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• I Client#: 5769 MILLLEG3 ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE(MWDDITYYY) 4/06/2012 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS ICERTIFICATE 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 poiicy(les)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 CONTAC ' • I NlJ1E: ISU Suncoast Insurance Assoc IPHONE 813 289.5200 Ir"" 813 289-4561 (A/C No,Earl: IAA:.No): P.O. Box 22668 ADDRESS: Tampa,FL 33622-2668 PRODD ER 813289-5200 CUSTOMER ID I: INSURERS)AFFORDING COVERAGE NAIC e INSURED INSURER A:Travelers Casualty&Surety CO 31194 Miller Legg &Associates,Inc. 5747 N.Andrews Way INSURER e:Hudson Insurance Company 25054 INSURER C: Ft. Lauderdale, FL 33309-2364 I INSURER 0: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: ITHIS 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( ILDOL SUBR POLICY EFF POLICY EXP LIMITS I LTR TYPE OF INSURANCE INSR MD POLICY NUMBER Wal/VD0/YYYY) (POLICY I GENERAL IJABILITY EACH OCCURRENCE $ DAMAGE 10 RENTED COMMERCIAL GENERAL LIABILRY PREMISES(Ea occurrence) $ I CLAIMS-MADE I I OCCUR MED EXP(My one person) I$ I PERSONAL 8 ADV INJURY IS GENERAL AGGREGATE $ GGEENL AGGREGATE LIMIT APPLIES PER: I_PRODUCTS-COMP/OP AGG 5 I I POLICY If Pr& fl LOC I 13 AUTOMOBILE UASIUTY COMBINED SINGLE UMn 13 ANY AUTO I(Ea emEem) BODILY INJURY(Per person) I$ ALL OWNED AUTOS BODILY INJURY(Per amden1)I S I SCHEDULED AUTOS PROPERTY DAMAGE HIRED AUTOS (Per abdd,ed) I$ NON-OWNED AUTOS IS IS UMBRELLA Alit I I OCCUR I EACH OCCURRENCE I S EXCESS LIAR I I CLAIMS-MADE IS DEDUCTIBLE I IS RETENTION S I . I IO I A WORKERSCDMPENSATON UB5848Y29A 5/01/2012 0510112013 X I sT"� I IF°awl AND EMPLOYERS'LIABILITY TORY LIMrS ANY PROPRIETOR/PARTNERF..XECUTIVEY/N NIA I E.L EACH ACCIDENT I S1,000,000 OFFICER/MEMBER EXCLUDED? (Mandatory In NH) I EL DISEASE-EA EMPLOYEE $1,000,000 I yes.describe under I DESCRIPTION OF OPERATIONS below I E.L DISEASE-POLICY UNIT $1,000,000 ��yrr B !Professional I I IAEE7258601 02/21/2012(02/21/201 I $2,000,000 annl claim DESCRIPTOR OF OPERATIONS I LOCATIONS/VEHICLES(Attach ACORD 101,Addltlonal Remarks Schedule,If more space is reeubed) Professional Liability coverage is written on a claims-made and reported basis. ICERTIFICATE.HOLDER CANCELLATION For Proposal Purposes SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE I THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE II pCA74" 'h O6--o[.. .- - 01988.2009 ACORD CORPORATION.All rights reserved. ACORD 25(2009/09) 1 of 1 The ACORD name and loam are registered marks of ACORD I #5377398/M374829 ProGrass RFP No.12-10-03 MRL 56