMIDDIYYYY) POLICY EXP (MMIDDIYYYY) LIMITS A GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CAG5853642 4/1/2013 4/1/2014 EACH OCCURRENCE $ 500,000 X DAMAGE TO RENTED PREMISES (Ea occurrence) $ 50,000 CLAIMS -MADE X OCCUR MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 500,000 GENERAL AGGREGATE $ 1,000,000 GENII AGGREGATE LIMIT APPLIES PER n LOC PRODUCTS - COMP /OP AGG $ 1,000,000 I POLICY n ,ECT $ A AUTOMOBILE X - _ LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS _ SCHEDULED AUTOS NON- 01hNED AUTOS CAG5853642 9/1/2013 9/1/2019 COMBINED SINGLE LIMIT (Ea accident) $ 500 , 000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ Physcial Damage Perils $ A X UMBRELLA LIAB EXCESS LIAB X OCCUR CAG5853642 9/1/2013 9/1/2019 EACH OCCURRENCE $ 3,000,000 CLAIMS -MADE AGGREGATE $ 3,000,000 DED IRETENTION$ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR /PARTNER OFFICER /MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS Y / N NIA 0830 -47026 9/1/2013 4/1/2014 X TORY AT U- IO R E.L. EACH ACCIDENT $ 1,000,000 /EXECUTIVE I E . DISEASE - EA EMPLOYEE $ 1,000,000 below E.L. DISEASE - POLICY LIMIT $ 1,000,000 A Leased /Rented Equip CAG5853642 4/1/2013 4/1/2014 Limit $125,000 Deductible $1,000 DESCRIPTION OF OPERATIONS! LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Feed, Grain or Hay Dealers. CERTIFICATE HOLDER CANCELLATION City of Okeechobee 55 S. 3rd Avenue Okeechobee, FL 34974 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 T (Tommy) Folsom, III aI. Y ACORD 25 (2010/05) INS025 (201005).01 © 1988 -2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD UNITE -1 OP ID: MB ACO CERTIFICATE OF LIABILITY INSURANCE � ' R IJ DATE (MM /DD /YYYY) 07/26/12 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 863 - 467 -0600 ISU Lawrence Insurance Agency PO Box 549 863- 467 -5142 Okeechobee, FL 34973 Ronnie Lawrence CONTACT PHONE FAX (A /C, No. Exti: (A /C, No): E -MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A : Penn Millers Mutual Ins LIABILITY COMMERCIAL GENERAL LIABILITY INSURED United Feed Cooperative, Inc Po Box 485 Okeechobee, FL 34973 -0485 INSURER B PAC2603698 INSURER C : 04/01/13 INSURER D : $ 500,000 INSURER E : $ 50 000 INSURER F : COVERAGES CERTIFICATE NUMBER: REVISI 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 ADDL JNSR SUER WVD POLICY NUMBER POLICY EFF (MM /DD /YYYY) POLICY EXP (MM /DD /YYYY) LIMITS A GENERAL X LIABILITY COMMERCIAL GENERAL LIABILITY PAC2603698 04/01/12 04/01/13 EACH OCCURRENCE $ 500,000 DAMAGE TO-RENTED PREMISES (Ea occurrence) $ 50 000 CLAIMS -MADE X OCCUR MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 500,000 GENERAL AGGREGATE $ 1,000,000 GEN'L AGGREGATE )—CI POLICY LIMIT APPLIES PRO- PER: LOC PRODUCTS - COMP /OP AGG $ 500,000 $ A AUTOMOBILE X LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS SCHEDULED AUTOS NON -OWNED AUTOS PAC2603698 04/01/12 04/01/13 COMBINED SINGLE LIMIT (Ea accident) $ 500,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) ( ) $ PROPERTY DAMAGE (Per accident) $ $ A X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE PAC2603698 04/01/12 04/01/13 EACH OCCURRENCE $ 3,000,000 AGGREGATE $ 3,000,000 DED X RETENTION $ 10000 $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR /PARTNER /EXECUTIVE OFFICER /MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below Y / N 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, if more space is required) Feed, Grain or Hay Dealers ERTIFICATE HOLDER CANCELLATION CTYOKEE City of Okeechobee 55 S.E. 3rd Avenue Okeechobee, FL 34974 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 AC_'OR» e CERTIFICATE OF LIABILITY INSURANCE DATE (MM /DD/YYYY) 04/14/11 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 Lawrence Insurance Agency, Inc. PO Box 549 Okeechobee, FL 34973 Phone (883) 467-0600 INSURED United Feed Cooperative, Inc Po Box 485 Fax (863467 -5142 Okeechobee, FL 34973 CONTACT NAME: PHONE I FAX (A/C. No. EM): , (A/C, No): E-MAIL ADDRESS' INSURER(S) AFFORDING COVERAGE NAIC # INSURER A : INSURER B: Penn Millers Mutual Ins INSURER C : INSURER D : 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. IINSRI ',ADDLSUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSR wvo POLICY NUMBER R (MM /DDIYYYYI LMNJIDD /YYYY) LIMITS GENERAL LIABILITY l I EACH OCCURRENCE $ 500,000.00 [-- DAMAGE TO RENTED , N/' COMMERCIAL GENERAL LIABn_l FY PREMISES (Ea occurrence) 1 5+7 + °00'00 A H CLAIMS -MADE VI OCCUR MED EXP (Anyone person) $ 10,000.00 - _ 04/01 /2011 04101 /2012 PERSONAL & ADV INJURY t $ 500,000.00 GENERAL AGGREGATE �� $ 1 .000,000.00 -1 PRODUCTS - COMP /OP AGG I $ 500,000.00 L GEN'L AGGREGATE LIMIT APPLIES PER POLICY �, FRO- - j LOC Jm�T.- - -- AUTOMOBILE LIABILITY L' ANY AUTO ALL OWNED A , AUTOS ','tee HIRED AUTOS SCHEDULED AUTOS NON -OWNED AUTOS r UMBRELLA LIAB I� V OCCUR A EXCESS LIAB CLAIMS -MADE DED R::TENTICN $ 10,000.001 ‘YORKERS COf•PENSATION n„ , _cr_,Pt OYEPS' LIaB'L ITY ANY PROPRIETOR /PARTNER /EXECUTIVE OFFICER /MEMBER EXC- =D? -- - N / A (Mandatory In NH) If yes describe under - uESCRtPTION OF OPERATICNSS bzbs. PAC2603698 $ PAC2603698 PAC2603698 04/01/2011 COMBINED SINGLE LIMIT 500,000.00 (Ea accident) $ BODILY INJURY (Per person) $ 04/01/2012 BODILY INJURY (Per accident), $ 04/01/2011 PROPERTY DAMAGE (Per accident) $ t EACH OCCURRENCE T $ 3,000,000.00 04/01/2012 AGGREGATE $ 3,000,000.00 r—; WC STATU- OTH- LJ TORY LIMITS '__J ER 1 EL EACH ACCIDENT $ E L. DISEASE - EA EMPLOYE! $ E L DISEASE - POLICY LIMI I $ L CESCRIPTION OF OPERATIONS / LOCATIONS r VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) CERTIFICATE HOLDER City of Okeechobee 55 SE 3rd Ave Okeechobee, FL 34974 CANCELLATION 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) QF The ACORD name and !ogo are registered marks of ACORD 04/22/2010 THU 11:26 FAX 18634675142 Lawerence Ins Agency EI 001 /001 DECO CERTIFICATE OF LIABILITY INSURANCE DATE (MMMDDIYYYY) 4/22/2010 PRODUCER (863)467- 0.600. FAX: (863)467 -5142 Lawrence Insurance 2020 S Parrott. Ave PO Box 549 Okeechobee FL 34974 THIS CERTIFICATE IS ISSUED AS A MATTER OF NFORMATION 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 NAIL # INSURED United Feed Cooperative, Inc Po Box 485 OI eechokiee FL 34973 -0485 INSURER A.. Penn Millers Mutual Ins INSURER B; INSURER C. INSURER D. INSURER E: THE POLICIES OP 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- .0THER DOCUMENT WITH RESPECT TO WHICH: THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED' HEREIN ISSUBJECT TO ALL THE TERMS, EXCLUSIONS.AND CONthT1S OF SUCH POLICIES. AGGREGATE, LIMITS -SHOWN MAY HAVE BEEN REDUCED.BYPAID CLAIMS. INR LTR L NERD TYPE OF INSURANCE POLICY NJMBER (IDIVYYMI) • DA E AAMDY) DAT E IMIODVYVY LIMITS A GENERAL X LIABILITY CUMMFRCIAI: GFNFRAI I IARII ITT 4/1/2010- 4/1 /2011 tA(_H'DCCLlkkE1,C $ 500,000 DAMAGE-TO REN .ED PREMISES Ea oce,rrence) $ 50, DOD CLAMS MADE- XI.00CURPAC2603698. MEDE;<F (Any cnepaison) $ 10,.000 PERSONAL & ADV INJURY $ 500,000 'GENERAL :AGGREGATE $ 1,000,000 GENT AGGREA:T= LIMIT APPLES PER -. 1 PCLICY ;ECT LOC PRODUCTS - COMP /OP AGGG $ .5:00,-000 A AUTOMOBILE X LIABIUTY ANY AUTO 4_OVAEDAUTOS SCHEDULED AUTOS HIRED AUTOS- NUN -ONMED AUTOS FAC2603690 4/1/2010 4/1/2011 COMBINED SINGLE_ _IMF 1E0 ccadent) $ 500; 000 HLJUL$IN.UI;Y Per peson; $ BODLY INJURY (Per aaticert) PROPERTY DAMAGE (Pnrallalert) GARAGE ` LIABILITY ANY AUTO • ALTO ONLY EA ACCIDENT $ OTHER THAN EA:ACC $ ALTO ONLY. AGO $ A EXCESS! X _ X. UMBRELLA LIABILITY I OCCUR I J CLAIMS MADE DEDUCTIBLE RETENTION $ - ,10,.000 PAC2603698 4/1/2010 4/1/2011 EACH OCCURRENCE $ 3,000,000 AGGREGATE $ 3,000;000 $ As $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y N ANY PRO'RIETORIPART^1ERtE)€CUTIVE ❑ OF- ICERVEMEER EKCLUDED7 (Mandatory in NH) If y..:, dc7;cibound5r SPECIAL. 'P.OVISIONS.below I V'1CS -ATU- I 0TH - I TORY LIMITS l ER E: L. EACH ACCIDENT $ Ei. DISEASE - EAEMPLO',EE $ E . DISEASE - POLICY LIMIT _ $ OTHER DESCRIPTION OF OPERATIONS! LOCATIONS! VEHICLES (EXCLUSIONS ADDED BY ENDORSEMENT! SPECIAL PROVISIONS Alley Agreement, Block 61 - Okeechobee, FL CERTIFICATE HOLDER CANCELLATION (863)763 -1686 City of Okeechobee 55 SE 3rd Ave Okeechobee, FL 34974 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE. ISSUING INSURER WILL ENDEAVOR TO NAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NC OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS CR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE RonCie Lawrence /M"1B% ACORD 25 12009/01) )NS025 (2oase i ip 1988 - 2009 ACORD CORPORATION. All rights reserved. The ACORD name and Togo are registered marks of ACORD PRODUCER JOHN R. SMITH INSURANCE AGENCY PO BOX 1305 401 NW 6TH ST OKEECHOBEE FL 34973 INSURED T CE DATE (MM /DD/YY) 12/02/96 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. COMPANIES AFFORDING COVERAGE COMPANY A Pennsylvania Millers Mutu COVERAGES United Feed Cooperative, Inc P.O. Box 485 Okeechobee FL 34973 COMPANY B COMPANY C COMPANY D 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. CO LTR A A A TYPE OF INSURANCE GENERAL LIABILITY COMPREHENSIVE FORM PREMISES /OPERATIONS X UNDERGROUND COLLAPSE HAZARD PRODUCTS /COMPLETED OPER CONTRACTUAL POLICY NUMBER POLICY EFFECTIVE DATE (MM /DD/YY) POLICY EXPIRATION DATE -(MM /D,p00Q LIMITS INDEPENDENT CONTRACTORS BROAD FORM PROPERTY DAMAGE PERSONAL INJURY 5601976 12/01/96 AUTOMOBILE LIABILITY X ANY AUTO ALL OWNED AUTOS (Private Pass) ALL OWNED AUTOS (Other than Private Passenger) HIRED AUTOS NON -OWNED AUTOS GARAGE LIABILITY EXCESS LIABILITY UMBRELLA FORM OTHER THAN UMBRELLA FORM 5601976 U0612736 12/01/96 BODILY INJURY OCC $ 1,000,000 BODILY INJURY AGG PROPERTY DAMAGE OCC PROPERTY