CERTIFICATE OF LIABILITY INSURANCE
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- Brian Reynolds
- 7 years ago
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1 CTIFICTE OF LIBILITY INSURNCE Table of Contents 1310 Congress Partners 7-11.G. Holley Hospital bacoa Property Owners ssembly bacoa Town Center Master PO berdeen Golf & Country Club bocoa Condominium ssoc. cademy of Health Science and Pre-Medicine dvent Lutheran Church/School llen & rts merican cademy of Dermatology merican Heritage Delray Beach rbern Investors IV tlantic Community High School vis Budget Group, Inc. Belle Glade Board of County Commissioners Benoist Farms Elementary School Best Buy Bethel ssembly of God Big Brothers Big Sisters of PBC Big Lots Board of County Commissioners Head Start of PB Boca Ballet Theater Boca Lago Country Club Boca Mission, LP Boca Museum of Mizner Boca Raton Board of City Council Boca Raton Resort & Club Boca Raton Wine & Food Festival Boca Woods Country Club ssociation, Inc. Boynton Beach BOCC Boynton Beach Mall Boys & Girls Club of PBC Brevard Community College Broadmoor partments ssociates Broward County Parks and Rec Broward County Public Schools Broward Paper & Packaging CB Richard Ellis Investment Property Group Center for Spiritual Living Cheney Brothers, Inc. Children s Services Council of Palm Beach Cty. City of Boca Raton City of Boynton Beach Recreation Department City of Delray Beach City of Lake Worth
2 City of Lake Worth Lake Worth Comm High City of Palm beach Gardens Risk Mgmt City of Riviera Beach Parks and Recreation City of Riviera Beach City of West Palm Beach and Board of Supervisors of West Palm Beach Golf Club City of West Palm Beach Community Events City of West Palm Beach CityPlace Community Development Clarke Holdings Corporation Colonial High School Cross Match Technologies, Inc. Custom World, Inc. CVS Pharmacy Dayton Ballet ssociation Delray Beach BOCC Denny s Restaurant Department of rmy, JROTC Program Department of Juvenile Justice, Project MIND Department of Juvenile Justice, Delinquency Prevention Program Department of Juvenile Justice, School ccountability Boards Department of the rmy, c/o Forest Hill High School JROTC Department of Transport Devos Blurn Family YMC of Boynton Beach Diocese of Palm Beach District Office of Vocational Rehabilitation Dolly Hand Cultural rts Center Early Learning Coalition of Palm Beach County, Inc. Eastern Florida State College Everglades Youth Camp Family Central Inc. Famoso, Inc. DB: Manpower FU FDOT Firehouse Subs First Baptist Church of Boca Raton First Baptist Church of Orlando First Methodist Church of Oviendo First United Methodist Church of Jupiter Flagler Museum Florida tlantic Board of Trustees Florida Children s Forum Florida Citrus Sports Florida Coca-Cola Bottling Company Florida Community College Florida Department of griculture and Consumer Services Florida Department of Education Florida Department of Health Florida Department of Transportation Florida Department of Transport Florida High School thletic ssociation Florida Institute of Technology Florida Power & Light Co. Florida Southern Follett Bookstore Fullerton Civic Light Opera Co., Inc. Gateway Preforming rts Gedi Farms George Snow Scholarship Fund Inc.
