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i- C i ''' - ORO® CERTIFICATE OF GARAGE INSURANCE DATE(lAWDDIYYYY) 10/7/2015 :i .4 IS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS +: RTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES I - .:ELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED f .," -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 endorsement(s). PRODUCER I NTACT NAME: Patti Tommaso Blackadar Insurance Agency, Inc. (A/C No Ext1.407-831-3832 ((A/c.No):407-830-46E1_ 1436 N Ronald Reagan Blvd E-MAIL 1, Longwood FL 32750 AoDRESS:patti2blackadar.com '.s, INSURER(S)AFFORDING COVERAGE NAIC i INSURER A:Auto-Owners Insurance , 8988 . INSURED INSURERB:Business First 11697 HG2 Emergency Lighting, LLC INSURER C: 477 N. Semoran Blvd INSURER D: • Orlando FL 32807 f INSURER E: ' _INSURER F: I COVERAGES I CUSTOMER ID; HG2EMER-01 CERTIFICATE#:346542336 REVISION*: 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. DISH -'ADDLSUBR POLICY EFF POLICY EXP TYPE OF INSURANCE INso MD POLICY NUMBER (MMIDD/YYYY) {MIWDDIYYYY) LIMITS • GARAGE LIABILITY 5050685400 10/7/2015 10/7/2016 AUTO ONLY(Ea accident) 51,000,000 ALL OWNED HIRED AUTOS AUTOS ONLY NON-OWNED AUTOS EA ACCIDENT 51,000,000 �� USED IN GARAGE BUSINESS OAUTO THAN JAGGREGATE $2,000,000 A GARAGE KEEPERS LIABILITY 5050605400 10/7/2015 10/7!2016 ' OOTTCPI LOC ■ 150,000 LEGAL LIABILITY ■ SPECIFIED LOC - 1' X DIRECT BASIS F� © COLLISION LOC ! 5150 000 1 PRIMARY n EXCESS LOC S A GENERAL LIABILITY 5050685400 10/7/2015 10/7/2016 EACH OCCURRENCE $1,000,000 'iiik• x COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED I k' $PREMISES Ea Occurrence 300,000 •4, CLAIMS-MADE X OCCUR MEDEXP(Any one person) IS10,000 PERSONAL B ADV INJURY I$1,000,000 • GENERAL AGGREGATE $2,000,000 GEN L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OP AGG $2,000,000 • . POLICY n Floc PRO- LOC PCT S UMBRELLA LIAB OCCUR I— .— EACH OCCURRENCE 5 EXCESS LWB CLAIMS-MADE AGGREGATE $ DOD 1 RETENTIONS . I$ B WORKERS COMPENSATION 52110604 9/11!2015 9!11/2016 X WCSTATU• 10TH - 9/11/2015 EMPLOYERS'LIABILITY TORY L1MIT3- EP. ANY PROPRIETOR/PARTNER/ExECUTIVE E.L EACH ACCIDENT $100,000 OFFICERNEMBEREXCLUDED? Y/N N/A • (Mandatory In NH) E L DISEASE-EA EMPLOYEE$100,000 Ii yes,describe under REMARKS below E L DISEASE-POLICY LIMIT $500,000 RKS (Attach ACORD 101,Additional Ramarka Schedule,H more apace Is required) „City of Kissimmee is named as an Additional Insured with respect to Liability including Blanket Waiver of Subrogation. . :.. CERTIFICATE HOLDER CANCELLATION City of Kissimmee SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 101 Church Street THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Kissimmee FL 34741 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE •• I - . ®2010 ACORD CORPORATION. All rights reserved. ACORD 30(201 W12) The ACORD name and logo are registered marks of ACORD S 1 B •