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��ORtd0, CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD/YYYY) OF INSURANCE 8/19/2022 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 NAME: Cynthia Casanova Arthur J. Gallagher Risk Management Services, Inc. PHcON 501 Riverside Ave o Ext :8I3-367-5601 ac No :9O4-634-1302 EL ADDRIESS: Cynthia casanova@ajg.com Suite 1000 Jacksonville FL 32202 INSURER(S) AFFORDING COVERAGE NAIC# INSURER A: Admiral Insurance Company 24856 GENERAL AGGREGATE $2,000,000 INSURED DISAOPE-01 INSURER B: StarStone National Insurance Company 25496 Disaster Program & Operations, Inc AUTOMOBILE X X Xact Recovery INSURER C: Maxum Indemnity Company 26743 INSURER D: Old Dominion Insurance Company 40231 10033 Sawgrass Drive W. Ste. 121 Ponte Vedra FL 32082-2832 INSURER E : Zenith Insurance Company 13269 INSURER F BODILY INJURY (Per person) $ COVERAGES CERTIFICATE NUMBER: 443194135 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. INSR LTR OF INSURANCE ADDLTYPE INSD SUER POLICY NUMBER MMIDD� POLICY EXP MM/DD/YYYY LIMITS C X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE PC] OCCUR TBD 8/19/2022 8/19/2023 EACH OCCURRENCE $1,000,000 DAMAGES (RENTED PREMISES Ea occurrence) $ 100,000 MED EXP (Any one person) $ 5,000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO LOC X JECT OTHER: GENERAL AGGREGATE $2,000,000 PRODUCTS -COMP/OPAGG $Included $ D AUTOMOBILE X X LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY B1T6575Z 8/19/2022 8/19/2023 COMBINED SINGLE LIMIT $ 1,000,000 Ee accident BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ Per accident B X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE TBD 10/3/2022 8/19/2023 EACH OCCURRENCE $1,000,000 AGGREGATE $ 1,000,000 DED I I RETENTION $ $ E WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y I N ANYPROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA Z137927902 8/19/2022 8/19/2023 I X STATUTE ETH E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 I E.L. DISEASE - POLICY LIMIT 1 $1,000,000 A Consultant Professional Liability Retroactive Date: 8/19/2016 TBD 8/19/2022 8/19/2023 OCC/AGG $1,000,000 Deductible per claim $2,500 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Proof of Coverage AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD