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DocuSign Envelope ID:5775A102-A362-4A15-B549-2FEA82CCA360
<br /> RENAPLA-04 KSMITH7
<br /> ACaRO" CERTIFICATE OF LIABILITY INSURANCE DATE,(MM/DD/YYYY)
<br /> 3/13/2020
<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 have ADDITIONAL INSURED provisions or be endorsed.
<br /> If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on
<br /> this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
<br /> PRODUCER CONTACT
<br /> NAME:
<br /> Hub International Florida PHONE 407 644-8689 FAX 407 644-9934
<br /> 1560 Orange Avenue,Suite 750 (A/C,No,Ext):( ) (A/C,No):( )
<br /> Winter Park,FL 32789 ADDRESS:
<br /> INSURERS AFFORDING COVERAGE NAIC#
<br /> INSURER A:Hartford Underwriters Insurance Company 30104
<br /> INSURED INSURER B:Transportation Insurance Company 20494
<br /> Renaissance Planning Group,Inc. INSURER C:Federal Insurance Company 20281
<br /> 121 S.Orange Ave.,#1200 INSURER D:
<br /> Orlando,FL 32801
<br /> INSURER E
<br /> INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER: 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 TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS
<br /> LTR INSD WVD MM/DD MM/DD
<br /> A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000
<br /> CLAIMS-MADE �OCCUR 21SBABY9797 12/14/2019 12/14/2020 PREMISES DAMAGE TO 1,000,000
<br /> PREMISES Ea occurrence $
<br /> MED EXP(Any oneperson) $ 10,000
<br /> PERSONAL&ADV INJURY $ 2,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000
<br /> POLICY PRO-- LOC PRODUCTS-COMP/OP AGG $ 4,000,000
<br /> OTHER: $
<br /> A AUTOMOBILE LIABILITY CMBINED SINGLE LIMIT 2,000,000
<br /> EOa accident $
<br /> ANY AUTO 21SBABY9797 12/14/2019 12/14/2020 BODILY INJURY Perperson) $
<br /> OWNED SCHEDULED
<br /> AUTOS ONLY AUTOS BODILY INJURY Per accident $
<br /> X HIRED X NON-OWNED PerOaccR Y DAMAGE $
<br /> AUTOS ONLY AUTOS ONLY
<br /> A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 3,000,000
<br /> EXCESS LIAB CLAIMS-MADE 21SBABY9797 12/14/2019 12/14/2020 AGGREGATE $ 3,000,000
<br /> DED RETENTION$ $
<br /> B WORKERS COMPENSATIONPER
<br /> AND EMPLOYERS'LIABILITY X STATUTE X ER
<br /> YIN 656838737 1/2I2020 1/2/2021 1,000,000
<br /> ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ E.L.EACH ACCIDENT $
<br /> OFFICER/MEMBER EXCLUDED? N/A
<br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000
<br /> If yes,describe under 1,000,000
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $
<br /> C Professional Liabili 82503143 8/31/2019 8/31/2020 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 /> Orange Count Planning&Ins Inspection Department THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> g Y 9 p p ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> 131 West Margaret Lane Suite#201
<br /> Hillsborough, NC 27278
<br /> IAUTHORIZED REPRESENTATIVE
<br /> ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved.
<br /> The ACORD name and logo are registered marks of ACORD
<br />
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