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I ® DATE(MWDDIYYYY) A`oRV CERTIFICATE OF LIABILITY INSURANCE 12/11/2019 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(les)must have ADDITIONAL INSURED provisions or 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 CONTACT Lisa MacDonald AAI CISR NAME Brown&Brown Insurance of Delaware Valley PnHic No Ex , (732)504-2001 A/C No): (732)504-2011 2000 Midlantic Dr,Suite 440 E-MAIL Imacdonald@bbdvins.com ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC 0 Mt Laurel NJ 08054 INSURER A: Gotham Insurance Company 25569 INSURED INSURER B: United States Fire Insurance Company 21113 Pro Custom Solar LLC dba Momentum Solar INSURER C: Lloyd's dba Momentum Home INSURER D: 8248 Parkline Blvd.,Suite 100 INSURER E: Orlando FL 32809 INSURERF: COVERAGES CERTIFICATE NUMBER: 19-20 Master FL 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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 OFINSURANCE POLICY EFF POLICY EXP LIMITS LTR INSD WVD POLICY NUMBER MWDD MMIDDNYYY COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE ®OCCUR PREMISES Ea=rence $ 100'000 MED EXP(Arty oneperson) $ 5,000 A GL201900010726 12/12/2019 04/21/2020 PERSONAL&ADV INJURY $ 1,000.000 M 'LAGGREGATELIMITAPPLIESPER GENERALAGGREGATE $ 2,000,000 POLICY ECT LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 Ea accident ANYAUTO BODILYINJURY(Perperson) $ g OWNED SCHEDULED 133-745523-3 04/21/2019 04/21/2020 BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident H $ UMBRELLALIAB X OCCUR EACH OCCURRENCE $ 5,000,000 A EXCESS LIAB ICLAIMS-MADE UM201900004884 12/12/2019 04/21/2020 AGGREGATE $ 5,000,000 DED I X RETENTION$ 10,000 $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY YIN STATUTE ER ANY PROPRIETOR/PARTNERIEXECUTIVE ❑ NIA E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ Professional Liability Limit 1,000,000 C Claims Made ANE1860007.18 12/12/2018 04/21/2020 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) Cameron Christensen:CVC57036 Matthew Franz:EC13008217 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THEABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN City of Zephyrhills ACCORDANCE WITH THE POLICY PROVISIONS. 5335 8th Street AUTHORIZED REPRESENTATIVE Zephyrhills FL 33542 — — 01988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD