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"1 CELESOU-01 <br />CERTIFICATE OF LIABILITY INSURANCE <br />SGIDDEN <br />DAT2YYri <br />8126/2D2812020 <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 endorsements . <br />PRODUCER <br />COBIA Insurance Agency <br />4450 W. Eau Gallte Blvd. Suite 115 <br />Melbourne, FL 32934 <br />fifflACT <br />PHONE FAX _ <br />(A/C, No, Eat): (321) 914-0806 L,NNoZ(321) 989-0338 <br />� 'jss, service@coblainsurance.com <br />___ •_----- ___,..INSURER(S)AFFORDING COVERAGE <br />NAIC k <br />_,._. � <br />INSURERA:ASCBnCiahtgc!MmerctalIns. Inc. <br />— <br />13683 <br />INSURED <br />Celebration Source Inc. <br />859 Tyler St. <br />Hollywood, FL 33019 <br />_ <br />_tN(l gR e <br />INSUREM..._.,, <br />INSURER D : <br />-� - ` <br />-- — ----- <br />INSURERE: <br />- <br />INSURERF: <br />COVERAGES CFRTIFICATF NI IIUIRFR• Dovtarnal kit 111,110e0. <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 />ILTR NSR <br />TYPE OF INSURANCE <br />INSO <br />SUER <br />WVO <br />POLICY NUMBER <br />POLICY EFF <br />-POLICY EXPVy, <br />LIMITS <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE OCCUR <br />:vlPREMISES <br />—•.---__..._. <br />f <br />EACH OCCURRENCE <br />$ <br />DAMAGE TO RENTED c <br />$ <br />MED EXP (Any one arson <br />8 <br />PERSONAL & ADV INJURY <br />EN'L AGGREGATE LIMIT APPLIES PER: <br />POLICY jp8 LOC <br />I OTHER: <br />.,GENERALAGGRE E <br />_P.�ODUCTS_COMPIOP AGG <br />_ <br />$ <br />A <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />0RES ONLY X SCHEDULED <br />��pp��pp UpTNO.p$yyNN pp <br />AUTOS ONlY AUTOS ( <br />I <br />CA-50293-0 <br />61712020 <br />617/2021 <br />COMBINED SINGLE LIMIT <br />_(Ea acgdent)_ <br />BODILYINJUR�Per rson)__a- <br />1,000,000 <br />BODILY INJURYPer aoddant <br />_.. <br />Pea E t AMAGE <br />$ �- - <br />UMBRELLA LIAR <br />EXCESSLIAB_ <br />_ <br />OCCUR <br />CLAIMS -MADE <br />EH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />DED RETENTION $ <br />$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />ANY PROPRIET R/PARTNERIEXECUTIVE <br />�FFICER�MEMB EXCLUDED? <br />(Mandatory In N ) <br />If s, de —le, under <br />D CRP OF OFbelow <br />N 1 A <br />I[ <br />PER OTH• <br />E.L. EACH ACCIDENT <br />— --• <br />_ <br />E,L DISEASE - EA EMPLOYE <br />$ <br />E.L. DISEASE -POLICY LIMIT <br />S <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more specs Is required) <br />Proof of Insurance <br />ArnRn 99 19n4RlA9% <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 />V IVUH-2015 ACORD CORPORATION, All rights reserved. <br />The ACORD name and logo are registered arks of ACORD <br />(� rm-o-� �_ °� V - �' €x.c UGC. . <br />