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 rt @ 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
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.
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
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
PG National Resort & Spa Pinellas County School Board Pleasant City Multicultural Center Port of Palm Beach District Promenade Mobil Publix @ 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
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 11700 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
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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)247-0136 ostrowskim@nbps.org North Broward Preparatory School Mike Ostrowski 7600 Lyons Road Coconut Creek, FL 33073 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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)687-1903 1310 Congress Patners, LOC ttn: Shelly 5201 Village Blvd. West Palm Beach, FL 33407 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / VEHICLES (ttach CORD 101, dditional Remarks Schedule, if more space is required) This certificate supercedes and voids all previous certificates. The is CTIFICTE HOLD 7-11 7044 Lawrence Road Boynton Beach, FL 33436 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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)549-3338. G. Holley Hospital 1199 W. Lantana Road Lantana, FL 33452 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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. 1200 University Blvd. Suite 102 Jupiter, FL 33458 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 33458 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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)493-6854 berdeen Golf & Country Club ttn: Sean Lutwin 8251 berdeen Drive Boynton Beach, FL 33437 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 33458 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 34957 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 33431 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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)128-6425 llen & rts ttn: Paul llen 215 South County Road Bellport, NY 11713 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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)775-7249 merican cademy of Dermatology 930 E. Woodfiled Road Schaumburg, IL 60173 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 33484 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 33431 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 33445 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 690360 Tulsa, OK 74169-0360 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 33430 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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)383-9750 Benoist Farms Elementary School Lisa Martin Confidential Secretary to the Principal 1765 Benoist Farms Road West Palm Beach, FL 33411 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 20540 State Road 7 Boca Raton, FL 33498 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 33461 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 33409 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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)243-1591 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
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 33487 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 33433 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 31500 Northwestern Highway Suite 300 Farmington Hills, MI 48334 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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)391-6410 Boca Museum of rt @ Misner Park 401 Plaza Real Boca Raton, FL 33432 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 33432 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 33431 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 33432 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 10471 Boca Woods Lane Boca Raton, FL 33428 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 33435 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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)736-7907 Boynton Beach Mall THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN 801 N. Congress venue Suite 295 Boynton Beach, FL 33426
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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)992-8637 Boys & Girls Club of PBC 800 Northpoint Pkwy #204 West Palm Beach, FL 33430 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 32922 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 80237 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 33309 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 33301 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 33334 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 33486 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 33486 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 Combord @ 561-338-1440 1 Cheney Way Riviera Beach, FL 33404 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 33426 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 33432 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 33425 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 33444 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 1900 2nd venue North Lake Worth, FL 33461 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 1900 2nd venue North Lake Worth, FL 33461 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF 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-496-0036-93180 CTIFICTE HOLD City of Lake Worth 7 North Dixie Highway Lake Worth, FL 33460 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 10500 N. Military Trail Palm Beach Gardens, FL 33410 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 33404 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 33404 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 33402 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 33402 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / VEHICLES (ttach CORD 101, dditional Remarks Schedule, if more space is required) This certificate supercedes and voids all previous certificates. The is CTIFICTE HOLD perniconej@mycitylibrary.c City of West Palm Beach ttn: Joyce Pernicone, Programming Librar 401 Clematis Street West Palm Beach, FL 33401 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 33401 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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)689-0342 Clarke Holdings Corporation c/o Century 21 cademy of Learning ttn: William Cummings 2215 Military Trail West Palm Beach, FL 33409 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 32807 Julie.sanford@ocps.net THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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)828-2307 Cross Match Technologies, Inc Nate Bray 3950 RC Blvd. 1 Palm Beach Gardens, FL 33410 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 33441 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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)434-7688 CVS Pharmacy Store #7891 8954 Lantana Road Lake Worth, FL 33467 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 45402 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 33444 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 33408 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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)330-8902 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 33445 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 33404 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 34947 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 34947 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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)540-3048 Department of the rmy c/o Forest Hill High School JROTC 6901 Parker venue West Palm Beach, FL 33405 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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)431-4231 Department of Transportation 9700 Forest Hill Blvd. West Palm Beach, FL 33413 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 33436 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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)314-2101 Diocese of Palm Beach Gerald M. Barbarito Bishop Pope John Paul II High School 4001 North Military Trail Boca Raton, FL 33431-4302 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 33311 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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)993-1162 Dolly Hand Cultural rts Center 1977 College Drive Belle Glade, FL 33430 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 33426 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 32935 shulmanj@easternflorida.ed THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 12100 Seminole Pratt Whitney Road West Palm Beach, FL 33412 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 33405 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF 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-496-0041-93290 CTIFICTE HOLD Famoso, Inc. dba Manpower 11211 Prosperity Farms Road C-120 Palm Beach Gardens, FL 33410 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 jupdike@fau.edu THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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-496-0041-93290 7900 FOREST HILL BLVD. WEST PLM BECH, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 33426 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 33431 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 32805 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 32805 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / VEHICLES (ttach CORD 101, dditional Remarks Schedule, if more space is required) This certificate supercedes and voids all previous certificates. The is CTIFICTE HOLD Cynthia_Wood@ncci.com First Methodist Church of Oviedo 263 King Street Oviedo, FL 32765 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 33477 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF 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, 2014 6pm - midnight CTIFICTE HOLD Flagler Museum One Whitehall Way Palm Beach, FL 33480 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 33431 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 Ussery @ 561-963-3852 Kathy Carver 2807 Remington Green Circle Tallahassee, FL 32308 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 32805 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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)881-7708 Florida Coca-Cola Bottling Company ttn: Michael Frith 6553 Garden Road Riviera Beach, FL 33404 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 11901 Beach Blvd. Jacksonville, FL 33246 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 32314-6687 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 32399 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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)681-2501 Florida Department of Health MIL RETURNED!!!!!!!!!!!!!!!!!!!!!!!!!!!! ttn: J Davis P.O.Box 29 826 Evernia Street West Palm Beach, FL 33402 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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)993-9000 Florida Department of Transportation ttn: Kathy c/i DBI Services Corp. 2728 State Road 15 Belle Glade, FL 33430 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF 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-496-0030-93230 CTIFICTE HOLD kenneth.law.l@palmbeachsch Florida Department of Transportation 7900 Forest Hill Blvd West Palm Beach, FL 33413 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 32606-9176 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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)984-8529 Florida Institute of Technology ttn: Ryan Vanderwielen 150 W. University Blvd Melbourne, FL 32902 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 14000 (TLE-JB) Juno Beach, FL 33408 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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)680-4122 Florida Southern ttn: Mr. Swank 111 Lakwe Hollingworht Dr. Lakeland, FL 33801 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 33461 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 92832 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 5 215 South Country Road Bellport, NY 11713 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 5 215 South Country Road Bellport, NY 11713 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF 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: 10/13/2014-02/01/2015-4:00-6:00PM Monday-Friday CTIFICTE HOLD (561)472-1233 Gedi Farms ttn: Brent Crowe 4719 130th venue South Wellington, FL 33414 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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)392-0804 George Snow Scholarship Foundation, Inc. Rexann Jones, Treasurer 201 Plaza Real Suite 201 Boca Raton, FL 33432 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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. 1860 North Dixie Highway Boca Raton, FL 33432 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 30303 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF 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)893-5452 Gibbs High School 850 34th Street, S St. petersburg, FL 33712 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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. 1224 West Indiantown Road Jupiter, FL 33458 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 35242 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 33411 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 33415-7543 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 32806 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 33431 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 33432 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 33432 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF 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 uspaperhanging@att.net Greater Boca Youth Soccer ssociation ttn: John Hurst 11890 Flotilla Place Boca Raton, FL 33428 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF 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)966-5420 debbyh@gatorbowling.com Greenacres Bowl 6726 Lake Worth Road Lake Worth, FL 33463 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 33463 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 29579 Hollywood, C 90029 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 33410-6329 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 33009-7199 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 30046 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 33432 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF 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)308-1188 harrietinfo@related.com Harriett Himmel Theater Manager of The Harriett Himmel Theater and City Place Special Events Doug Brown 700 S. Rosemary venue West Palm Beach, FL 33401 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 33417 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 2601 10th venue North Suite 100 Palm Springs, FL 33461 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF 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
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 33602 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF 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, 2014-10/19, 2014 CTIFICTE HOLD (212)974-0291 rosa.rodriguez@hilton.com Hilton Garden Inn Times Square 790 Eighth venue, 48th Street New York, NY 10019 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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)432-8236 BRNDI_GRIN@homedepot.com Home Depot Store 6313 5750 Jog Road lake Worth, FL 33463 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 33401 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 33462-5493 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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)493-6835 Indian RIver County School District ttnpam Romero 1990 25th Street Vero Beach, FL 32960 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 13476 61st Street, North West Palm Beach, FL 33412 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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)784-3993 IPC Operations, LLC 3667 120th venue South Wellington, FL 33414 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 10308 W. Forest Hill Blvd. Wellington, FL 33414 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 33410 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 33477 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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)744-7604 Jonathan Dickinson State Park ttn: Mark Nelson, Park Manager 16450 SE Federal Highway Hobe Sound, FL 33455 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 33408 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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)744-7921 Jupiter Christian School 700 S. Delaware Blvd. Jupiter, FL 33458 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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)745-2559 Jupiter Community Center ttn: Janet Metz 210 Military Trail Jupiter, FL 33458 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 33458 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 33469 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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)744-7978 Jupiter Lanes Bowling lley ttn: Doug Moore 350 Maplewood Drive Jupiter, FL 33458 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 33458 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 33458 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 33417 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 33304 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 33486 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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)833-3901 Kravis Center 701 Okeechobee Blvd. West Palm Beach, FL 33401 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 33406 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 32778 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 33403 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 33460 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 33462 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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)800-2204 dchesney@lbssouth.com LBS South, LLC/Jacksonville Facility 10628 General venue Jacksonville, FL 33320 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF 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)793-9603 events@lioncountrysafari.c Lion Country Safari ttn: Joanna Montante 2003 Lion COuntry Safari Road Loxahatchee, FL 33470 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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. 3627 W. Waters venue Tampa, FL 33614 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 33431 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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)345-3311 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 33071 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 04011 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 33477 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 33407 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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)738-2794 Mar-a-Lago Club 1100 South Ocean blvd Palm Beach, FL 33480 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 91104-2650 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 33566 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 10504 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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)282-5001 Menin Development Companies Downtown at the Gardens ttn: Julie Mullen-Kaminski 11701 Lake Victoria Gardens v Ste 2203 Palm Beach Gardens, FL 33410 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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)689-8108 Miller Legg ttn: Mark Brandenburg 2005 Vista Parkway Suite 100 West Palm Beach, FL 33411-2719 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 33434 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 33467 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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)894-6433 Mobile Mini, Inc 500 Rock Road North Fort Pierce, FL 34945 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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)894-6433 Mobile Mini, Inc 7420 South Kyrene Road Suite 101 Tempe, Z 85283 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 19087 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 174150 Bozeman, MT 59717 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 33417 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 82435 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / VEHICLES (ttach CORD 101, dditional Remarks Schedule, if more space is required) This certificate supercedes and voids all previous certificates. The is CTIFICTE HOLD flaviai@nova.edu Nova Southeastern Univeristy 3301 College venue Fort Lauderdale, FL 33314 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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)622-6472 Nova Southeastern University ttn: Jana Debow 3970 RC Boulevard Suite 7000 Palm Beach Gardens, FL 33410 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 14360 NW 77th Court Miami Lakes, FL 33016 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 33435 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 32399-0400 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 33414 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 20101 Lyons Road Boca Raton, FL 33434 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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)816-5633 Orange County Public Schools ttn: Roy Peters 445 West melia Street Orlando, FL 32801 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 33476 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 33401 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 33401 