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<br />IATTACHMENT B I
<br />
<br />A~@ CERTIFICATE OF LIABILITY INSURANCE I ;;~~~M~D;~YY'
<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 AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
<br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
<br />REPRESENTATIVE OR PRODUCER. AND THE CERTIFICATE HOLDER.
<br />IMPORTANT: It the certificate holder Is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to
<br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
<br />certificate holder In lieu of such endorsement(s),
<br />PRODUCER
<br />
<br />Demont Insurance Agency & Financial Services
<br />2400 Mahan Drive
<br />
<br />CONT~CT Kristina O'Donnell
<br />
<br />-r2.g:~~~~:;;;.:I~~::o.--i.-9.4~2..~j_~~~~,-~,~.-~__:~~:~:~~-:]J~~,-~~;;.(~~~;~--4.2~!.ii~.. . .:.~-.:....- -
<br />
<br />~D~~~SS: todonnell@demontinsurance. com,___,
<br />_.~]g~g~~~I~.~p~~Xo~L:_:.~~~~::==:=-~~_=~.::-=-:=::~:-,..~=.::~_:-.:-_--.:.:..:_::':.. _ _"..
<br />
<br />H_._ __H_____ _ ..H__H___tf.'!J;y.~I:~JSL~"E.~R~I~ cO~B..~~,L_...__H____...__. .",., __!'l.I\~C:..~ _H___
<br />J!i~URER A_~~~_!_~!l~!E~__.~~~~~~.;. re__.,__.._____,__ :g?I~,N____
<br />~suj{E~..!!.Ea tJ.o~~i d~__~~~_~).__;J:E.!:!:!:l.F_a_1}9_~______,_ ?.;UJ!l1.'L___. .
<br />.J~~!!B!'R C :Landmark ~~.J._9il_I!_ Inl!_1;!.;:?~c:::~.._.______ ____..........,_..
<br />
<br />).!!~.!lB..~R.!>-'-_,.__._,..,'_........_.__...______.___.____.___.,...________.__.__.___._ ________...,
<br />
<br />_t.ClJl~!!~.~_!!. e e ______H___'. _ ..,...E~_.},~~_Qj!.________________
<br />INSURED
<br />
<br />Florida League of Cities, Inc
<br />301 S Bronough Street
<br />
<br />Tallahassee
<br />COVERAGES
<br />
<br />J!:!.~_!l.!lgf!..!;:.l..____._______.___._______.,,_._,__._._______._.,_.___._____.~__ _...__.__,._,_,.
<br />INSURER F :
<br />
<br />FL
<br />
<br />32301
<br />
<br />CERTIFICATE NUMBER'CL1l21000921
<br />
<br />REVISION NUMBER'
<br />
<br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
<br /> INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
<br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
<br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />iiisR -------..---------- Alibi SmrR~~--------.-------- -POiTcVEFf- --pom:y Exfi- .---.-,..-..----.-------.--.- ......~..-..-._._._..._.. .......-. ......
<br />L TR TYPE OF INSURANCE INS'; ~;;';D POLICY NUMBER IIMMIDDIYYVY' I IMMlDDlYYvYl LIMITS
<br /> GENERAL LIABILITY EACH OCCURRENCE S 1,000,000
<br /> --- -15AMAGr't6"fU:Nl~ti--.-'-.. ,._...._...___..___.___.._..'..A_.....,..~_
<br /> X COMMERCIAL GENERAL LIABILITY _.eR~J~L~J;.~jr;~.'!?~y'[!!'Q.~I_. ,.L___.,___~_~~!.-~.~2
<br /> .--- ~:] CLAIMS.MADE [iJ OCCUR
<br />A 7PR467721-3004 , 1/27/2011 1/27/2012 _~~i:J..~,?'f.'.<,,~lL~.~.~_P""~s_~_..... ~...._--- .", ?~,2.,O..Q
<br /> "__n__ ~".~-~--'.'.~~~_..__._----- -- PER:>..~t:I!,-_L,~ f'!),\I_I,~_~l!~~Y___ $
<br /> __~""",n~..____.._ ._--'. . '--".
