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DATE(MMIDD/YYYY) A�® CERTIFICATE OF LIABILITY INSURANCE 09/24/2020 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 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 Wendy Robertson NAME: Brown&Brown of Florida,Inc. AHCNNo Et: (407)660-8282 FA/c,No): (407)660-2012 2290 Lucien Way E-MAIL wrobertson@bbodando.com ADDRESS: Suite 400 INSURERS)AFFORDING COVERAGE NAIC# Maitland FL 32751 INSURERA: Zurich American Insurance Co. 16535 INSURED INSURER B: North River Insurance 21105 Goff Communications,Inc. INSURER C: Lloyds of London 22000 6448 Parkland Drive INSURER D: INSURER E: Sarasota FL 34243 INSURER F: COVERAGES CERTIFICATE NUMBER: CL2092324775 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 AUULhUhR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MMIDD/YYYY MMIDDIYYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRMAGE TO ENCE $ 2,000,000 CLAIMS-MADE OCCUR PRTA EMISES Ea occurrence $ 500,000 MED EXP(Any one person) $ 10,000 A GLO4987217-02 10/01/2020 10/01/2021 PERSONAL&ADV INJURY $ 2,000,000 GEN'LAGGREGATE LIMITAPPLIES PER: GENERALAGGREGATE $ 4,000,000 POLICY�JRO- ECT LOC PRODUCTS-COMP/OPAGG $ 4,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 2,000,000 Ea accident Ix ANYAUTO BODILYINJURY(Perperson) $ AOWNED SCHEDULED BAP 4987219-02 10/01/2020 10/01/2021 BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED �/ NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY /� AUTOS ONLY Per accident UMBRELLA LIAB M OCCUR EACH OCCURRENCE $ 10,000,000 B X EXCESS LIAR CLAIMS-MADE 5821148511 10/01/2020 10/01/2021 AGGREGATE $ 20,000,000 DED I I RETENTION$ EXCESS OF $ GL,AUTO,WC WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ N/A E.L.EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ Professional and Pollution Liability Each Claim $5,000,000 C B0621 PGOFF0001 20&00320 06/01/2020 10/01/2021 Aggregate $5,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) License Qualifiers: James E.Goff,CGC058267& Douglas L.Smith,EC13004137 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE 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 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD