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ACC>RJY CERTIFICATE OF LIABILITY INSURANCE DATEIMMIDDIYYYYI <br />`,� 12/15/2020 <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 be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsement(s). <br />PRODUCER CONTACT Commercial Lines Division _ <br />Jack Rice Insurance a/c°"no E (TV) 530-0684 _ �a(c,No): 727) 532-9602 <br />E-MAIL <br />13080 S Belcher Rd Ste. H ADDRESS: _ Certificates mbahro.com <br />Largo, FL 33773 INSURER(S)AFFORDING _COVERAGE______ -- <br />OVERAGE_—___ NAIC# <br />--- <br />1W5URERa: Bndgcfield_CasualtyIns,Co_-___. 10335_ <br />INSURED INSURER e <br />Modern Business Associates, Inc. ETAL -- _ - — - -- -- - -- - <br />9455 Koger Blvd., Suite 200 INSURER c <br />St. Petersburg, FL 33702INSURrt <br />- 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 />IIT. I TYPE OF INSURANCE <br />ADDL <br />SUBRI <br />POLICY NUMBER <br />POLICY EFF <br />IMMIDDIYYY <br />POLICY EXP i -" <br />MMIDDfYW ' LIMITS <br />} GENERAL LIABILITY <br />EACH OCCURRENCE ' IS <br />COMMERCIAL GENERAL LIABILITY <br />---, ,---,y <br />E <br />� <br />_ <br />DAMAGE TO RENTED 7^-— <br />i_PREMISES Fa occurrence <br />j CLAIMS MADE j 1 OCCUR <br />' <br />! <br />_- <br />f <br />� MED EXP (Any one 5 <br />t-- t--- `-- -' <br />person) <br />s <br />--- ------ --___—---_-_.--- <br />! <br />( <br />i ! PERSONAL& ADV INJURY S <br />GENERAL AGGREGATE <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />' PRODUCTS - COMPIOP AGG 5 <br />_ <br />PODGY PRO- LOC <br />! <br />I __ <br />AUTOMOBILE LIABILITY <br />COMBINED SINGLE LIMIT <br />_-_ANY AUTO _ <br />4 <br />BODILY INJURY (Per person) IS <br />1 � ALL OWi+IED ( ;SCHEDULED <br />__._.� AUTOS _ AUTOS <br />! <br />{ <br />` <br />L_ <br />! ----'- <br />+ ( BODILY INJURY (Per amident)1 $ <br />s NON -OWNED <br />i HIRED AUTOS <br />1 <br />! <br />t— <br />PROPERTY DAMAGE I S <br />--; - ( AUTOS <br />� <br />I_(Peracciden�t_ <br />! J UMBRELLA LIAR I OCCUR <br />I <br />SS <br />`! 1 EACH OCCURRENCE ! 5 <br />--__ <br />i EXCESS LIAR I CLAIMS -MADE <br />_ <br />1 S — <br />AGGR GATE <br />+ DED 1 RETENTION $ <br />15 <br />i WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />( <br />X Vt�STATU- ' 'DTH- <br />� <br />YIN <br />ANYPROPRIETORlPXCLUDEIIXECUTIVEa <br />A I OFFICER/MEMBER EXCLUDED? <br />NIA( <br />v 0196-06932 <br />01/01/2021 <br />.4JMtU _1 _EH <br />1/1/2022 EL. EACH ACCIDENT is $1,000,000 <br />- -- <br />j (Mandatory in NH) <br />�` <br />E.L. DISEASE - EA EMPL�OYEF�f $ $1,000,000 <br />If yes,ESCdescribe OF OPERATIONS below und <br />DRIPTION er <br />1 <br />E.L. DISEASE -POLICY LIMIT i 5 I nf)O 000 <br />Iflflfj <br />+ <br />DESCRIPTION OF OPERATIONS/ LOCATIONS /VEHICLES (Attach ACORD 101,. Additional Remarks Schedule, if more space is required) <br />Workers' Compensation coverage is provided by contract to all employees of Modem Business Associates, Inc. and its wholly owned subsidiaries assigned to FloridaTours.com LLC <br />and its wholly owned subsidiaries. Coverage does not apply to any employees not approved & assigned by FloridaTours.com LLC and its wholly owned subsidiaries. Effective <br />vv2020. <br />ACORD 25 (2010105) <br />(919813-ZUIU ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />F <br />ACORD 25 (2010105) <br />(919813-ZUIU ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />