PROPERTY REGISTRATION CHAMPIONS LLC - 2017

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4� O CERTIFICATE OF LIABILITY INSURANCE F DnrF(Mmmsm ) CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, 11/za/zo17 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICHOLDER. THIS ATE TE CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED RDED THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING I (S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER, IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(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 endorsoment(s). PRODUCER Tanya Oneto Twin Rivers Insurance, Inc. NAMEACT PHdne (321)726-6550 F'� (321)726-6505 ( AILo. EaO. 730 E Strawbridge Avenue 101 g ADDRESS_: tanya@twinriversinsurance. Com Melbourne FL 32901 INSURER(S) AFFORDING COVERAGE NAICk %( POLICY PRP ECT LOC mSURERA:Sentinel Insurance Company LTD 11000 INSURED IN SURERB:Travelera Indemnity Company of 25666 Property Registration Champions INSURER C:Landmark American Insurance Company DSA: Pro Champs INSURER D; 2725 Center Place Suite #102 BODILY INJURY (Per Person) $ ALL OS SCHEDULED 21 SBM BY2669 SA AUTOS AUTOS INSURER E: Melbourne FL 32940 INSURER F: r+saco uerc nrl�Ale NUmDtR:maarer Zvi/ REVISION NUMBER' 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. ISUYA LTR TYPE OF INSURANCE ADSL wyn INSD PtlLIOY NUM Eft POLICY EFF - POLICY EXP M/DD/YYYY DmYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000- A CI -AIMS -MADE X OCCUR DAMAGE TO RENTED 50,000 PREMISES IEa occurrence) $ X 21 SBN BY2669 $A 3/1/2017 3/1/2018 MED EXP (My one Person) S 10,000 PERSONAL 6 ANY INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 4,000,000 %( POLICY PRP ECT LOC PRODUCTS. COMPIOP AUG $ 4,000,000 OTHER EPLI $ 10,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S 2,000,000 (Ea acclderl) A ANY AUTO BODILY INJURY (Per Person) $ ALL OS SCHEDULED 21 SBM BY2669 SA AUTOS AUTOS 3/1/2017 3/1/2018 BODILY INJURY Per accldenl $ ( ) X HIRBOAUTOS X NCI OWNED AUTOS PROPERTY DAMAGE S (Per 4001 $ UMBRELLA LIAR OCCUR EACH OCCURRENCE S EXCESS GAS CI -AIMS -MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION Y H AND EMPLOYERS' LIABILITY YIN . STATUTE ER _ ANY PROPRIETORIPARTNEREXECUTIVE OFFIC MNHR EXCLUDED? Y NIA EL EACH ACCIDENT $ 11000,000 B (MandataryEIn IBUD-8D73913-3-16 12/27/2016 12/27/2017 EL DISEASE - EA EMPLOYEE$ Il yos, doscribe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1 000 000 C ERRORS 6 OMISSIONS LHR7623AD 3/1/2017 3/1/2019 EACH CLAIM $ 11000,000 CLAIMS -MADE BASIS AGGREGATE 9 2,000,000 DESCRIPTION OF OPERATIONS /LOCATIONS t VEHICLES (ACORD 101, AddleonM Remarks 9ceodule, may ba altaca¢a If more space Is regmmd) The City of Santa Ana, It'a officers, employees, agents, and representatives, are named additional insured for general liability coverage with respect to the operation of the named insured per attached SS 00 80 40 05, GC2015 11 88 additional insured equivalent.*10 days notice of cancellation for nonpayment of premium applies.* City of Santa Ana 20 Civic Center Plaza Santa Ana, CA 92701 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS, AUTHORIZED REPRESENTATIVE Brian Sullivan/LASS2 01'6�� richis ACUHU 25 (2014/U9) The ACORD name and logo are registered marks Of ACORD IN S025 (201401)