3 George Snow Scholarship Fund Inc Georgia State University Gibbs High School Girls Scouts of Southeast Florida, Inc. Global Rental Company, Inc. Gold Coast Christian Camp Good Shepherd United Methodist Church Grace Covenant Presbyterian Church Grandview Preparatory School Greater Boca Raton Beach & Park District Greater Boca Raton Beach & Park District James. Rutherford Comm Ctr Greater Boca Youth Soccer ssoc Greenacres Bowl Greenacres Learning Center Grosh Scenic Rentals, Inc. Gulfstream Council Gulfstream Race Track Gwinnett County Board of Commissioners Harid Conservatory Harriett Himmel Theater Haverhill Town Council Health Care District of Palm Beach County Hillsborough County BOCC Hillsborough County School Board Hilton Garden Inn Times Square Home Depot Hyatt Place Hypoluxo Town Council Indian River County School District Indian Trail Improvement District IPC Operations, LLC JC Penney s JCB Enterprises, Ltd. Johnathan s Landing Golf Club Johnathan Dickinson State Park Juno Beach Town Council Jupiter Christian School Jupiter Community Center Jupiter High School Government ssociation Jupiter Inlet Colony Town Council Jupiter Lanes Bowling lley Jupiter Medical Center, Inc. and Pavilion Jupiter Town Council Kelly Tractor Keystone Florida Property Holding Corp. K-Mart Kravis Center Lake Clarke Shores Town Council Lake County School Board Lake Park Town Commission Lake Worth BOCC Lantana Town Council LBS South, LLC/Jacksonville Facility Lion Country Safari Luthern Services Florida, Inc. Lynn University Macy s Department Store #757-town Ctr. Mall Main State Musical Theatre Costume Rental Maltz Jupiter Theatre Mangonia Park Town Council Mar-a-Lago Club
4 Mariela Castillo Marjon Specialty Foods, Inc. Master Certificate MBI Insurance Menin Development Companies Miller Legg Mission Bay Shopping Center Mobile Gas Mobile Mini, Inc. Fort Pierce, FL Mobile Mini, Inc. Tempe, Z Modular Space Corporation Montana State University Neff Rental North Broward Preparatory School Northwest College Nova Southeastern University Fort Lauderdale Nova Southeastern University Palm Beach Gardens O.B. Festival Events, LLC Ocean Ridge Town Commission Office of Family & Community Outreach Old Navy Olympic Heights High School Orange County Public Schools Pahokee City Commission Palladium Management Company Palm Beach tlantic College Palm Beach tlantic University Palm Beach County Board of County Com. Summer Camp Palm Beach County Board of County Com. - Head Start Palm Beach County Board of County Com. Prop & Real Estate Mgmt Div Palm Beach County BOCC, Film Commission Palm Beach county BOCC, Risk Management Dept Palm Beach County Convention Center Palm Beach County Health Dept, Environmental Health & Engineer Palm Beach County Health Dept, Lairsey/Childcare Licensing Palm Beach County Health Dept, Child Care Facility Board Palm Beach County Health Dept, Div of Finance and ccounting Palm Beach County Parks & Recreation Palm Beach County Palm Beach County Southwinds Golf Course Palm Beach County Parks and Recreation BB Swan Palm Beach County Convention Center Palm Beach County BOCC, Div of Human Services Palm Beach Gardens quatic Complex Palm Beach Gardens City Council Palm Beach Institute for Contemporary rt Palm Beach Mall Holdings, LLC Palm Beach Mall Holdings, LLC; PBM Developer, LLC Palm Beach Maritime Museum Palm Beach Outlets & UG2 Palm Beach Shores Town Commission Palm Beach State College Palm Springs Village Council Park venue BBQ and Grille Park Vista High School Penske Truck Leasing Co., L.P. Riviera Beach, FL Penske Truck Leasing Co., L.P. Reading, P Penske Truck Rental
5 PG National Resort & Spa Pinellas County School Board Pleasant City Multicultural Center Port of Palm Beach District Promenade Mobil Village Commons Publix Super Market Quantum Foundation Ramco Gershenson Corp Ramco-Gershenson, Inc., ttn: Isabel E. Feldman Refugee Programs dministration Riviera Beach BOCC Rosen Shingle Creek Royal Inn Royal Palm Beach Hess Royal Palm Beach Village Council Royal Palm Beach Chick-fil-a Royal Palm Exxon Ryder Truck Rental, Inc. San Diego County Office of Education Saxon rchives Palm Beach, Inc. School Board of DeSoto County School District of Manatee County School District of Philadelphia Self Storage Seminole County Schools Shadowwood Square, Ltd. & Terranova Corp Shape Students Changing the World Single School Culture Initiatives Sloan's Solid Waste uthority Soroptimist International of Stuart Sound dvise mphitheater South Bay City Commission South Florida Fair and Palm Beach Cty. Expositions, Inc. South Florida Water Management District South Palm Beach Town Commission Spring Lake Partners St. Baldrick s Foundation St. ndrews School St. Leo University St. Luke s UMC St. Vincents Ferrer Catholic Church Stanbery Development State of Florida Division of Drivers Licenses Statewide Mutual id Program SunFest of Palm Beach County, Inc. Sunshine Golf Car Sysco Southeast Florida, LLC T.J. Maxx Tampa rmature Works TD Equipment Finance, Inc. Temple Beth El Tennis Club of the Palm Beaches Tequesta Village Council The lliance for Community Enrichment at The Borland Center The Bank of New York Trust Company The Benjamin School The Boca Raton Bridge The Breakers Hotels The City of Boca Raton