DAMAGE AGG $ 500,000 500,00C- 500,000-- BI & PD COMBINED OCC 50,000 BI & PD COMBINED AGG 5,000 PERSONAL INJURY AGG 12/01/97 BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE BODILY INJURY & PROPERTY DAMAGE COMBINED 500,000 12/01/96 A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY THE PROPRIETOR/ PARTNERS /EXECUTIVE OFFICERS ARE: OTHER Property INCL EXCL 12/01/97 EACH OCCURRENCE $ 3,000,000 AGGREGATE $ 6,000,000 5601976 DESCRIPTION OF OPERATIONS /LOCATIONSNEHICLES /SPECIAL ITEMS Feed CO -OP CERTIFICATE HOLDER STATUTORY LIMITS EACH ACCIDENT DISEASE - POLICY LIMIT DISEASE - EACH EMPLOYEE 12/01/96 12/01/97 Schedules Provided CITY OF OKEECHOBEE 55 S.E. THIRD AVENUE OKEECHOBEE ACORD 25-N43103) FL 34974 CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESTUL, l John R. Smith CORDyCORPOR171ON1993 AC:O•I.I)® CERTIFICATE OF-:-INSURANCE 11/08/95 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. John R. Smith Insurance Agency P. O. Box 1305 Okeechobee FL 34973 -1305 INSURED United Feed Cooperative, Inc P.O. Box 485 Okeechobee FL 34973 COVERAGES THIS IS TL 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. CO LTR A COMPANY A LETTER COMPANY B LETTER COMPANY G. LETTER COMPANY LETTER COMPANY LETTER D E COMPANIES AFFORDING COVERAGE Pennsylvania Millers Mutu TYPE OF INSURANCE GENERAL LABILITY X COMMERCIAL GENERAL UABIUTY .1`•� _._ CLAIMS MADE X OCCUR. OWNER'S & CONTRACTOR'S PROT. X ANY Auro ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS GARAGE UABIUTY A ExCES,S UABLJTY UMBRELLA FORM OTHER THAN UMBRELLA FORM WORKERS COMPENSATION AND EMPLOYERS' LJABILrrY OTHER A properly POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION DATE (MMIDD/YY) DATE (MMDD/YY) LIMITS 5601978 12/01/95 12/01/98 GENERAL AGGREGATE $ 1000000 PRODUCTS-COMP/OP AGG. S 500000 PERSONAL & ADV. INJURY $ 500000 EACH OCCURRENCE $ 500000 FIRE DAMAGE (Any one fire) S 50000 MED. EXPENSE (My one person) S 5000 5801978 12/01/95 12/01/98 COMBINED SINGLE UMIT S 500000 BODILY INJURY (Per person) BODILY INJURY (Per accident) S S PROPERTY DAMAGE $ U0612410 12/01/95 12/01/96 EACH OCCURRENCE AGGREGATE 3000000 STATUTORY LIMITS EACH ACCIDENT '- - - - -- DISEASE - POUCY UMIT DISEASE - EACH EMPLOYEE 5601976 12/01/95 12/01/96 Schedules Provided gSeCg178ticl OPERAT ONSII.00ATIONSNEHICLESISPECIAL ITEMS CERTIFICATEAHOLD :'1 CITY OF OKEECHOBEE 55 S.E THIRD AVENUE OKEECHOBEE S FL CANCELLATIOtd r ,� r :�;s � �; � ma`s.. SHOULD ANY OF THE ABOVE �DESCRIBED POLICIES�BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBUGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. 34974 ,AUTHOR® REPRESENTATIVE f% 7. 3 . John R Smith Mg41 CERTIFICATE' PRODUCER John R. Smith Insurance Agency John R. Smith 401 N.W. 6th Street Okeechobee FL 34973 -1305 John R. Smith 813 - 763 -1400 INSURED United Feed Cooperative,Inc. P. 0. Box 485 Okeechobee FL 34973 INSURANCE CS 1t BJ UNITE -1` ISSUE DATE (MM /DD/YY) 01/09/95 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. COMPANIES AFFORDING COVERAGE COMPANY LETTER A Pennsylvania Lumbermens Mutu COMPANY B LETTER COMPANY C LETTER COMPANY LETTER COMPANY E LETTER COVERAGES 71-115 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. CO LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE(MM/DD /YY) POLICY EXPIRATION DATE (MM /DD /YY) LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE X OCCUR. OWNER'S & CONTRACTOR'S PROT. Applied For 12/01/94 12/01/95 GENERAL AGGREGATE PRODUCTS- COMP /OP AGG. PERSONAL & ADV. INJURY EACH OCCURRENCE FIRE DAMAGE (Any one fire) MED. EXPENSE (Any one person) $ 1,000,000 $ 1,000,000 $ 1,000,000 $ 1,000,000 $ 50,000 $ 5,000 AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS GARAGE LIABILITY COMBINED SINGLE LIMIT S BODILY INJURY (Per person) BODILY INJURY (Per accident) $ S PROPERTY DAMAGE $ A EXCESS LIABILITY X UMBRELLA FORM OTHER THAN UMBRELLA FORM Applied For 12/01/94 12/01/95 EACH OCCURRENCE AGGREGATE $ 3,000,000 $ 3,000,000 WORKER'S COMPENSATION AND EMPLOYERS' LIABILITY STATUTORY LIMITS EACH ACCIDENT DISEASE — POLICY LIMIT $ DISEASE —EACH EMPLOYEE $ OTHER DESCRIPTION OF OPERATIONS /LOCATIONS/VEHICLES /SPECIAL ITEMS Alleyway Adjacent to Lots 1,2,11 & 12 Of Block 61, City Of Okeechobee CERTIFICATE HOLDER City Of Okeechobee Bonnie S. Thomas CMC 55 S.E. Third Avenue Okeechobee FL 34974 ACORD '25 -S (7/90) `! CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILLENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO TI IL' LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE John R. Smith ' ACORD CORPORATION 1990 CERTIFICATE OF INSURANCE= UNITE -1 1 PRODUCER IJohn R. Smith Insurance Agency John R. Smith 1401 N_W. 6th Street Okeechobee FL 34973 -1305 ?HONE 813 - 763 -1400 INSURED United Feed Cooperative, Inc. P 0. Box 485 �Okeechobee FL 34973 CU'VtRAGE0 IS TO CERTIFY THAT 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 ER OTHER DOCUMENT WITH RESPECT WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL TERMS, EXCLUSIONS, AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY 'PAID CLAIMS. CSR BJ 05/02/94 THIS CERTTFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CAPERS NO PIGHTE UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE COMPANY LETTER A Continental Insurance Company COMPANY LETTER B COMPANY LETTER. C COMPANY LETTER D .-_ �COMPANY LL�TLn E C04 TYPE OF LIRA INSURANCE POLICY NUMBER GENERAL LIABILITY Ai [Xj COMMERCIAL GEN LIABILITY RFD9547068 [ J CLiIPiS MADE X i1 VIV j A CTOR .- , I ii �.' n AUTOMOBILE LIAB �r} ] ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS { HIRED AUTOS NON -OWNED AUTOS q GARAGE LIABIL.IT`i EXCESS LIABILITY F 1 UMBE.LLL FORM . I OTHER THAN UMBRELLA FORM WORKERS' COMP ND EMPLOYERS' LIAB OTHER POLICY EFF DATE 12/01/93 POLICY EXP LIMITS DATE i � GENERAL AGGREGATE 11 ,000 ,000 12 /01 /94PROD- COMP/CP AGO. & ADV. INJURY EACH OCCURRENCE 500 , 000 FIRE DAMAGE ,(ANY ONE FIRE) ,MLO. EXPEN;_ ( ANY ONE F'ERRSuN ) 5,000 CAMP. SINGLE LIMIT BODILY INJURY (TER PE�PSON, IEGD1L INJURY (PER ACCIDENT) ,PROPERTY DAMAGE �000H OCCURRENCE AGOREGATE I 'STATUTORY LIMITS Fr C. ';'; IDEN T DISEASE-POL. LIMIT IDISEAsE—t ki EMP. 0E`00R IPTION OF ,OPERATIONS /LOCA110NLiVEHICLES /SPECIAL ITEMS Alleyway Adjacent to Lots 1,2,11 & 12 Of Block 61, City Of Okeechobee CERTIFICATE HOLUUL. 