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C! lot A V IIGIiItt. f IYJV --' -" ACCERTIFICATE ®F LIABILITY INSURANCE _1 TE YNY DA1/30/DD/Y2017 11 /30/RD. 7 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 Gulfshore Insurance, Inc - SFL 4100 Goodlette Rd N Naples, FL 34103 239 261-3646 NAME: Kaylee R. Fort PHONE239 435-7151 ac, No , 239 213-2803 o Ext AIC No, E-MAILEss: ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC N INSURER A :'Nesco Insurance Company 25011 INSURED Superior Landscaping & Lawn Service,inc 2200 NW 23rd Ave Miami, FL 33142 INSURER B: Amerisure Mutual Insurance Company 23396 INSURERC: INSURERD: INSURERE: INSURER F: VVVGRH LV 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. INSRADDL LTR TYPE OF INSURANCE INSR SUER WVD POLICY NUMBER POLICY EFF MM/DD POLICY EXP MMIDD LIMITS A GENE RAL LIABILITY X COMMERCIAL GENERAL LIABILITY X X WPP159963600 12/01/2017 12/01/201 EACH $1 OOOOOO gqOCCURRENCE PREMISES (Ea ocou D ace)$1 ,000,000 MED EXP (Anyone person) $10,000 CLAIMS -MADE I—XI OCCUR PERSONAL &ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 A X X WPP159963600 12101/2017 12/01/201 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY FXJ PES LOC AUTOMOBILE LIABILITY PRODUCTS - COMP/OP AGG $2,000,000 $ EO. D lldetSINGLELIMIT $1,000,000 BODILY INJURY (Per person) $ X ANY AUTO BODILY INJURY (Per accident) $ ALL OWNED SCHEDULED AUTOS AUTOS X HIREDAUTOS X NON -OWNED AUTOS XDrive Oth Car PROPERTY DAMAGE $ Per accident $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE YIN N OFFICERIMEMBEREXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below $ WC S7ATU- E X O YL TS E B NIA X WC209034403 12/01/2017 12/01/201 E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE -EAEMPLOYEE $1 OOOOOO E.L. DISEASE - POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) 11 II i -Sample . - t' SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE „ THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Sample AUTHORIZED REPRESENTATIVE V -I SOV -LV ACORD 25 (2010105) 1 of 1 The ACORD name and logo are registered marks of ACORD #S1216235/M1216159 KRF16