6 The City of Boca Raton, The Greater Boca Raton Beach & Park Dist The First cademy, ttn: Ginger Millsaps The First cademy, FHS Board of Directors The Flagler Museum The Florida Department of Children and Families Refugee Service Program The Harriet Hummal Gilman Theater The Home Depot The Kings cademy The Mall at Wellington Green and The Taubman Company Limited Partnership Village of Wellington Pierson Rd Village of Wellington 1279 W. Forest Hills Blvd Village of Wellington, mce Improvement Dist Wellington Regional Medical Center West Orange High School West Palm Beach BOCC Whole Food Market ustin, T Whole Food Market Wellington, FL Wireless Systems Group, Inc. Workforce lliance Contracts Unit The Resort at Singer Island The School District of Pinellas County The Scripps Research Institute The Society of The Four rts The Town Center at Boca Raton Trust Thomas Jefferson High School Tiburon Corp. TJ Maxx; The TJ Companies Inc. TJ Companies, Inc. Town Center Mall at Boca Raton Town of Jupiter Town of Lake Park Town of Lantana 500 Greynolds Cir Town of Lantana 510 West Pine United Way of Palm Beach County Conference Unity School University of Central Florida US rmory Versa Property Management, LLC Village of Royal Palm Beach
7 GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/ /01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/ /01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / VEHICLES (ttach CORD 101, dditional Remarks Schedule, if more space is required) This certificate supercedes and voids all previous certificates. The is CTIFICTE HOLD (954) ostrowskim@nbps.org North Broward Preparatory School Mike Ostrowski 7600 Lyons Road Coconut Creek, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
8 GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/ /01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/ /01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / VEHICLES (ttach CORD 101, dditional Remarks Schedule, if more space is required) This certificate supercedes and voids all previous certificates. The is CTIFICTE HOLD (561) Congress Patners, LOC ttn: Shelly 5201 Village Blvd. West Palm Beach, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
9 GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/ /01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/ /01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / VEHICLES (ttach CORD 101, dditional Remarks Schedule, if more space is required) This certificate supercedes and voids all previous certificates. The is CTIFICTE HOLD Lawrence Road Boynton Beach, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
10 GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/ /01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/ /01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / VEHICLES (ttach CORD 101, dditional Remarks Schedule, if more space is required) This certificate supercedes and voids all previous certificates. The is CTIFICTE HOLD (561) G. Holley Hospital 1199 W. Lantana Road Lantana, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
11 GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/ /01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/ /01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / VEHICLES (ttach CORD 101, dditional Remarks Schedule, if more space is required) This certificate supercedes and voids all previous certificates. The is CTIFICTE HOLD bacoa Property Owners' ssembly, Inc University Blvd. Suite 102 Jupiter, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
12 GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/ /01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/ /01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / VEHICLES (ttach CORD 101, dditional Remarks Schedule, if more space is required) This certificate supercedes and voids all previous certificates. The is CTIFICTE HOLD bacoa Town Center Master Property Owners ssociation, Inc/ c/o Versa Property Management 661 University Blvd. Suite 200 Jupiter, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
13 GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/ /01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/ /01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / VEHICLES (ttach CORD 101, dditional Remarks Schedule, if more space is required) This certificate supercedes and voids all previous certificates. The is CTIFICTE HOLD (561) berdeen Golf & Country Club ttn: Sean Lutwin 8251 berdeen Drive Boynton Beach, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
14 GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/ /01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/ /01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / VEHICLES (ttach CORD 101, dditional Remarks Schedule, if more space is required) This certificate supercedes and voids all previous certificates. The is CTIFICTE HOLD bocoa Condominium ssoc. ttn: Terri 4798 Central Blvd. Jupiter, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
15 GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/ /01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/ /01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / VEHICLES (ttach CORD 101, dditional Remarks Schedule, if more space is required) This certificate supercedes and voids all previous certificates. The is CTIFICTE HOLD cademy of Health Science & Pre-Medicine Jensen Beach High School 2875 NW Goldenrod Road Jensen Beach, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
16 GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/ /01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/ /01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / VEHICLES (ttach CORD 101, dditional Remarks Schedule, if more space is required) This certificate supercedes and voids all previous certificates. The is CTIFICTE HOLD dvent Lutheran Church/School ttn: Kevin Wrenne 5001 NE 4th venue Boca Raton, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
17 GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/ /01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/ /01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / VEHICLES (ttach CORD 101, dditional Remarks Schedule, if more space is required) This certificate supercedes and voids all previous certificates. The is CTIFICTE HOLD (163) llen & rts ttn: Paul llen 215 South County Road Bellport, NY THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
