|
It A S L MOORE STEPHENS
<br /> LOVELACE CPAS & ADVISORS
<br /> REQUIRED FORMS - CERTIFICATE OF INSURANCE
<br /> Please note: The City will be added as an additional insured to MSL's insurance once we have been
<br /> 1 awarded the audit contract.
<br /> ACORD CERTIFICATE OF LIABILITY INSURANCE I
<br /> 12/29/2015
<br /> « .
<br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS
<br /> CERTIFICATE DOES NOT AFFIRIAATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
<br /> BELOW. THLS CERTIFICATE OF DNSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
<br /> REPRESENTATIVE OR PRODUCER.AND THE CERTIFICATE HOLDER.
<br /> i • IMPORTANT: U the certificate holder is a,ADDITIONAL INSURED,the Policy(ies)rust be endorsed. D SUBROGATION IS WANED.Pitied to
<br /> the terms and conditions of the policy.certain policies may require an esdorsanent A statemerd on this certificate does riot confer rights to the
<br /> certificate holder in lieu of such endorsernecd(s).
<br /> F100XER Pr C.0.0•41 Bowl Sc siur
<br /> Arit'.ur J.Garagher Risk Management Services,Inn. Twee 407-553.354a -r•• 407-370 3057
<br /> 200 S Orange Avenue-Suae 1350 rarc,,n,
<br /> 1 Orlando FL 3280 t RDZell Samar fpaq.00m— — —.— ——
<br /> wsL*sgst"`o!tooa-w IA044 .Ac a
<br /> "mail Pt• Depositorslraurance Company 42587
<br /> moon MOORSTE-01
<br /> eesUlmte-ALiI ED_Property 8 Casua:y Instuax '42579 _
<br /> 1 Moore Stephens Lovelace PA ro)Uac:Farmington CasuaSy Company_ _ — _ 41483
<br /> 255 S.Orange Ave,Suae 600 —
<br /> Orarao,FL 32801 *Or
<br /> AMPLER I:
<br /> _ertn r'
<br /> COVERAGES CERTIFICATE NUMBER:288292864 REVISION Nj►MBER:
<br /> THIS IS TO CERTIFY THAT THE POLICIES OF WSLRUaCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NALCO ABOVE FOR THE POLICY PERIOD
<br /> O�ICATED. NOWATHSTArEmG ANY REOUREMENT,TER II OR=NOTION OF ANY CONTRACT OR OTHER DOCULIENT WITH RESPECT TO WNCOI TIES
<br /> CERTIFICATE MAY BE rSSUED OR HAY PERTAIN.TIE INSURANCE AFFORDED BY T1¢POLICIES DESCREBED FEREUI LS Sl8¢CT TO ALL THE TERNS.
<br /> EXCLUSIOFC ArDCO IOT1OHS OF SUCH POLICIES.MUM SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br /> °i ttI need,e+sIAANCE i. 1 Tar.WNW* Ily 'ry,1I ,,,�0 r••-,'�I Lows
<br /> • x I CC 0*1.OENERAL UA SPY ' I I ACD BDOD 3726433245 I t1/1Y_'OtS u1s'201e
<br /> I f 1,000
<br /> .00
<br /> D
<br /> ;BALI ALE rc REN:1- -
<br /> Ij:.AJR-LICE 1. 1 O:CuR •
<br /> I ! .m.,TsC.¢v,—,_ tzo.tec
<br /> I LED CAP(Aor o-cror _!MCC
<br /> ■PE7SC.x a v:.LAa. 110000O3
<br /> GE17•,:.iA E.a:i_UT.toLJES CITFAAL AG-ZCA:E ,2,000.OW
<br /> EXUC'r{ ( _I LOC .T T .ocarsco.GG t2.tE0,c03
<br /> I l art. I i I I I+
<br /> A AUr0r0est!W RLRY ' ! I ACP 9APO 501ea31f:45 1 11J13.7.015 12.1S:015 t �.ti-.L'A• 1 1 1.000,000
<br /> 4N.rC nom.HART P oa•.a1 +
<br /> I :ll•gra) 1 x; . .-ED !am:,,LA41 F'n roam;+
<br /> II-utFCD3AL: :x;.IOT:�O:.fQ, ' i P�lE4TTS k 1
<br /> I I 1+
<br /> B ) AaeaAE.LA llAB 129 I,,,;�a 1 IACP CAP 3C2E413245 1 1111517015 12nsR015 I Era,OU7taE I iS,000.000
<br /> I I4 n—teTSi—uAe II coos-CE: I I AJCCEG.rF ss.oOO.Dao
<br /> 11-11 ---I 1 1
<br /> C women 00rsENLL110M I i ILAL1ELMe8T7tt915 I11:2015 Y1:201e 1 x I s-Gi•.lC�L H_ I
<br /> i ur0 E7PC•r' 'LasmUTY •NMI 1
<br /> AS-I.tCPeiE�RPA de er ECLTArE 1 ! i El EA3•A OE.1T I t I,000.tx70
<br /> 0-YC .A4V3E.Ex�LOED• I© M'• t
<br /> Psiedstan •
<br /> tr aun I E I DSEASE•EA E•9_DYE;z 11p00.000
<br /> 7E'SCPI,7 ON 0.CPF4 S .e,S bb. . I i I I El DSEASF-Mu'..''LAA"111:010 CEO
<br /> ' I
<br /> I
<br /> OOUrvnOn 7 OPElUTlpws r LOCATCI6+vF)YL7,l3 IACdeD IN.Aaafen.l burr scrofula.may r vcrra.err s.0 n r.pr1.dI
<br /> 1
<br /> CERTIFICATE HOLDER CANCELLATION
<br /> SHOULD ANY OF THE ABOVE DESCRIBE°POLICIES BE CANCELLED BEFORE
<br /> THE !imitation DATE THE,ROe. MOTTLE WILL BE DELVERED IN
<br /> For 10UStratrve Purposes ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> I '. ,AUPOr�D CElgtENTATNE
<br /> ;}y lr_�` .
<br /> ,'Ti .
<br /> r
<br /> 0 1988.2014 ACORD CORPORATION. All rights reserved.
<br /> ACORD 25(2014101) The ACORD name and logo are registered marts of ACORD,_ .
<br /> I . . . _
<br /> yVraN/!,r
<br /> 1 -
<br /> 1 f
<br /> t f )
<br /> " L f -
<br /> 501 1
<br /> .,-._,,,,,i„.
<br /> 1 sip
<br />
|