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JFBCONS-01 <br /> CERTIFICATE OF LIABILITY INSURANCE OAT61312020fI^n <br /> 6«rzoao <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 polloy(les)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 andorsemnn s. <br /> PRODUCER RE- <br /> CT Suzanne Nelson <br /> CAL Risk Management i��E,c. 861 868-6291 F�No:661 427-8730 <br /> 23 Egenfuskes Street <br /> Suite 102 .Sneison@callic.com <br /> Jupiter,FL 33477 <br /> INSURERISI AFFORDING COVERAGE NAIC i <br /> INSURER A.Peleus Insurance Company <br /> INSURED w B:Owners Insurance Company 32700 <br /> JFS Construction&Development Inc. INsuRm C:Insurance Comimny of the West -27847 <br /> 656 Hypoluxo Road <br /> Suite B INS D: <br /> Lantana,FL 33462 1 INSURER E: <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: 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 /> tNSRATR; TYPE OF INSURANCE ADOL SUB POLICY NUMBER POLICY EFF POLICY ow LRARS <br /> A X COMMERc1AL0ENERALLIABILITY ? EACHOCCURRENCE 1,000,000 <br /> OCCUR100,00CWMS-MADE 11112120191111i2C2020DAMAGEOEND s <br /> i ! �ME—D EXP fArn one person) 6,60 <br /> I I PERSONAL&AOV INJURY $ 1,000,000 <br /> GEN'LAGGREGATEUMITAPPLIE.,^^PER: _GENERAL AGGREGATE 200001000 <br /> POLICY�X j J LOC PRODUCTS-COMPQPAGG 2,000,000 <br /> OTHER:$5,000,000 Cap ' <br /> g I i COMBINED SINGLE LIMn ? 1,000,000 <br /> 000 <br /> ^AOTOMOBILE LIABILITY I # PE0_a r i <br /> X;ANYAUTO ( 15204MSDO 1 1111212019:11h212020 tE BODILY INJURY(Per terser <br /> OWNED s SCHEDULED i 1 s i <br /> AUTOS ONLY AUTOS I 'BODILY INJURYPar GwId <br /> HMRE� - N Y V I P OPERdY AMAGE <br /> AUTOS ONLY A j acd ent <br /> PIP = 10,000 <br /> A UMBRELLALuw X OCCUR FACHOCCURRENCE 2,00O,000 <br /> X I EXCESS LAB CLAIMS-MADE' XS173913 1111212019 11/1212020 $ 2,000,000 <br /> DED I RETENTION$ 0 <br /> C WORKERS COMPENSATION �( ER dTH- ' <br /> AND EMPLOYERS 1191Y <br /> ANpY�PROPRIETORIPARTNER/EXECUTIVE Y-, : L604400601 11f12f2019(111121Z020 E.L.EACH ACCIDENT 1,000,000 <br /> I Afitietory In NW)IXCLUDED7 L_l NIA: <br /> ilfyyCes,desGibeunder I E.L.DIS E-EAEMPLOYE 1,000,000 <br /> DESCRIPTt OF E S be t E.L.DISEASE-POLICY LIMIT S 1,000,000 <br /> s I <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES Insured <br /> 101,Additlmd Remarks Sftdulo may be attatdsed If more space Is mqulmd) <br /> The certificate holder Is Included as additional insured for ongoing operations&completed operations on the general liability per forms CG2010 0413& <br /> CG203T 0413 and an additional Insured on the Auto Liability when required by written contract General Liability Is primary and non-contributory when <br /> required by written contract Waiver of subrogation applies to general liability,auto liability and workers compensation when required by written contract. <br /> Excess Liability extends over general liability,auto liability and employer's liability.Cancellation per policy terms and conditions. <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> CI ofYe h rhllis—Building Dept THE EXPIRATION DATE THEREOF, NOTICE WILL. BE DIEWERED IN <br /> City p y g P ACCORDANCE WITH THE:POLICY PROVISIONS. <br /> 6336 8th Street <br /> Zephyrhilis,FL 33542 <br /> AUTHORIZED REPRESENTATIVE <br /> ACORD 25(2016103) 01988-2016 ACORD CORPORATION. All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br />