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!? °® CERTIFICATE OF LIABILITY INSURANCE li�7i2oJYYYYY) 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 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 CONTACT NAME: Ames & Gough 8300 Greensboro Drive PHONE . (703)827-2277 A!C No: (703)527 -2279 A -MAIL .admire @amesgough,com Suite 980 INSURER(S AFFORDING COVERAGE NAIC N INSURERA:COntinental Casualty Company 0443 McLean, VA 22102 INSURED INSURER B COMMERCIAL GENERAL LIABILITY INSURER C: Keith and Schnars, P.A. INSURER D: 6500 North Andrews Avenue INSURER E : MED EXP (Any one person) _$_ $ INSURER F: CLAIMS -MADE � OCCUR Ft. Lauderdale FL 33309 -2132 r:r1VFRAr»I =R CERTIFICATE rJI1MRFR•2012 -2013 R Om /mInKI klllr„1RFR- 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 LTR TYPE OF INSURANCE ADDL SUB POLICY NUMBER POLICY EFF MM/DD/VYYY POLICY EXP MM /DDIYYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE S COMMERCIAL GENERAL LIABILITY DAMA RENTED ISES Es occurrence MED EXP (Any one person) _$_ $ CLAIMS -MADE � OCCUR PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMPIOP AGG $ POLICY E PRO- LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ ANYAUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ NON•OWNED HIRED AUTOS AUTOS PROPERTY DAMAGE Per accident $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS .. L A B CLAIMS -MADE DEO RETENTION$ $ I I WORKERS COMPENSATION I WC STATU• 11'1H- T Y IT ER AND EMPLOYERS' LIABILITY YIN E.L. EACH ACCIDENT $ ANY PROPRIETORIPARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED? ❑ NIA E.L. DISEASE - EA EMPLOYE $ (Mandatory in NH) If yes. describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT 1 $ A PROFESSIONAL LIABILITY &EH 00 609 12 27 /1/2012 3/1/2013 PERCLAIM 2,000,000 AGGREGATE 4,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remafks Schedule, if more space is required) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Keith and Schnars, P.A. ACCORDANCE WITH THE POLICY PROVISIONS. 6500 N. Andrews Avenue Ft. Lauderdale, FL 33309 -2132 AUTHORIZED REPRESENTATIVE Dan Knise /DGARCI - -- ACORD 25 (2010105) ©1988 -2010 ACORD CORPORATION. All rights reserved. INS025 (2oloos).ol The ACORD name and logo are registered marks of ACORD OP KEITH and SCHNARS, P.A. RFO #12 -04 -05 PAGE 3 FLORIDAS�jrktocALFiiwt