18 GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/ /01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/ /01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / VEHICLES (ttach CORD 101, dditional Remarks Schedule, if more space is required) This certificate supercedes and voids all previous certificates. The is CTIFICTE HOLD (561) merican cademy of Dermatology 930 E. Woodfiled Road Schaumburg, IL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
19 GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/ /01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/ /01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / VEHICLES (ttach CORD 101, dditional Remarks Schedule, if more space is required) This certificate supercedes and voids all previous certificates. The is CTIFICTE HOLD merican Heritage - Dleray Beach 6200 Linton Blvd. Delray Beach, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
20 GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/ /01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/ /01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / VEHICLES (ttach CORD 101, dditional Remarks Schedule, if more space is required) This certificate supercedes and voids all previous certificates. The is CTIFICTE HOLD rbern Investors IV, LP & Stoltz Management of FL Inc 301 Yamato Road,Suite 3101 Boca Raton, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
21 GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/ /01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/ /01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / VEHICLES (ttach CORD 101, dditional Remarks Schedule, if more space is required) This certificate supercedes and voids all previous certificates. The is CTIFICTE HOLD tlantic Community High School ttn: JROTC (LTL Rodriguez) 2445 West tlantic venue Delray Beach, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
22 GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/ /01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/ /01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / VEHICLES (ttach CORD 101, dditional Remarks Schedule, if more space is required) This certificate supercedes and voids all previous certificates. The is CTIFICTE HOLD vis Budget Group, Inc. and it's Subsidia 4500 S 129 E venue, Suite 100 P.O.Box Tulsa, OK THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
23 GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/ /01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/ /01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / VEHICLES (ttach CORD 101, dditional Remarks Schedule, if more space is required) This certificate supercedes and voids all previous certificates. The is CTIFICTE HOLD Belle Glade Board of County Commissioners 110 SW venue E Belle Glade, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
24 GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/ /01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/ /01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / VEHICLES (ttach CORD 101, dditional Remarks Schedule, if more space is required) This certificate supercedes and voids all previous certificates. The is CTIFICTE HOLD (561) Benoist Farms Elementary School Lisa Martin Confidential Secretary to the Principal 1765 Benoist Farms Road West Palm Beach, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
25 GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/ /01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/ /01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / VEHICLES (ttach CORD 101, dditional Remarks Schedule, if more space is required) This certificate supercedes and voids all previous certificates. The is CTIFICTE HOLD Best Buy Jennifer Laiahsang State Road 7 Boca Raton, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
26 GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/ /01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/ /01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / VEHICLES (ttach CORD 101, dditional Remarks Schedule, if more space is required) This certificate supercedes and voids all previous certificates. The is CTIFICTE HOLD Bethel ssembly of God 4320 South Congress venue Lake WORTH, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
27 GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/ /01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/ /01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / VEHICLES (ttach CORD 101, dditional Remarks Schedule, if more space is required) This certificate supercedes and voids all previous certificates. The is CTIFICTE HOLD Big Brothers Big Sisters of Palm Beach Co 1707 Kirk Road THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
28 GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/ /01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/ /01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / VEHICLES (ttach CORD 101, dditional Remarks Schedule, if more space is required) This certificate supercedes and voids all previous certificates. The is CTIFICTE HOLD Big Lots Ricardo McDonald, Manager 1930 N. Military Trail West Palm Beach, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
29 GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/ /01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/ /01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / VEHICLES (ttach CORD 101, dditional Remarks Schedule, if more space is required) This certificate supercedes and voids all previous certificates. The is CTIFICTE HOLD (561) Board of County Commissioners Head Start of Palm Beach Dr. Carmen. Nicholas 3323 Belvedere Road Bldg. 501B MIL RETURNED!!!! THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
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