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.acoR CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDYYYY) <br />11/16/2011 <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 />PRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />?ORTANT: If 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 CONTACT Jerry O Ola <br />NAME: y y <br />HONE -4225 (866)550 -4082 Greyling Insurance Brokerage P (]]0) 552 o; <br />450 Northridge Parkway ADDRESS :jerry.noyola @greyling.com <br />.Suite 102 INSURERS AFFORDING COVERAGE NAIC # <br />Atlanta GA 30350 INSURERA:Sentinel Insurance Company, LTD 11000 <br />INSURED INSURERB:Continental Casualty Company 20443 <br />R.J. Behar & Company, Inc. INSURER C : <br />6861 S.W. 196th Avenue INSURERD: <br />Suite 302 INSURER E: <br />Pembroke Pines FL 33332 INSURER F: <br />r0VFRAGFS CERTIFICATE Nl1MBFR:11 -12 REVISION NUMBER: <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 />INSR <br />LTR <br />TYPE OF INSURANCE <br />INSR <br />WVD <br />POLICY NUMBER <br />MMI DYYYY <br />MM / D YYYY <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ 1,000,000 <br />X COMMERCIAL GENERAL LIABILITY <br />DAMAGE TO <br />PREMISES (Ea olccur ence ) <br />$ 1,000, 000 <br />A <br />CLAIMS -MADE FxI OCCUR <br />20SBMAC0037 <br />11/17/201111/17 <br />/2012 <br />MED EXP (Any one person) <br />$ 10,000 <br />PERSONAL & ADV INJURY <br />$ 1,000,000 <br />GENERAL AGGREGATE <br />$ 2,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS - COMP /OP AGG <br />$ 2,000,000 <br />$ <br />POLICY X PRO LOC <br />AUTOMOBILE LIABILITY <br />COMBINED SINGLE LIMIT <br />Ea accident <br />1,000,000 <br />BODILY INJURY (Per person) <br />$ <br />A <br />ANY AUTO <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />20UECNG0289 <br />11/17/201111/17 <br />/2012 <br />BODILY INJURY (Per accident) <br />$ <br />PROPERTY DAMAGE <br />Per accident <br />$ <br />X HIRED AUTOS X NON -OWNED <br />AUTOS <br />X <br />UMBRELLA LIAB <br />X <br />OCCUR <br />EACH OCCURRENCE <br />$ 3,000,000 <br />AGGREGATE <br />$ 3,000,000 <br />A <br />EXCESS LIAB <br />CLAIMS -MADE <br />DED I X I RETENTION$ 10, 00C <br />$ <br />20SBMAC0037 <br />11/17/2011 <br />11/17/2012 <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />WC STATU- OTH- <br />R I = <br />ANY PROPRI ETOR/PARTNER/EXECUTIVE <br />E.L. EACH ACCIDENT <br />$ <br />OFFICER/MEMBER EXCLUDED? � <br />N/A <br />(Mandatory in NH) <br />E.L. DISEASE - EA EMPLOYE <br />$ <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT <br />$ <br />B <br />Professional Liability <br />EH 28 836 36 39 <br />11/17/201111/17 <br />/2012 <br />Per Claim $2,000,000 <br />Aggregate $3,000,000 <br />DESCRIPTION OF OPERATIONS / LOCATIONS 1 VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) <br />GtR I IFIGA <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />For Proposal Purposes ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />Joshua Howell /JERRY <br />ACORD 25 (2010/05) ©1988 -2010 ACORD CORPORATION. All rights reserved. <br />INS025r,?ninnsim Thn Arnpin nmmn nnel Innn — rnnicfnrnrl mnrtrc of Arnpn <br />