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-�...v, VISILLC-01 MOSTEEN i4CORO CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDlYYYY) `..----- 02/18)2017 ® 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 have ADDITIONAL INSURED provisions or 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 PA ACT Michelle B O'Steen JP Perry Insurance,Inc PHONE I FAX 3342 Kari Road (A/C,No,Ext): (A/C,No): Jacksonville,FL 32257 itglkss,mosteenlcJpperry.com INSURERS)AFFORDING COVERAGE MAIC 0 INSURER A:FFVA Mutual Insurance Co. 10385 INSURED • INSURER B: Vlsionworx,LLC INSURER C: 5530 Florida Mining Blvd S. INSURER D: Jacksonville,FL 32257 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 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 TYPE OF INSURANCE ADDL SUBRD POUCY NUMBER (MPOLICY EFF POLICY EXP LULIMITSLTR INSD YWIMM/DD/YYYYI M/DDIYYYYI COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE OCCUR RENTED PREMISES Ea occurrence) $ MED EXP(Any one person) $ _ PERSONAL&ADV INJURY 3 GEN'L AGGREGATE LIMIT APPUES PER GENERAL AGGREGATE J POUCY JYECT LOC PRODUCTS-COMP/OP AGG $ OTHER: $ 0AUTOMOBILE LIABILITY I COMBINEDSINGLELIMIT $ ANY AUTO BODILY INJURY(Per person) $ AUUTEO�S ONLY WNED SCHEDULED AUTOS pBOODILY INJURY(Per accident) $ _ AUTOS ONLY _AUTOS ONLY (PeraPccentDAMAGE $ I I$ UMBRELLA LIAB OCCUR EACH OCCURRENCE I$ EXCESS LIAB CLAIMS-MADE AGGREGATE i DED I RETENTION$ I $ A WORKERS COMPENSATIONI X STATUTE ERR- AND EMPLOYERS'LIABILITY WC84000322062017A 01/01/2017 01/01/2018 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE YIN E.L.EACH ACCIDENT $ OQF�FICER/MEMgg R EXCLUDED? N N I A (Mandatory In NFH) E.L DISEASE-EA EMPLOYEE$ 1,000,000 If yes,describe under 1,000,000 DESRIPTION OF OPERATIONS below EL DISEASE-POLICY UNIT $ DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) License#ES12001322 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE-CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 1 ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD