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ACOR 7 e `� CERTIFICATE OF LIABILITY INSURANCE DATE(MMMDIVYYY) 01/05/2021 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(les) 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 Ton C NAME: y annizzaro PHtC,ONE (386) 775-1781 ac Nei: (386) 775-3666 ,tleP.O. First Commercial Insurance Agency a Mp IL , insuranceguy@cfl.rr.com Box 295 INSURER(S) AFFORDING COVER AGE NAICH EACH OCCURRENCE $ 1,000,000 INSURER A: CERTAIN UNDERWRITERS AT LLOYD'S, LONDOI AA -1128623 Cassadaga FL 32706 INSURED INSURER 9 : INSURER 0: The Amusement Source LLC INSURER D: 859 Tyler St. INSURER E: INSURER F: Hollywood FL 33019 COVERAGES CERTIFICATE NUMBER: 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. ILSR TYPE DD POLICY NUMBER POLICY EFF MMIDDNY V LIMITS A X COMMERCIAL GENERAL LIABILITY X CLAIMS -MADE OCCUR X Retroactive Date: 10/28/2020 X 3 Year Auto ERP ZISMB1112 01 10/28/2020 10/28/2021 EACH OCCURRENCE $ 1,000,000 pREMSESTOREoccu encs $ 300,000 MED EXP (Any one person) $ EXCLUDED PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY ❑ JECTPRR LOC OTHER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 $ AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY COMBINEDSINGLELI T $ Ea accident BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ Per accident UMBRELLA LIAR EXCESS LIAR OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE s DED I I RETENTION $ Is WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY OFFICERIMEMBER EXCLUDEDPROPRIETORIPARTNERIEX? ECUTIVE ❑ (Mandatory in NH) If yas, describe under OESCRIPTIONOFOPERATIONS below NIA PER OTH- STATUTE ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ E,L.D18EASE-POLICY LIMIT $ A Accident Medical ZAH372 01 10/28/2020 10/28/2021 Limit $25,000 DESCRIPTION OF OPERATIONS/ LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if mora apace Is required) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN FOR INFORMATION PURPOSES ONLY ACCORDANCE WITH THE POLICY PROVISIONS, AUTHORIZED REPRESENTATIVE ©1988.2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are regia ered arks of ACORD �0 � I a _-� 1