CERTIFICATE OF LIABILITY INSURANCE
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- Brian Reynolds
- 9 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) [email protected] 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
30 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 Boca Ballet Theater 7630 NW 6th venue Boca Raton, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
31 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 Boca Lago Country Club, Inc. ttn: Steve O'Neil 8665 Juego Way Boca Raton, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
32 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 Boca Mission, LP Northwestern Highway Suite 300 Farmington Hills, MI THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
33 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) Boca Museum of Misner Park 401 Plaza Real Boca Raton, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
34 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 Boca Raton Board of City Council 201 West Palmetto Park Road Boca Raton, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
35 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 Boca Raton Resort & Club 501 East Camino Real Boca Raton, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
36 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 Boca Raton Wine & Food Festival BocaRaton.com 40 SE 3th Street Boca Raton, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
37 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 Boca Woods Country Club ssociation, Inc. Boca Woods Property Owners ssociation, I Boca Woods Lane Boca Raton, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
38 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 Boynton Beach BOCC 100 E. Boynton Beach Blvd. Boynton Beach, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
39 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) Boynton Beach Mall THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN 801 N. Congress venue Suite 295 Boynton Beach, FL 33426
40 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) Boys & Girls Club of PBC 800 Northpoint Pkwy #204 West Palm Beach, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
41 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 Brevard Community College 1519 Clearlake Blvd. Coco Beach, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
42 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 Broadmoor partments ssociates, Ltd Partnership, South Carolina Ltd. Partner c/o partment Investment & Management Com 4582 South Ulster Street PKWY Suite 1100 Denver, CO THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
43 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 deborah.nash-utterback@pal Broward County Parks and Recreation 950 NW 38th Street Oakland Park, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
44 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 Broward County Public Schools 600 S. e. THird venue Fort Lauderdale, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
45 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 Broward Paper & Packaging Jack McVey 1201 NE 45th Street Fort Lauderdale, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
46 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 CB Richard Ellis Investment Property Grou Richard Tarquinio 5355 Town Center Road Suite #701 Boca Raton, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
47 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 Center for Spiritual Living (previously known as Science of Mind) Virginia Levey 2 S. W. 12th venue Boca Raton, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
48 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 Cheney Brothers, Inc. Lisa cc: Cheryl Cheney Way Riviera Beach, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
49 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 Children's Services Council of Palm Beach 2300 HIgh Ridge Road Boynton Beach, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
50 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 City of Boca Raton 201 West Palmetto Park Road Boca Raton, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
51 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 City of Boynton Beach Recreation Department Wally Majors PO Box 310 Boynton Beach, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
52 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 City of Delray Beach 100 NW 1st venue Delray Beach, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
53 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 City of Lake Worth nd venue North Lake Worth, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
54 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 City of Lake Worth nd venue North Lake Worth, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
55 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 Ref: Lake Worth Community High School, Parade, Date: 9/20/2013 Permit Number: 2013-F CTIFICTE HOLD City of Lake Worth 7 North Dixie Highway Lake Worth, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
56 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 City of Palm Beach Gardens Risk Management N. Military Trail Palm Beach Gardens, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
57 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 City of Riviera Beach Parks and Recreatio Lindsay Davis Center 1555 W 28th Street Riviera Beach, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
58 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 City of Riviera Beach 600 West Blue Herron Blvd. Riviera Beach, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
59 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 City of West Palm Beach and Board of Supervisors of West Palm Beach Golf Club 200 2nd Street PO Box 3366 West Palm Beach, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
60 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 City of West Palm Beach Community Events 200 2nd Street PO Box 3366 West Palm Beach, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
61 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 [email protected] City of West Palm Beach ttn: Joyce Pernicone, Programming Librar 401 Clematis Street West Palm Beach, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
62 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 CityPlace Community Development District 700 Rosemary venue West Palm Beach, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
63 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) Clarke Holdings Corporation c/o Century 21 cademy of Learning ttn: William Cummings 2215 Military Trail West Palm Beach, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
64 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 Colonial High School ttn: Julie Sanford 6100 Oleandor Drive Orlando, FL [email protected] THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
65 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) Cross Match Technologies, Inc Nate Bray 3950 RC Blvd. 1 Palm Beach Gardens, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
66 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 Custom World, Inc. 950 South Federal Highway Deefield Beach, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
67 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) CVS Pharmacy Store # Lantana Road Lake Worth, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
68 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 Dayton Ballet ssociation 140 N. Main Street Dayton, OH THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
69 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 Delray Beach BOCC 100 NW 1st venue Delray Beach, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
70 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 Denny's Resturant MIL RETURNED!!!!!!!!!!!!!!!!!!!!!!!!!!! 400 US 1 North Palm Beach, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
71 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) Department of rmy, JROTC Program, tlant Comm. High School, Dwyer Comm. High Sch Forest Hills Comm. HighSchool & Jupiter C High School,Seminole Ridge HS 2455 W. tlantic ve. Delray Beach, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
72 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 Department of Juvenile Justice Project MIND 1160 venue N Riviera Beach, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
73 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 Department of Juvenile Justice Delinquency Prevention Program 2215 S 25 Street Ft.Pierce, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
74 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 Department of Juvenile Justice School ccountability Boards- Restorative Justice 2215 S. 25th Street Ft. Pierce, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
75 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) Department of the rmy c/o Forest Hill High School JROTC 6901 Parker venue West Palm Beach, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
76 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) Department of Transportation 9700 Forest Hill Blvd. West Palm Beach, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
77 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 Devos Blum Family YMC of Boynton Beach 9600 S. Military Trail Boynton Beach, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
78 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) Diocese of Palm Beach Gerald M. Barbarito Bishop Pope John Paul II High School 4001 North Military Trail Boca Raton, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
79 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 District Office of Vocational Rehabilitat 2550 West Oakland Park Blvd. Fort Lauderdale, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
80 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) Dolly Hand Cultural rts Center 1977 College Drive Belle Glade, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
81 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 Early Learning Coalition of Palm Beach Co 2300 High Ridge Road Suite 115 Boynton Beach, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
82 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 Eastern Florida State College 3865 North Wickham road Melbourne, FL [email protected] THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
83 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 Everglades Youth Camp Seminole Pratt Whitney Road West Palm Beach, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
84 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 Family Central Inc. Early Learning Coalition Mr. Barry Miller 3111 South Dixie Highway Suite 222 West Palm Beach, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
85 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. Permit 2013-F CTIFICTE HOLD Famoso, Inc. dba Manpower Prosperity Farms Road C-120 Palm Beach Gardens, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
86 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 FU tn: James Updike 777 Glades Road Boca Raton, FL [email protected] THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
87 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 FDOT PMIT #2013-F FOREST HILL BLVD. WEST PLM BECH, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
88 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 Firehouse Subs 975 Gateway Blvd. #113 Boynton Beach, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
89 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 First Baptist Church of Boca Raton 2550 NW Yamato Road Boca Raton, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
90 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 First Baptist Church of Orlando 3000 South John Young Pkwy Orlando, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
91 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 First Baptist Church of Orlando 3000 South John Young Pkwy Orlando, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
92 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 [email protected] First Methodist Church of Oviedo 263 King Street Oviedo, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
93 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 First United Medthodist Church of Jupiter 815 E. Indiantown Road Jupiter, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
94 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 Saturday May3, pm - midnight CTIFICTE HOLD Flagler Museum One Whitehall Way Palm Beach, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
95 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 Florida tlantic Board of Trustees, the Florida Board of Governors, the State of Florida & their respective officers, agen volunteers & employees 777 Glades Road Boca Raton, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
96 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 Florida Children's Forum cc: Mary Kathy Carver 2807 Remington Green Circle Tallahassee, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
97 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 Florida Citrus Sports ttn: Ms. Robyn Graves One Citrus Bowl Place Orlando, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
98 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) Florida Coca-Cola Bottling Company ttn: Michael Frith 6553 Garden Road Riviera Beach, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
99 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 Florida Community College North Campus Beach Blvd. Jacksonville, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
100 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 Florida Department of griculture and Consumer Services Division of Licensing Post Office Box 6687 Tallahassee, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
101 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 Florida Department of Education Bureau of Public School Options 325 W. Gaines Street Tallahassee, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
102 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) Florida Department of Health MIL RETURNED!!!!!!!!!!!!!!!!!!!!!!!!!!!! ttn: J Davis P.O.Box Evernia Street West Palm Beach, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
103 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) Florida Department of Transportation ttn: Kathy c/i DBI Services Corp State Road 15 Belle Glade, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
104 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 Permit Number: 2014-F CTIFICTE HOLD kenneth.law.l@palmbeachsch Florida Department of Transportation 7900 Forest Hill Blvd West Palm Beach, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