<br /> !---, ~...A___.__._...__.._._._.._._._._.____.._._____.~_m__.. GENERAL AGGREGATE S 2,000,000
<br /> ~-'---'''-'~-_..__.__.-._.._..- -..--------.--.-...-...---.--..-....
<br /> -'if AGG~r~~r LIMIT ArE~!lS PER: ..E..R9J~Y.0_~_:~.9J~~!.QP...~~Q_ _L____ ._..-..~_._.._---_._.
<br /> X POLICY lJr& lOC S
<br /> AUTOMOelLE LIABILITY COMBINED SINGLE LIMIT $ 500,000
<br /> --I (Ea accident)
<br /> .__ ANY AUTO _.~---_._._.--...-.... . .~."'_._..._--- -.-.- --_......~.. ,... ._.____.____n_...__.._
<br /> BODILY INJURY (par pen;on) S
<br />B ALL OWNED AUTOS 7BA467721-3003 ! /27/2011 1/27/2012 -.--..-.,---,---.-..---..--- -'....,j-..---.----'--'--...."--.. ..-..-.
<br /> I.~ SCHEDUl.EOAUTOS BODILY INJURY (Po, .celdonl)' $
<br /> j ;;ROPERTY.DAMAG-li"- ..'--I.~"" .... ...-......
<br /> i
<br /> I.~,. HIRED AUTOS ! (por aCCident) 1
<br /> ...-.-....-.".-.---...-.. . ........ .--- ..-- ._h_'_,._.. ..__~ " ._ ._.. _...._ "'P'
<br /> X NON.OWNED AUTOS PIP-BaSIC S 10,000
<br /> -.-- ._-_...__._-....--..~.......- .m..._ ...-.-... n'_ - ......_,.._._...~....._......_....
<br /> Medical payments S 3,000
<br /> X UMBRELLA L1AB .J--J OCCUR .E':.~!~.,~~~~I3~_<;~.___._,..___ L.____?L~,2.~!..~!?~
<br /> EXCESS LIAB CLAIMS-MADE AGGREGATE ..~,_._,2!~_~_~~.~,2,~
<br /> _,_..____..~....___m......_. __ ______ -----.......- .......--.-....-------
<br /> --- DEDUCTIBLE ----.-."-...----..--------.----- J__________..__.
<br />B RETENTION S 77CU467721-3002 /27/2011 /27/2012 S
<br /> WORKERS COMPENSATION J WC STATUsL_l~TH-
<br /> AND EMPLOYERS' LIABILITY YIN __ _lORUIMIIS jiB:: ..--.-------..---,-"
<br /> ANY PROPRIETORIPARTNER/EXECUTIVE 0 -.5.:!:c EAC!i_~<:'CIDE NI..___.__ ,L__
<br /> OFFICERlMEMBER EXCLUDED? N/A '__"...n.
<br /> (Mandatory In NH) E.L. DISEA~!...:_~~.f.~!J..9y.~ .J_._.___._._______._..__
<br /> ~~~~~P'fr~ CWt;PEIlATlONS below E.L. DISEASE - POLICY LIMIT S
<br />C Professional Liability HR728277 11/29/2010 11/29/2011 Each Claim 5,000,000
<br /> Aggregate Limit 5,000,000
<br />DESCRIPTION OF OPERA TIDNS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Romarks Schedule, if "lOfQ space Is roquirod)
<br />
<br />CERTIFICA TE HOLDER
<br />
<br />CANCELLA nON
<br />
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> THE EXPIRA nON DATE THEREOF, NOTICE Will BE DELIVERED IN
<br />For Insurance Purposes Only ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> _"_"'__H' -
<br /> AUTHORIZED REPRESENTATIVE
<br /> M Demont, CIC/KRISTI .. - ~:.;.>~~~.t:...c.~ ..;..';'~ .tc':':.~..ii:.:.....~_.....",......-.~-- --.
<br />
<br />ACORD 25 (2009/09)
<br />INS025 (200909)
<br />
<br />@1988-2009ACORD CORPORATION. All rights reserved.
<br />The ACORD name and logo are registered marks of ACORD
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