11City Of Okeechobee Bonnie S. Thomas CMC X55 S.E. Third Avenue Okeechobee FL 34974 ACEPD =I,- (7/90) CANCELLATION • SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BLFOI,C THE = EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL • 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMMMOE NO OBLIGATION OP LIABILITY OF ANY KIND UPON THE EOMPHNY,ITS AGENTS CR REPRESENTATIVES. • AUTHORIZED REPRESENTATIVE John R. Smith C w R. 06/29/2009 MON 10:50 FAX 18634675142 Lawerence Ins Agency CERTIFICATE O F LIABILITY INSURANCE PRODUCER (863)467 -0600 FAX: (863)467 -5142 Lawrence Insurance 2020 s Parrott Ave PO Box 549 Okeechobee FL 34974 /1.0 Ij001 /001 DATE (MMIDOI(YYY). 6129/2009 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 U INURED United Feed Cooperative, Inc Po Box 495 Okeechobee FL 34973 -0485 IHSUHER A Pean Millers Mutual Ins' INSUROR B INSURER C, INSURER C. :INSURER-.E. W V f. THE ANY MAY.PERTAIN. POLICIES. INSR •LTR 4nI..V LY POLiCIES REQUIREMENT, AGGREGATE>LIMITS APpl.. NSRO OF INSURANCE LISTED BELOW TERM OR. CONDITION THE INSURANCE AFFORDED SHOWN MAY HAVE BEEN ISSUED TO THE INSURED OF ANY C (TRACT OR OTHER :BY THE POLICIES DESCRIBED THEREIN HAVE BEEN REDUCED BY PAID — — ----- --- POLICY NJMEER NAMED ABOVE DOCUMENT WITH I5 SUBJECT CLAIMS. PO_ICYEFFECTIVE- • DATE (MMIDDIYYYV) FOR THEPOLICYPERIOD RESPECT TO WHICH TO ALL THE TERMS, POLICY EXPIRATIOWE DATE (MMIDDIYYVY) INDICATED. NOTWITHSTANDING THIS CERTIFICATE MAY BE ISSUED OR EXCLUSIONS AND CONDITIONS OF SUCH -- - -- -� TYPEOF INSURANCE LIMITS A GENERAI.'LABRITYY E1erMR: OFNEP.X I NUii( IT PAC26036913 4/1/2009 4/1/2010 EA H rWJN:N ?' U $ 500,060 DAMAGE t 0 REN ED PREMISES 'Ea oczuirencej 50, 000 — CL A.MS1in4r>i' 1 X l'OCCLER MEDEXF Orly CNe air:arti $ 10,000 - ____1 TEN. X PERSONAL &ADV IN.IJRY $ 500i000 GENERP1A6GREGATE $ 1,000,000 PO€ EGAT -E LIMITAPPL.ESPE2, PCLICV I I T j� LOO. PRODUCES-- 'OKR✓DP 100. 5 500,000 . AUTOMOBILE —, LIABILITY ANY AUTO AL_. OWNED AUTOS SCHEDULEDr'UTOS HIRED AUTOS: NON- CbENED AUTOS .,.. .... .. COMBINED :Ni LE _WI (En. Ecc dertA) BUD LY INJ_iR.Y IF'er: Pe-30n: $ BOO LYINJJRY it er r cciiert) RPOPERTY DAMAGE (Per: acacert). $ GARAGE LIABILITY ANY AUTO ALTO ONLY- EA ACCIDENT $ ACC N $ .ALTO Of. LY): ,,,-. $ EXCESS I UMBRELLA :LIABILITY I OCCUR { 1 CLAIMS MADC DED'icrIBLE RETENTION :5 EACH OCCURRENCE $ AGGREGATE $ R.... WORKERS_ COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY. PPO- 'RIETOR/PARt JERIE)ECUTIVF -ri OFTICERNENDER. EXCLUDED? (Mandatory In NH) If c dc7Nnbc and =r P_C IALPROVISIONS- I. \AC S Al U- 0TH IT ORYLIMITI3 E L. EACH 'ACCIDENT $ EL, DISEASE EA. EMPLO'i EEL E DISEASE PO K LIMIT $ .beic� OTHER DESCIPTI ON OF OPERATIONS :I LOCATIONS:{ VEHICLE'S 1 EXCLUSIONS ADDED. BY- ENDORSEMENT -/ SPECIAL PROVISIONS Alley Agreement, Block 61 Okeechobee, FL CERTIFICATE HOLDER CANCELLATION. {863) 763 -1686 City of Okeechobee 55 SE 3rd. Ave Okeechobee, FL 34974 SHD LLD ANY OF THE ABOVE. DESCRIBED:POUCIES RE CANCELLED BEFORE THE EXPIRATION. DATE THEREOF, THE ISM. / NG INSURER 'MLL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NC OBLIGATION OR LIABILITY OF ANY KIND UPON! THE INSURER. ITS AGENTS CR REPRESENTATIVES:. AUTHORIZED REPRESENTATIVE Ron/7 e LawrenceIMME ACORD 25 (200910.1) 1NS025.(TOINOI ©1988-2009 ACORD CORPORATION. All rights reserved.. The ACORD name and logo are registered marks of ACORD