105 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 Florida High School thletic ssociation 1801 NW 80th Boulevard Gainesville, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
106 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 (321) Florida Institute of Technology ttn: Ryan Vanderwielen 150 W. University Blvd Melbourne, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
107 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 Florida Power & Light Co. Eduardo Garcia, Relocation Coordinator PO Box (TLE-JB) Juno Beach, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
108 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 (863) Florida Southern ttn: Mr. Swank 111 Lakwe Hollingworht Dr. Lakeland, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
109 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 Follett Bookstore ttn: Shawn Olds 4200 Congress venue Lake Worth, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
110 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 Fullerton Civic Light Opera co., Inc. ttn: Larry Knigge 218 W. Commonwealth venue Fullerton, C THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
111 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 Gateway Preforming rts PO Box South Country Road Bellport, NY THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
112 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 Gateway Preforming rts PO Box South Country Road Bellport, NY THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
113 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. Dates: 10/13/ /01/2015-4:00-6:00PM Monday-Friday CTIFICTE HOLD (561) Gedi Farms ttn: Brent Crowe th venue South Wellington, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
114 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) George Snow Scholarship Foundation, Inc. Rexann Jones, Treasurer 201 Plaza Real Suite 201 Boca Raton, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
115 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 George Snow Scholarship Fund Inc North Dixie Highway Boca Raton, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
116 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 Georgia State University 33 Gilmer St., SE tlanta, G THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
117 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 Dates: 11/21/214-11/22/2014 CTIFICTE HOLD (727) Gibbs High School th Street, S St. petersburg, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
118 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 Girls Scouts of Southeast Florida, Inc West Indiantown Road Jupiter, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
119 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 Global Rental Company, Inc. 33 Inverness Center Parkway Birmingham, L THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
120 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 Gold Coast Christian Camp Crystal-Manager 7495 Park Lane Road Lake Worth, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
121 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 Good Shepherd United Methodist Church 2341 S. MIlitary Trail West Palm Beach, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
122 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 Grace Covenant Presbyterian Church 1655 Peel venue Orlando, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
123 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 Grandview Preparatory School Kathleen Prindle 336 NW Spanish River Blvd. Boca Raton, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
124 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 Greater Boca Raton Beach & Park District 150 Crawford Blvd. Boca Raton, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
125 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 Greater Boca Raton Beach & Park District James. Rutherford Community Center 2000 NW 51st Street Boca Raton, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
126 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 Dates: 10/6/14-2/7/15 CTIFICTE HOLD [email protected] Greater Boca Youth Soccer ssociation ttn: John Hurst Flotilla Place Boca Raton, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
127 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. Indian Ridge Job Training CTIFICTE HOLD (561) [email protected] Greenacres Bowl 6726 Lake Worth Road Lake Worth, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
128 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 Greenacres Learning Center ttn: Ziara 3950 S. 57 venue Greenacres, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
129 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 Grosh Scenic Rentals, Inc. Monica Martinez 4114 Sunset Blvd. PO Box Hollywood, C THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
130 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 Gulfstream Council Boy Scouts of merica 8835 N. Military Trail Palm Beach Gardens, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
131 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 Gulfstream Race Track Robbi uerback 901 S. Federal Highway Hallandale, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
132 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 jonathan.king@winnettcount Gwinnett County Board of Commissioners 75 Langley Drive Lawrenceville, G THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
133 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 Harid Conservatory 2285 Potomac Road Boca Raton, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
134 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 Date: pril 17, 2015 CTIFICTE HOLD (561) [email protected] Harriett Himmel Theater Manager of The Harriett Himmel Theater and City Place Special Events Doug Brown 700 S. Rosemary venue West Palm Beach, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
135 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 Haverhill Town Council 4585 Charlotte Street Haverhill, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
136 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 Health Care District of Palm Beach County th venue North Suite 100 Palm Springs, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
137 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 Rehearsal; Date 11/21/2014 CTIFICTE HOLD Michael Larkin Hillsborough County BOCC 6105 East Sligh venue TampaF33617 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
138 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 Hillsborough County School Board 901 East Kennedy Blvd. Tampa, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
139 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 Dreyfoos High School dates 10/16, /19, 2014 CTIFICTE HOLD (212) [email protected] Hilton Garden Inn Times Square 790 Eighth venue, 48th Street New York, NY THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
140 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) [email protected] Home Depot Store Jog Road lake Worth, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
141 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 Hyatt Place Marcel P. Girard, General Manager 295 Lakeview venue West Palm Beach, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
142 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 Hypoluxo Town Council 7010 S. US 1 Haverhill, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
143 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) Indian RIver County School District ttnpam Romero th Street Vero Beach, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
144 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 Indian Trail Improvement District Timothy Wojnar st Street, North West Palm Beach, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
145 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) IPC Operations, LLC th venue South Wellington, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
146 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 JC Penneys Manager: Lisa Escalante District Manager - Prince Mims W. Forest Hill Blvd. Wellington, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
147 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 JCB Enterprises, Ltd 3920 RC Blvd. Suite #2002 Palm Beach Gardens, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
148 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 Johnathan's Landing Golf Club Human Resources Dept. 185 E. Indiantown Road #128 Jupiter, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
149 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) Jonathan Dickinson State Park ttn: Mark Nelson, Park Manager SE Federal Highway Hobe Sound, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
150 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 Juno Beach Town Council 340 Ocean Drive Juno Beach, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
151 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) Jupiter Christian School 700 S. Delaware Blvd. Jupiter, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
152 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) Jupiter Community Center ttn: Janet Metz 210 Military Trail Jupiter, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
153 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 jeanmarie.mccann@palmbeach Jupiter High School Government ssociatio ttn: Jeanmarie McCann 500 North Military trail Jupiter, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
154 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 Jupiter Inlet Colony Town Council 1 Colony Road Jupiter, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
155 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) Jupiter Lanes Bowling lley ttn: Doug Moore 350 Maplewood Drive Jupiter, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
156 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 Jupiter Medical Center, Inc. and Jupiter Medical Center Pavilion, Inc. ttn: Susan Kenerson Contracts Coordinator/Buyer 1210 S. Old Dixie Highway Jupiter, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
157 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 Jupiter Town Council 210 Military Trail Jupiter, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
158 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 Kelly Tractor 5460 Okeechobee Blvd. West Palm Beach, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
159 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 Keystone-Florida Property Holding Corp. dba The Galleria at Fort Lauderdale Kravco Simon Company ttn: Denis lfano 2414 East Sunrise Blvd. Fort Lauderdale, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
160 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 K-Mart Donita Oberge 1401 Palmetto Park Road Boca Raton, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
161 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) Kravis Center 701 Okeechobee Blvd. West Palm Beach, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
162 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 Lake Clarke Shores Town Council 1701 Barbados Road Lake Clarke Shores, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
163 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 Lake County School Board Curriculum Department ttn: pril Weaver 201 West Burleigh Blvd. Tavares, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
164 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 Lake Park Town Commission 535 Park venue Lake Park, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
165 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 Lake Worth BOCC 7 N. Dixie Highway Lake Worth, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
166 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 Lantana Town Council 500 Greynolds Circle Lantana, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
167 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 (904) [email protected] LBS South, LLC/Jacksonville Facility General venue Jacksonville, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
168 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 Date: 12/11/14 CTIFICTE HOLD (561) [email protected] Lion Country Safari ttn: Joanna Montante 2003 Lion COuntry Safari Road Loxahatchee, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
169 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 Lutheran Services Florida, Inc W. Waters venue Tampa, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
170 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 Lynn University 3601 N. Military Trail Boca Raton, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
171 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) Macy's Department Store #757-Town Ctr Mal c/o Macy's Coral Spring ttn: Norman Murphy Director of Operations 9263 W. tlantic Blvd. Coral Springs, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
172 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 Main State Musical Theatre Costume Rental 14 Maine Street Suite 216 Brunswick, ME THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
173 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 Maltz Jupiter Theatre David Harris - General Manager 1001 E. Indiantown Road Jupiter, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
174 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 Mangonia Park Town Council 1755 E. Tiffany Drive Mangonia Park, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
175 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) Mar-a-Lago Club 1100 South Ocean blvd Palm Beach, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
176 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 Mariela Castillo Director of Special Events St. Baldrick's Foundation 1443 E, Washington Blvd. #650 Pasadena, C THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
177 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 Marjon Specialty Foods, Inc 3508 Sydney Road Plant City, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
178 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 Master Certificate THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
179 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 MBI Insurance 113 King Street rmonk, NY THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
180 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) Menin Development Companies Downtown at the Gardens ttn: Julie Mullen-Kaminski Lake Victoria Gardens v Ste 2203 Palm Beach Gardens, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
181 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) Miller Legg ttn: Mark Brandenburg 2005 Vista Parkway Suite 100 West Palm Beach, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
182 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 Mission Bay Shopping Center, LLC c/o Schmier & Feurring Properties, Inc. ttn:: Lauren Leitkowski 7777 Glades Road Suite 310 Boca Raton, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
183 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 Mobile Gas Karen Eslory 3000 Jog Road Greenacres, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
184 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 (480) Mobile Mini, Inc 500 Rock Road North Fort Pierce, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
185 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 (480) Mobile Mini, Inc 7420 South Kyrene Road Suite 101 Tempe, Z THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
186 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 Modular Space Corporation 1200 West Swedesfort Road Berwyn, P THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
187 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 Montana State University ttn: Stephanie Stratton Conference Services P.O. Box Bozeman, MT THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
188 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 Neff Rental 1860 MLK Jr. Blvd Riviera Beach, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
189 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 Northwest College Summer Conferences Kristie R. Sullivan 231 West 6th Street Popwell, WY THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
190 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 [email protected] Nova Southeastern Univeristy 3301 College venue Fort Lauderdale, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
191 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) Nova Southeastern University ttn: Jana Debow 3970 RC Boulevard Suite 7000 Palm Beach Gardens, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
192 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 O.B.Festival Events, LLC;The Orange Bowl mittee,inc.;south Florida Stadium,LLC;Mia Dolphins Ltd.;Fin ssociates,llc; South Florida Football ssoc.,llc NW 77th Court Miami Lakes, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
193 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 Ocean Ridge Town Commission 6450 N. Ocean Blvd. Ocaen Ridge, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
194 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 Office of Family & Community Outreach 325 W. Gaines Street Suite 544 Tallahassee, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
195 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 Old Navy ttn: Sandy Singh 840 State Road 7 Wellington, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
196 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 dave.clark@palmbeachschool Olympic Heights Community High School Lyons Road Boca Raton, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
197 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 (407) Orange County Public Schools ttn: Roy Peters 445 West melia Street Orlando, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
198 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 Pahokee City Commission 171 N. Lake venue Pahokee, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
199 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 Palladium Management Company 700 Rosemary venue West Palm Beach, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
200 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 Palm Beach tlantic College Theater Department 901 South Flagler Drive West Palm Beach, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
201 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 Palm Beach tlantic University 910 S. Dixie Highway West Palm Beach, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
202 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 Palm Beach County Board of County Commissioners Community Services Department Division of Human Services Summer Camp Scholarship Program 810 Datura Street West Palm Beach, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
203 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 Palm Beach County Board of County Commiss c/o Yvonne Walker Head Start 50 South Military Trail Suite 203 West Palm Beach, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
204 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 Palm Beach County Board of County Commissioners c/o Property&Real Estate Management Divis ttn: Director 2633 Vista Parkway West Palm Beach, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
205 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 Palm Beach County BOCC c/o Palm Beach County Film Commission 1555 Palm Beach Lakes Blvd. Suite 900 West Palm Beach, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
206 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 Palm Beach County BOCC Risk Management Department ttn: Dick Cohen 160 ustralian venue Suite 401 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
207 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 Palm Beach County Convention Center Ms. K. Hayek 650 Okeechobee Blvd. West Palm Beach, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
208 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 Palm Beach County Health Department Environmental Health & Engineer Barbara Hoggard 345 South Congress venue Delray Beach, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
209 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 Palm Beach County Health Department Lairsey/Childcare Licensing PO Box 1332 Belle Glade, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
210 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 Palm Beach County Health Department Child Care Facility Board PO Box 29 West Palm Beach, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
211 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 Palm Beach County Health Dept. Division of Finance and ccounting 800 Clematis Street West Palm Beach, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
212 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 Palm Beach County Parks & Recreation th venue South Lake Worth, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
213 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 Palm Beach County 100 ustralian venue THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
214 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 Palm Beach County Southwinds Golf Course Lyons Road Boca Raton, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
215 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 Palm Beach County Parks & Recreation BB Swan th venue South Lake Worth, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
216 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 Palm Beach County Convention Center 650 Okeechobee Blvd. West Palm Beach, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
217 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 Palm Beach County Board of County Commissioners Community Services Department Division of Human Services 810 Datura Street West Palm Beach, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
218 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) Palm Beach Gardens quatic Complex 4404 Burns Road Palm Beach Gardens, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
219 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 Palm Beach Gardens City Council N. Military Trail Palm Beach Gardens, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
220 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 Palm Beach Institute for Contemporary rt 601 Lake ve Lake Worth, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
