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Client#: 13062 b3;7_ \OeI3FiIl ACORD") CERTIFICATE OF LIABILITY INSURANCE DA 12J0212013 02/2013 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(ies) must 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 endomement(s). PRODUCER Cypress Insurance Group PO Box 9328 CONTACT N Jeanne B. Bender AME PHONE N 954 771 -0300 ( o 954772 9424 AIC No Eat: AIC : ADDRESS. jeanneb @cypressinsurance.com Fort Lauderdale, FL 33310 -9328 954 771 -0300 INSURER(S) COVERAGE NAICP INSURER A: Phoenix Ins urance Company s1000000 INSURED INSURERB: Ohio Security Insurance Company SLOFXP A-ry me oennnl Craig A. Smith &Associates PO Box 880128 Ohio Casualty Insurance Company INSDRERC: •J p S I OOO U00 GENERAL AGGREGATE Boca Raton, FL 33488 INSURERD: LIMIT APPUEs PEx PRO LOC JECT PRODU TS- COMP/OP AGG 52000,000 INSURER E: B INSURER F: Y ANYAUTO AUTOS NED X AUiOCS n cn HIRED AUTOS X NON -0WNED AUTOS COVERAGES CERTIFICATE NUMRFRe RNICION NIIaARFR• 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 CONTRACTOR 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. UMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE DD NS UB WVO- POLICY NUMBER POLICY EFF N.WD POLICY EXP My D,JTS A GENERAL LIABILITY X COMU.ERCIAL GENERAL LIABILITY C I`IADE ❑X OCCUR 6600505M2249PHX13 2/01/2013 12101/201 s1000000 oEpACx�aECCURgRENC_ PRFAI'IA— M —MISES Eaomarar,w 5100,000 SLOFXP A-ry me oennnl 55000 PERSONAL d ADV WNRY S I OOO U00 GENERAL AGGREGATE S2 DOO 0900 GEa1 AGGREGATE ACT, LIMIT APPUEs PEx PRO LOC JECT PRODU TS- COMP/OP AGG 52000,000 S B AUOMOSILELIARILI X Y ANYAUTO AUTOS NED X AUiOCS n cn HIRED AUTOS X NON -0WNED AUTOS BAS53319679 2/01/2013 12/01/201 ELO,"ENNEON un' s1,000,000 BDDSY WJURY IP >p -sun) S BOE[.Y VU IRY Fr acoCaN) I s PROPERTYDAMAGE Para M s IS C �( UNaRELLA LIAR IXCESS LIAR occuR )( CWMS -MADE EU054645021 2/0112013 12/01 /201 EACH occu NcE s5000000 AGGREGATE SS 000,000 DED I X RETENDONSO Is WORKERS COMPENSATION AND ENPLOYERS' UABRfiI' ANYPROPRIEFOWARTNER- ECUNEY/N OFTICERAAEMBER EXCLUDED? (MyaaM.amry M NH) OEBCRRTK)N OF OPERATIONS W. NIA IWC STATLL OT!! -I EL EACH ACCIDENT I5 EL DISEASE - EA W!PLOYEEI S EL DISEASE- POLICY DMIT S DESCRIPibN OF DPErtgTIONSI LOCATONS /VEHICLES (Attacx ACORO f 01, AEeitlenal Remarb ScpaGUla, it mon spaw u repuUeE) SHOULD ANY OF THE ABOVE DESCRIBED POUCHES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED 1.4 Proof Of Insurance ACCORDANCE WITH THE POLICY PROVISIONS. AUT-iORIBM REPRESENTA TIV E JJ I 01988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) 1 of 1 The ACORD name and logo are registered marks of ACORD #S163146IM162748 CC Craig A. Smith & Associates, Inc. RFQ No. 14 -07 -02 Page 8