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 33401 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 33401 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 33415 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 33441-5605 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 33401 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 33401 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 33445 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 33430 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 33402 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 33401 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 2700 6th venue South Lake Worth, FL 33461 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 19577 Lyons Road Boca Raton, FL 33434 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 2700 6th venue South Lake Worth, FL 33461 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 33401 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 33401 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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)366-6550 Palm Beach Gardens quatic Complex 4404 Burns Road Palm Beach Gardens, FL 33410 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 10500 N. Military Trail Palm Beach Gardens, FL 33410 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 33460-3810 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 33401 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / VEHICLES (ttach CORD 101, dditional Remarks Schedule, if more space is required) This certificate supercedes and voids all previous certificates. The is CTIFICTE HOLD lrojas@nedevelopment.com 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 33401 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 33407 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 & UG2 1721 Palm Beach Lakes Blvd. Suite E121 West Palm Beach, FL 33401 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 33404 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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)649-6028 Palm Beach State College 1977 College Drive Belle Glade, FL 33430 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 33461 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 Courtney @ 561-792-8106 13897 Wellington Trace Wellington, FL 33414 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 33467 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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)844-4599 Penske Truck Leasing Co., L.P. ttn: ndrea Orsatti 3788 Interstate Park Road,West Riviera Beach, FL 33404-5908 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 19603 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 33418 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 33770 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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)835-7110 Pleasant City Multicultural Center Gloria Williams 501 21st Street West Palm Beach, FL 33407 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 33404 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 33410 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 33410 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 @ Village Commons 831 VIllage Blvd. West Palm Beach, FL 33409 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 33462 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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)832-5794 Quantum Foundation 2701 N. ustralian venue Suite 200 West Palm Beach, FL 33407 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 31500 Northwestern Highway Farminton Hill, MI 48334 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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)405-3542 Ramco-Gershenson, Inc. ttn: Isabel E. Feldman Property Manager 951 Yamato Road Suite 100 Boca Raton, FL 33431 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 32399 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 33404 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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)996-9935 Rosen Shingle Creek Lisa Burrowws,Conference Center Sales Man 9939 Universal Blvd. Orlando, FL 32819 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 33411 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 11711 Okeechobee Blvd. Royal Palm Beach, FL 33411 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 33411 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 33414 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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)795-9498 Royal Palm Exxon 1201 Royal Palm Beach Blvd. Royal Palm Beach, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 30005 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 92110 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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)882-9911 dsaxon@saxonarchives.com Saxon rchives Palm Beach, Inc. ttn: Dwight Saxon 1500 ve R Suite 100 Riviera Beach, FL 33404 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 34266 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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)708-8698 School District of Manatee County 215 Manatee venue West Bradenton, FL 34205 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 19130 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 33462 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF 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. 768.28. Excess bodily injury & property damage liability is limited to legislative claims under F.S.768.28. Excess bodily injury & property damage CTIFICTE HOLD Seminole County Schools 400 East Lake Mary Blvd Sanford, FL 32773 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 140528 Kansas City, MO 64114 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 33180 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 33431 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 33401 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 33412 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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)781-8631 Soroptimist International of Stuart ttn:sherry Guffin P.O.Box 2250 Stuart, FL 34995 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 601-7 Salisbury Way West Palm Beach, FL 33411 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 33493 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 210367 West Palm Beach, FL 33421-0367 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 33480 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 33304 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 33434 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 33701 State Road 52 Saint Leo, FL 33574 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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)876-4991 St. Luke's UMC Dede Duncan Director of Events & Office dministratio 4851 S. popka Vineland Road Orlando, FL 32819 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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)276-8068 St. Vincents Ferrer Catholic Church 840 George Bush Blvd. Delray Beach, FL THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 33073 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 33461 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 32399 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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)659-3567 brittany@sunfest.com SunFest of Palm Beach County, Inc. 525 Clematis Street West Palm Beach, FL 33401 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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)852-6618 Sunshine Golf Car 9740 W. tlantic venue Delray Beach, FL 33446 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF 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 33404 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 33426 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 33619 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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. 