221 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 Palm Beach Mall Holdings, LLC 1751 Palm Beach Lakes Blvd. Suite E121 West Palm Beach, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
222 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 [email protected] Palm Beach Mall Holdings, LLC; PBM Developer,LLC; Lubert-dler Group;NED PBM LLC; (See attached for remainder of name) 1801 Palm Beach Lakes Blvd. West Palm Beach, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
223 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 Palm Beach Maritime Museum 6500 Peanut Island Drive Peanut Island Riviera Beach, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
224 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 Palm Beach Outlets & UG Palm Beach Lakes Blvd. Suite E121 West Palm Beach, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
225 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 Palm Beach Shores Town Commission 247 Edwards Lane Palm Beach Shores, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
226 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) Palm Beach State College 1977 College Drive Belle Glade, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
227 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 Palm Springs Village Council 226 Cypress Lane Palm Springs, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
228 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 Park venue BBQ and Grille John Ernst cc: Nancy Wellington Trace Wellington, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
229 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 Park Vista High School 7900 Jog Road Lake Worth, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
230 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) Penske Truck Leasing Co., L.P. ttn: ndrea Orsatti 3788 Interstate Park Road,West Riviera Beach, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
231 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 Penske Truck Leasing Co., L.P. ttn: Rental Department Route 10, Green Hills P. O. Box 391 Reading, P THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
232 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 Penske Truck Rental 3788 Interstate Parkway Riveria Beach, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
233 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 PG National Resort & Spa Jane S. Broderick / Director of Golf 400 venue of the Champions Palm Beach Gardens, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
234 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 Pinellas County School Board 301 4th Street, S. W. Largo, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
235 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) Pleasant City Multicultural Center Gloria Williams st Street West Palm Beach, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
236 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 Port of Palm Beach District 4 East Port Road Riviera Beach, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
237 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 Promanade Mobil Tim Bowman 9890 lt. I Palm Beach Gardens, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
238 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 Promanade Mobil Tim Bowman 9890 lt. I Palm Beach Gardens, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
239 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 Village Commons 831 VIllage Blvd. West Palm Beach, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
240 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 Publix Super Market 1589 W. Lantana Road West Palm Beach, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
241 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) Quantum Foundation 2701 N. ustralian venue Suite 200 West Palm Beach, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
242 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 Ramco Gershenson Corp. ttn: David Darling Northwestern Highway Farminton Hill, MI THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
243 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 (866) Ramco-Gershenson, Inc. ttn: Isabel E. Feldman Property Manager 951 Yamato Road Suite 100 Boca Raton, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
244 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 Refugee Programs dministration George Lewis 1317 Winewood Blvd. Tallahassee, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
245 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 Riviera Beach BOCC 600 W. Blue Heron Blvd. Riviera Beach, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
246 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 (407) Rosen Shingle Creek Lisa Burrowws,Conference Center Sales Man 9939 Universal Blvd. Orlando, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
247 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 Royal Inn 675 Royal Palm Beach Blvd. Royal Palm Beach, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
248 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 Royal Palm Beach Hess Okeechobee Blvd. Royal Palm Beach, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
249 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 Royal Palm Beach Village Council 1050 Royal Palm Beach Blvd. Royal Palm Beach, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
250 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 Royal Palm Chick Fil Brian Barnes, Manager 206 State Road 7 West Palm Beach, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
251 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) Royal Palm Exxon 1201 Royal Palm Beach Blvd. Royal Palm Beach, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
252 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 Ryder Truck Rental, Inc. and Ryder Truck & ffiliates 6000 Windward Parkway lpharetta, G THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
253 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 San Diego County Office of Education ttn: Barbara Burns 5404 Napa Street San Diego, C THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
254 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) [email protected] Saxon rchives Palm Beach, Inc. ttn: Dwight Saxon 1500 ve R Suite 100 Riviera Beach, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
255 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 School Board of DeSoto County 830 LaSolona venue rcadia, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
256 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 (941) School District of Manatee County 215 Manatee venue West Bradenton, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
257 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 School District of Philadelphia Office of Risk Management 4400 North Broad Street Philadelphia, P THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
258 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 Self Storage 1930 Lantana Road Lantana, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
259 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 self insured under the laws of the State of Florida for the above limits for full tort liability based on Florida Sovereign Immunity limits under F.S Excess bodily injury & property damage liability is limited to legislative claims under F.S Excess bodily injury & property damage CTIFICTE HOLD Seminole County Schools 400 East Lake Mary Blvd Sanford, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
260 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 Shadowwood Square, Ltd. and Terranova Cor C/o CertFocus P. O. Box Kansas City, MO THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
261 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 Shape Students Changing The World ttn: Ilene Miller 2875 NE 191st Street, Suite 400 ventura, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
262 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 gail.verrigni@palmbeachsch Single School Culture Initiatives 1790 NW Spanish River Boulevar Boca raton, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
263 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 Sloan's 700 S. Rosemay venue #38 (City Place) West Palm Beach, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
264 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 Solid Waste uthority Pamela Vann 7501 North Jog Road West Palm Beach, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
265 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 (772) Soroptimist International of Stuart ttn:sherry Guffin P.O.Box 2250 Stuart, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
266 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 Sound dvise mpitheater Salisbury Way West Palm Beach, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
267 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 South Bay City Commission 333 SW 2nd Street South Bay, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
268 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 South Florida Fair & Palm Beach County Expositions, Inc 9067 Southern BLvd P.O.Box West Palm Beach, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
269 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 South Florida Water Management District Howard Taylor 3301 Gun Club Road THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
270 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 South Palm Beach Town Commission 3577 S. Ocean Blvd. South Palm Beach, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
271 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 Spring Lake Partners 2455 East Sunrise Blvd. rcade I Fort Lauderdale, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
272 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 St, Baldrick's Foundation Wellington, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
273 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 St. ndrews School David hearn 3500 Jog Road Boca Raton, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
274 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 St. Leo University Mr. Fran Reidy State Road 52 Saint Leo, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
275 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 (407) St. Luke's UMC Dede Duncan Director of Events & Office dministratio 4851 S. popka Vineland Road Orlando, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
276 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) St. Vincents Ferrer Catholic Church 840 George Bush Blvd. Delray Beach, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
277 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 Stanbery Development, Coconut Creek Development,C.B. Richard Ellis ttention: Bill Horowitz 4443 Lyons Road Suite 212 Coconut Creek, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
278 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 State of Florida Division of Drivers Licenses 703 Waterview Drive Palm Springs, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
279 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 Statewide Mutual id Program Division of Emergency Management 2555 Shumard Oak Blvd. Tallahassee, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
280 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) [email protected] SunFest of Palm Beach County, Inc. 525 Clematis Street West Palm Beach, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
281 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) Sunshine Golf Car 9740 W. tlantic venue Delray Beach, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
282 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 Band event at Santaluces Community High CTIFICTE HOLD Sysco Southeast Florida, LLC 1999 Dr. martin Luther King Jr Riviera Beach, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
283 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 T. J. Maxx 388 N. Congress venue Boynton Beach, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
284 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 Tampa rmature Works 440 S. 78th Street Tampa, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
285 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 TD Equipment Finance, Inc storia Boulevard Cherry Hill, NJ THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
286 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 Temple Beth El Mrs. Barrish 2815 N. Flagler Drive West Palm Beach, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
287 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 Tennis Club of the Palm Beaches Bob llen, Head Professional 2800 Haverhill Road West Palm Beach, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
288 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 Tequesta Village Council 357 Tequesta Drive Tequesta, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
289 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 The lliance for Community Enrichment at The Borland Center ttn: Gary Finley, Executive Director 4889 PG Blvd. Palm Beach Gardens, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
290 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 self insured under the laws of the State of Florida for the above limits for full tort liability based on Florida Sovereign Immunity limits under F.S Excess bodily injury & property damage liability is limited to legislative claims under F.S Excess bodily injury & property damage jurisdictions. * 30 Days notice of cancellation except for 10 days non-payment of premium. CTIFICTE HOLD The Bank of New York Trust Company, N s Their Interest May ppear Centurion Pkwy Jacksonville, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
291 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 The Benjamin School Ellison Wilson Rd North Palm Beach, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
292 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 The Boca Raton Bridge, LLC ttn: Joe Kopeika 999 East Camino Real Boca Raton, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
293 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) The Breakers Hotel ttn: Kevin Johnson 1 South County Road Palm Bech, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
294 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 The City of Boca Raton 201 W. Palmetto Park Road Boca Raton, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
295 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 The City of Boca Raton The Greater Boca Raton Beach & Park Distr Palm Beach County Mr. Buddy Parks, CPRP 2000 NW 51st Street Boca Raton, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
296 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 (407) The First cademy ttn: Ginger Millsaps 2667 Bruton Blvd. Orlando, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
