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SUPLA <br />silent#. 71430 <br />ACORD.CERTIFICATE ®F LIABILITY INSURANCE <br />CERTIFICATE <br />DATE <br />11 /3017 <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 />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: 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 <br />Gulfshore Insurance, Inc - SFL <br />NAME: Kaylee R. Fort <br />PHONE 239 435-7151 A/c, No ; 239 213-2803 <br />AIC No Ext <br />4100 Goodlette Rd N <br />EDDMAIL <br />ARESS: kfort@gulfshoreinsurance.com <br />INSURER(S) AFFORDING COVERAGE NAIC # <br />Naples, FL 34103 <br />INSURERA: WescolnsuranceCompany 25011 <br />239 261-3646 <br />INSURED <br />Superior Landscaping & Lawn Service,lnc <br />INSURER B: Amerisure mutual Insurance Company 23396 <br />INSURER C: <br />INSURER D: <br />2200 NW 23rd Ave <br />INSURER E: <br />Miami, FL 33142 <br />INSURER F : <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 />ADDL <br />INSR <br />S_UB R <br />WVD <br />POLICYNUMBER <br />POLICY EFF <br />MMIDD <br />POLICY EXP <br />MMIDD <br />LIMITS <br />A <br />GENERAL LIABILITY <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS a OCCUR <br />X <br />X <br />WPP159963600 <br />1210112017 <br />12/01/2018 <br />EACHOCCURRENCE $1,000,000 <br />PREAGET RaNiEDnce $1,000r000 <br />MED EXP (Anyone person) $10,000 <br />PERSONAL&ADV INJURY $1,000,000 <br />-MADE <br />GENERAL AGGREGATE $2,000,000 <br />X <br />X <br />WPP159963600 <br />12101/2017 <br />12/01/201 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />POLICY X JFC LOC <br />AUTOMOBILE LIABILITY <br />X ANY AUTO <br />ALL OWNED SCHEDULED <br />AUTOS <br />AUTOS <br />X HIREDJSAU705 X NON-OWNED <br />AUTOS NED <br />AUTOS <br />XDrive Oth Car <br />PRODUCTS - COMP/OP AGG $2,000,000 <br />$ <br />aeptSINEA INGLE LIMIT $1,000,000 <br />Eaccd <br />BODILY INJURY (Per person) $ <br />BODILY INJURY (Per accldent) $ <br />PROPERTY DAMAGE <br />Peraccldent $ <br />$ <br />UMBRELLA LIAR <br />OCCUR <br />EACH OCCURRENCE $ <br />AGGREGATE $ <br />EXCESS LIAR <br />CLAIMS -MADE <br />_ $ <br />X WoRYLI TS EERH <br />FANYPROPRIETOR/PARI <br />N I A <br />X <br />WC209034403 <br />12/01/2017 <br />12/01/201 <br />DED RETENTION $ <br />RKERS COMPENSATION <br />D EMPLOYERS' LIABILITY <br />NER/EXECUTIVE Y I N <br />ICER/MEMBER EXCLUDED? <br />ndatorylnNH) <br />If yes, ""n"under <br />DESCRIPTION OF OPERATIONS below <br />E.L. EACH ACCIDENT $1 000 000 <br />E.L. DISEASE - EA EMPLOYEE $1 000 000 <br />E.L. DISEASE - POLICY LIMIT $1,000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) <br />1 1 1 <br />I -Sample <br />"Sample " <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />ACORD 25 (2010105) 1 of 1 The ACORD name and logo are registered marks of ACORD <br />#S1216235IM1216159 KRF16 <br />