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' 1 <br /> AC o® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDNYYY) <br /> 06/25/2019 <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS <br /> CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br /> BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED <br /> REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. <br /> IMPORTANT. If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. <br /> If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on <br /> this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br /> PRODUCER CONTACT Linda Nelson <br /> NAME: <br /> Brown&Brown of Florida,Inc. PHONE (407)660-8282 (FAX <br /> A/C No, <br /> o Ext: C,No (407)660-2012 <br /> 2290 Lucien Way E-MAIL Inelson@bborlando.com <br /> ADDRESS: <br /> Suite 400 INSURER(S)AFFORDING COVERAGE NAIC# <br /> Maitland FL 32751 INSURERA: Philadelphia Indemnity Ins.Co 18058 <br /> INSURED INSURERB: Associated Industries Ins.Co. 23140 <br /> Advanced Compatible Solutions,Inc. INSURER C: Hartford Fire Insurance 19682 <br /> 931 S Semoran Blvd INSURER D: <br /> Suite 204 INSURER E: <br /> Winter Park FL 32792 INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: CL1962520086 REVISION NUMBER: <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br /> INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> INSR AUUL 51.113K POLICY EFF POLICY EXP <br /> LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS <br /> X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 <br /> RENTED <br /> CLAIMS-MADE ®OCCUR DAMAGEEa occurrence S 100,000 <br /> PREMISES <br /> MED EXP(Any one person) S 5,000 <br /> A PHPK2001478 06/26/2019 06/26/2020 PERSONAL&ADVINJURY S 1,000,000 <br /> GEN'LAGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE S 2,000,000 <br /> POLICY JERCOT- 7 LOC PRODUCTS-COMP/OP AGG S 2,000,000 <br /> OTHER: S <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S 1,000,000 <br /> Ea accident <br /> X ANYAUTO BODILY INJURY(Per person) S <br /> A OWNED SCHEDULED PHPK2001478 06/26/2019 06/26/2020 BODILY INJURY(Per accident) S <br /> AUTOS ONLY AUTOS <br /> X HIRED �/ NON-OWNED PROPERTY DAMAGE S <br /> AUTOS ONLY /� AUTOS ONLY Per accident <br /> PIP S 10,000 <br /> X UMBRELLA LIAB X OCCUR EACH OCCURRENCE S 2,000,000 <br /> A EXCESS LIAB CLAIMS-MADE PHUB682147 06/26/2019 06/26/2020 AGGREGATE $ 2,000,000 <br /> X DED RETENTION$ 10,000 S <br /> WORKERS COMPENSATION X PER OTH- <br /> AND EMPLOYERS'LIABILITY Y/N /� STATUTE I I ER <br /> B ANY PROPRIETOR/PARTNER/EXECUTIVE NIA AWC1133249 07/15/2019 07/15/2020 1,000,000 <br /> OFFICER/MEMBER EXCLUDED? E.L.EACH ACCIDENT S <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE S 1,000,000 <br /> If yes,describe under 1,000,000 <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S <br /> Crime Employee Dishonesty $1,000,000 <br /> C 21 FA0291230-18 06/26/2018 07/10/2019 <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN <br /> Fire Marsha)!AHJ Example Certificate of Insurance ACCORDANCE WITH THE POLICY PROVISIONS. <br /> AUTHORIZED REPRESENTATIVE <br /> @ 1988-2015 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD <br />