297 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 (407) The First cademy Darrell Don thletic Director&Head Varsity Baseball C FHS Board of Directors 2667 Bruton Road Orlando, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
298 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 The Flagler Museum 1 Whitehall Way Palm Beach, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
299 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 The Florida Department of Children and Families Refugee Service Program ndrea Gordon: Contract Manager 401 NW 2nd venue Suite N-812 Miami, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
300 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 The Harriet Himmal Gilman Theater Palladium Management LLC Continental Performances Inc. 700 South Rosemary venue Suite 200 West Palm Beach, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
301 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 The Home Depot ttn: Kevin Morrison 6800 Okeechobee Road Wet Palm Bech, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
302 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 The Kings cademy THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN Jeffrey M. Loveland 8401 Belvedere Road West Palm Beach, FL 33411
303 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 The Mall at Wellington Green and The Taubman Company Limited Partnership Dorian Zimmer W. Forest Hills Blvd. Suite 2000 Wellington, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
304 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 The Resort at Singer Island ttn: Laura Short 3800 N. Ocean Drive Singer Island, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
305 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 The School District of Pinellas County 301 4th Street, S. W. Largo, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
306 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 The Scripps Research Institute, Scripps Florida 130 Scripps Way Jupiter, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
307 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) The Society of The Four rts 2 Four rts Plaza West Palm Beach, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
308 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 Dates: November 25, 2014 thru December 24, 2014 CTIFICTE HOLD [email protected] The Town Center at Boca Raton Trust, a Ne Trust, its managing agent, Simon Property (continued on following page) ttn: Dana Bricker 6000 Glades Road, Suite 100 Boca Raton, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
309 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 Thomas Jefferson High School 4401 W. Cypress St. Tampa, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
310 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 Tiburon Corp. 15 Senecca Trail Harrison, NY THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
311 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 TJ Maxx The TJ Companies, Inc Glades Road Bldg. F Boca Raton, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
312 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 (317) TJ Companies Inc 770 Cochituate Road Farmington, M THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
313 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 Town Center Mall at Boca Raton ttn: Linda Renalti 6000 Glades Road Suite 100 Boca Raton, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
314 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 Town of Jupiter 500 Military Trail Jupiter, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
315 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 Town of Lake Park 535 Park venue Lake Park, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
316 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 Town of Lantana 500 Greynolds Circle Lake Worth, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
317 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 Town of Lantana 510 West Pine Lantana, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
318 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 Town of Lantana 510 West Pine Lantana, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
319 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 United Way of Palm Beach County Conferenc 2600 Quantum Blvd. Boynton Beach, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
320 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 Unity School 101 N. W. 22 Street Delray Beach, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
321 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 University of Central Florida Department of thletics PO Box Orlando, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
322 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 US rmory Sgt. Tom Fragale 3193 Gun Club Road THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
323 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 Versa Property Management, LLC 661 University Blvd. Suite 200 Jupiter, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
324 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 Village of Royal Palm Beach 1050 Royal Palm Beach Blvd. Royal Palm Beach, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
325 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 Village of Wellington ttn: Ryan Hagopian Pierson Rd. Wellington, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
326 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 Village of Wellington 1279 W. Forest Hills Blvd. Suite 23 Wellington, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
327 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 Village of Wellington Brian Delaney W. Forest Hills Blvd. Suite 23 Wellington, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
328 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 Village of Wellington mce Improvement District MIL RETURNED!!!!!!!!!!!!!!!!!!!!!!!!!!! Greenbriar Blvd. Wellington, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
329 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) Wellington Regional Medical Center Brenda tkins Forest Hill Blvd. West Palm Beach, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
330 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 West Orange High School 1625 S. Beulah Road Winter Garden, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
331 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 West Palm Beach BOCC PO Box 3366 West Palm Beach, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
332 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) Whole Food Market and its subsidiaries 550 Bowie Street ustin, T THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
333 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) Whole Food Market Linda Belinsky 2635 S. State Road 7 Wellington, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
334 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 Wireless Systems Group Inc ttn: Holland Ryan 4708 Brook Drive West Palm Beach, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
335 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 Workforce lliance Contracts Unit 315 South Dixie Highway Suite 102 West Palm Beach, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
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