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DocuSign Envelope ID:60890E67-6F1D-48BF-9BD4-7E57F52CDE30 <br /> DATE(MM/DDIYYYY) <br /> AC"RD CERTIFICATE OF LIABILITY INSURANCE <br /> 3/2/2o1a <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 CONTACT Paula O'Shea <br /> Lassiter-Ware Insurance, Inc. aC.N Ext: (800)845-8437 Fvc No: (888)683-8680 <br /> 1317 Citizens Blvd. E-MAIL ADDRESS:Paulao@lassiterware.com <br /> INSURERS AFFORDING COVERAGE NAIC# <br /> Leesburg FL 34748 INSURERA:The Phoenix Insurance Company 25623 <br /> INSURED INSURERB:Travelers Property Casualty Company 25674 <br /> Kessler Consulting, Inc. INSURERC:The Travelers Indemnity Company 25658 <br /> 14620 N. Nebraska Ave INSURERD:Travelers Casualty & Surety Co 19038 <br /> Building D INSURER E:Admiral Insurance Company 24856 <br /> Tampa FL 33613 INSURER F <br /> COVERAGES CERTIFICATE NUMBER:18/19 MASTER CERT REVISION NUMBER: <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 ADDL SUBR POLICY EFF POLICY EXP <br /> TYPE OF INSURANCE <br /> LTR INSD WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS <br /> X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 <br /> DAMAGE ToA CLAIMS-MADE � OCCUR PRE M SES Ea oNcur ante $ 1,000,000 <br /> 6808H7258301847 3/7/2018 3/7/2019 MED EXP(Any one person) $ 5,000 <br /> PERSONAL&ADV INJURY $ 1,000,000 <br /> GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 <br /> POLICY PRO- ❑ <br /> X JECT LOC PRODUCTS-COMP/OPAGG $ 2,000,000 <br /> OTHER: $ <br /> AUTOMOBILE LIABILITY COEaMBINED ccident SINGLE LIMIT �$ 1 000�000 <br /> a <br /> B X ANY AUTO BODILY INJURY(Per person) $ <br /> ALL OWNED SCHEDULED BA6C56262118 3/7/2018 3/7/2019 BODILY INJURY(Per accident) $ <br /> AUTOS AUTOS <br /> X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE $ <br /> AUTOS Per accident <br /> Medical payments $ 5,000 <br /> X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 3,000,000 <br /> C EXCESS LIAB CLAIMS-MADE AGGREGATE $ 3,000,000 <br /> DED X I RETENTION$ 10,000 CUP6C7794891847 3/7/2018 3/7/2019 $ <br /> WORKERS COMPENSATION X PER OTH- <br /> AND EMPLOYERS'LIABILITY Y/N STATUTE I I ER <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 <br /> OFFICER/MEMBER EXCLUDED? N/A <br /> D (Mandatory in NH) UBOK6037781847 3/7/2018 3/7/2019 E.L.DISEASE-EA EMPLOYE $ 1 000 000 <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 <br /> E Professional Liability FEIECC1953704 3/7/2018 3/7/2019 Each Claim $2,000,000 <br /> Contractors Pollution Claims-Made Aggregate $2,000,000 <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101.Additional Remarks Schedule,may be attached if more space is required) <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> -For Bidding Purposes Only THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> c/o Kessler Consulting, Inc. ACCORDANCE WITH THE POLICY PROVISIONS. <br /> 14620 N. Nebraska Avenue <br /> Building D AUTHORIZED REPRESENTATIVE <br /> Tampa, FL 33613 L tcc2�x o <br /> Paula O'Shea/PAULAO <br /> ©1988-2014 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD <br /> I N S025(201401) <br />