1006 storia Boulevard Cherry Hill, NJ 08034 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 33407 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 33415 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 33469 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 33418 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF 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. 768.28. Excess bodily injury & property damage liability is limited to legislative claims under F.S.768.28. 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 10161 Centurion Pkwy Jacksonville, FL 32256 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 11000 Ellison Wilson Rd North Palm Beach, FL 33408 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / VEHICLES (ttach CORD 101, dditional Remarks Schedule, if more space is required) This certificate supercedes and voids all previous certificates. The is CTIFICTE HOLD 362-0492 The Boca Raton Bridge, LLC ttn: Joe Kopeika 999 East Camino Real Boca Raton, FL 33432 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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)659-8452 The Breakers Hotel ttn: Kevin Johnson 1 South County Road Palm Bech, FL 33480 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 33432 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 33432 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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)206-8724 The First cademy ttn: Ginger Millsaps 2667 Bruton Blvd. Orlando, FL 32805 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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)206-8724 The First cademy Darrell Don thletic Director&Head Varsity Baseball C FHS Board of Directors 2667 Bruton Road Orlando, FL 32805 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 33480 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 33128 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 33401 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 33411 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 10300 W. Forest Hills Blvd. Suite 2000 Wellington, FL 33414 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 33404 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 33770 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 33458 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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)655-7233 The Society of The Four rts 2 Four rts Plaza West Palm Beach, FL 33480 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF 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 dana.bricker@simon.com 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 33431-7208 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 33607 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 10525 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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. 8903 Glades Road Bldg. F Boca Raton, FL 33434 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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)324-3039 TJ Companies Inc 770 Cochituate Road Farmington, M 01701 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / VEHICLES (ttach CORD 101, dditional Remarks Schedule, if more space is required) This certificate supercedes and voids all previous certificates. The is CTIFICTE HOLD 338-0891 Town Center Mall at Boca Raton ttn: Linda Renalti 6000 Glades Road Suite 100 Boca Raton, FL 33431-7208 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 33458 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 33493 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 33462 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 33462 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 33462 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 33426 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 33444 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 163555 Orlando, FL 32816-3555 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 33458 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 33411 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 11700 Pierson Rd. Wellington, FL 33414 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 33414 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 12794 W. Forest Hills Blvd. Suite 23 Wellington, FL 33414 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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!!!!!!!!!!!!!!!!!!!!!!!!!!! 14000 Greenbriar Blvd. Wellington, FL 33414 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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)798-8622 Wellington Regional Medical Center Brenda tkins 10101 Forest Hill Blvd. West Palm Beach, FL 33414 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 34787 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 33402-3366 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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)904-4001 Whole Food Market and its subsidiaries 550 Bowie Street ustin, T 78703 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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)904-4001 Whole Food Market Linda Belinsky 2635 S. State Road 7 Wellington, FL 33414 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 33417 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN
GEN'L GGREGTE LIMIT PPLIES P: HIRED CTIFICTE OF LIBILITY INSURNCE MED EP (ny one person) PSONL & DV INJURY GENL GGREGTE PRODUCTS - COMP/OP GG SUBJECT TO INSUR : 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT * P RENCE BODILY INJURY PROPTY DMGE ECH RENCE GGREGTE E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT DTE THIS CTIFICTE IS ISSUED S MTT OF INFORMTION ONLY ND CONFS NO RIGHTS UPON THE CTIFICTE HOLD. THIS CTIFICTE DOES NOT FFIRMTIVELY OR NEGTIVELY MEND, ETEND OR LT THE COVGE FFORDED BY THE POLICIES INSUR F : COVGES CTIFICTE NUMB: Master 15/16 Revised REVISION NUMB: THIS IS TO CTIFY THT THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE NMED BOVE FOR THE POLICY PIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TM OR CONDITION OF NY CONTRCT OR OTH DOCUMENT WITH RESPECT TO WHICH THIS CTIFICTE MY BE ISSUED OR MY PTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEIN IS SUBJECT TO LL THE TMS, LTR TYPE OF INSURNCE WVD POLICY NUMB POLICY EP GENL LIBILITY SUBJECT TO INSUR : 07/01/2015 07/01/2016 ECH RENCE COMMCIL GENL LIBILITY PREMISES (Ea occurrence) DED RETENTION WORKS COMPENSTION ND EMPLOYS' LIBILITY NY PROPRIETOR/PRTN/EECUTIVE OFFIC/MEMB ECLUDED? N / DESCRIPTION OF OPTIONS below * P RENCE CONTCT NME: F INSUR(S) FFORDING COVGE INSUR : INSUR B : INSUR C : INSUR D : INSUR E : DESCRIPTION OF OPTIONS / LOCTIONS / 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 33401 THE EPIRTION DTE THEOF, NOTICE WILL BE DELIVED IN