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~ ACORD@ CERTIFICATE OF LIABILITY INSURANCE I DATE (MMfDDIYYYY) ~ 11/16/2011 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 r"'FRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. ,JORTANT: 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 2~~~~CT Jerry Noyola Greyling Insurance Brokerage r..~~N,7n ",vtl. (770) 552 - 4225 I FAX iAfC No): (866) 550-4082 450 Northridge Parkway ~DMD~~SS: jerry. noyola@greyling.com Suite 102 INSURER/S) AFFORDING COVERAGE NArc # Atlanta GA 30350 INSURER A :Sentinel Insurance Company, LTD 11000 INSURED INSURER B :Continental Casualty Company 20443 R.J. Behar & Company, Inc. INSURER C : 6861 S.W. 196th Avenue INSURER D : Suite 302 INSURER E : pembroke Pines FL 33332 INSURER F : COVERAGES CERTIFICATE NUMBER:11-12 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 ADDL SUBR ~Shlgiv~Vv\ (~2T6giv~~\ LTR TYPE OF INSURANCE IN!,;R WVD POLICY NUMBER LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 - DAMAGE TO RENTED X COMMERCIAL GENERAL LIABILITY PREMISES iEa occurrence) $ 1,000,000 A I CLAIMS-MADE [i] OCCUR 20SBMAC0037 11/17/2011 11/17/2012 MED EXP (Anyone person) $ 10,000 - PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 I--- GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 n POLICY IXl ~rRT n LOC $ 'J~~TOMOBILE LIABILITY fe~~~~~~~t~INGLE LIMIT $ 1.000 000 \ J ANY AUTO BODILY INJURY (Per person) $ A f-- ALL OWNED - SCHEDULED 20UECNG0289 11/17/2011 11/17/2012 BODILY INJURY (Per accident) $ I--- AUTOS - AUTOS X X NON-OWNED rp~?~~C~d~~t?AMAGE $ f-- HIRED AUTOS - AUTOS $ X UMBRELLA L1AB M OCCUR EACH OCCURRENCE $ 3,000,000 f-- A EXCESS L1AB CLAIMS-MADE AGGREGATE $ 3,000,000 DED I X I RETENTION $ 10,OOC 20SBMAC0037 11/17/2011 11/17/2012 $ WORKERS COMPENSATION I TVXg~T~Ig;, I IOJ~- AND EMPLOYERS' LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE D NfA E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ If yes, describe under E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS below B Professional Liability EH 28 836 36 39 11/17/2011 11/17/2012 Per Claim $2,000,000 Aggregate $3,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Proposal ACCORDANCE WITH THE POLICY PROVISIONS. (, I For Purposes AUTHORIZED REPRESENTATIVE Joshua Howell/JERRY ~-~< ~~ I ACORD 25 (2010105) IN~n251?n1nn<;' n1 @1988-2010ACORD CORPORATION. All rights reserved. Tho, .6~("H;>>n n:::uno. :::ann Innn :::aro ronic:to.ron rn::arLrc: nf A~nk)n