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AC RD CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDNYYY) 1/17/2019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER NAME: Nikki Alexander LRA Insurance AHCNE0 Ext: (407)838-3445 nrc,No: (407)838-3460 498 S Lake Destiny Drive E-MAIL NAlexander@LRAinsurance.com ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC#� Orlando FL 32810 INSURER A:Hallmark Specialty Insurance Co. 26808 INSURED INSURERB:Bridgefield Casualty Ins Co 10335 Titan Fire Systems, LLC INSURERC:Hiscox Insurance Company, Inc. 10200 395 South Range Road INSURERD:The Ohio Casualty Insurance Co. 24074 INSURER E: Cocoa FL 32926 INSURERF: COVERAGES CERTIFICATE NUMBER:18/19 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR S POLICY NUMBER MMIDDNYYY MWDDIYYYY X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 A CLAIMS-MADE ❑X OCCUR DAMAGE TO RENTED 100,I PREMISES Ea occurrence $ 77GLO18DC66 12/1/2018 12/1/2019 MED FRCP(Any one person) $ Excluded PERSONAL&ADV INJURY $ 1,000,000 GENIAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ 2,000,000 OLOC 2,000,000POLICY �PR OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S Ea accident ANYAUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) S AUTOS AUTOS NON-OWNED PROPERTY DAMAGE HIREDAUTOS AUTOS Per accident S S UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 A E EXCESS LIAB CLAIMS-MADE AGGREGATE S 5,000,000 DED X RETENTIONS 0 77HX189OFS 12/1/2018 12/1/2019 $ WORKERS COMPENSATION X PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 B OFFICERIMEMBER EXCLUDED? ❑ N/A (Mandatory in NH) 0196-44680 12/1/2018 12/1/2019 E.L.DISEASE-FA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S 1,000,000 C Professional Liability ANE2117555.18 12/1/2018 12/1/2019 Aggregate&Each Claim Limit $ 1,000,000 D Inland Marine BM0 58435101 1/29/2019 1/29/2020 Rented/Leased Equipment Umit $ 100,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) I CERTIFICATE HOLDER CANCELLATION j SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Zep�Lyrhills THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN 5335 8th Street ACCORDANCE WITH THE POLICY PROVISIONS. Zephyrhills, FL 33542 AUTHORIZED REPRESENTATIVE r� B Formichella/NIKKI 60Ahm ,�rliyXw� � ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD INS025(201401)