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DATE(MM/DDIYYYY) A�" CERTIFICATE OF LIABILITY INSURANCEF6/18/2020 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 NAME: Certificate Department She Insurance Group, Inc. FAX cAc Noxt No:407-774-09361021 Douglas Ave. Altamonte Springs FL 32714 AD ESS: certificates@sihie.com INSURERS AFFORDING COVERAGE NAIC# INSURER A:Fireman's Fund Insurance Co. 21873 INSURED NELSTEN-01 INSURERB:American Automobile Insurance Company 21849 Nelson's Tents&Events Inc. INSURERC:National Union Fire Insurance Co.of Pittsburgh 19445 1153 Ocoee Apopka Road Apopka FL 32703-9201 INSURER D:BusinessFirst Insurance Co. 11697 INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER:289448139 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 AD L SUBR POLICPOLICY NUMBER MMIDDY EFF MM1DCD1 EXP LIMITS LTR A X COMMERCIAL GENERAL LIABILITY UST005212200 1/1/2020 1/1/2021 EACH OCCURRENCE $1,000,000 DAMAGE TO RENTeD_ CLAIMS-MADE FK OCCUR PREMISES Ea occurrence $100,000 MED EXP(Any one person) $10,000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $2,000.000 POLICY❑ PRO JECT ❑LOC PRODUCTS-COMPIOPAGG $2,000,000 X OTHER: $ B AUTOMOBILE LIABILITY SCV0030572001 1/1/2020 1/1/2021 COMBINED SINGLE LIMIT $1,000,000 Ea accident ANY AUTO - BODILY INJURY(Per person) $ OWNED X SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per acc dent FL PIP $10,000 C X UMBRELLALIAB X OCCUR BE012781087 1/1/2020 1/1/2021 EACH OCCURRENCE $9,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $9,000,000 DED RETENTION$ $ D WORKERS COMPENSATION 0521-19175 1/1/2020 1/1/2021 XTH AND EMPLOYERS'LIABILITY YIN N STATUTE ER ANYPROPRIETOR/PARTNERIEXECUTIVE E.L.EACH ACCIDENT $1,000,000 OFFICERIMEMBEREXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 A Leased/Rented Equipment UST005199200 1/1/2020 1/1/2021 Limit 527,982 Deductible $2,500 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) CERTIFICATE HOLDER . CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Zephyrhills 5335 8th Street AUTHORIZED REeRESENTATIVE Zephyrhills FL 33542 Gwµ�(a. N�b(.c_, U ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD