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4coR0® CERTIFICATE OF LIABILITY INSURANCE
DATE (MMIDD/YYYY)
03/18/2019
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 have ADDITIONAL INSURED provisions or 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
CONTACT
NAME: Javier Soltero
PHONN E. (800)307-9480 ac Ne;
Enterprise Commercial Insurance Services, LLC
E-MAIL katl n enter riseins rou cora
ADDRESS: Y @ P 9 p
12320 Race Track Road
INSURERS AFFORDING COVERAGE NAIC#
License # OH75680
INSURER A: Falls Lake Fire & Casualty Company
Tampa FL 33626
INSURED
INSURER B:
INSURER C,
CLAIMS -MADE 1:1 OCCUR
INSURER D:
Shawn Lambert H V A C
INSURER E:
20281 Johnson Lane
INSURER F:
Huntington Beach CA 92646
COVERAGES CERTIFICATE NUMBER: 22184 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.
INSR
LTR
rypE OF
ADDLSUBR
INSD
WD
POLICYNUMBER
POLICY EFF
MMIDDIYYYY
POLICY EXP
MM/DDn'YYY
LIMITS
COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE $
CLAIMS -MADE 1:1 OCCUR
PREMIDAMAGESESTEaORENTED
occurrence $
MED EXP (My one person) $
PERSONAL &ADV INJURY $
AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE $
GENT
POLICY D jE0 [::] LOC
PRODUCTS - COMPIOP AGG $
$
OTHER:
AUTOMOBILE
LIABILITY
COMBINED SINGLE LIMIT $
Ea accident
BODILY INJURY (Per person) $
ANYAUTO
OWNED SCHEDULED
AUTOSONLY AUTOS
BODILY INJURY (Per accident) $
HIRED rl NON -OWNED
AUTOS ONLY AUTOS ONLY
PROPERTYDAMAGE $
Per accident
UMBRELLA LIAB
H
OCCUR
EACH OCCURRENCE $
AGGREGATE $
EXCESS LIAB
CLAIMS -MADE
DED RETENTION$
$
WORKERS COMPENSATION
�/
X I STATUTE ERH
A
AND EMPLOYERS' LIABILITY
ANYPROPRIETORIPARTNEWEXECUTIVE YIN
OFFICERIMEMBEREXCLUDED9 ❑
NIA
FLA011048-00
03/05/2019
03/05/2020
E. L. EACH ACCIDENT $ 1,000,000
E.L. DISEASE - EA EMPLOYEE $ 1,000,000
(Mandatory In NH)
If yes, tlescnbe under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE � POLICY LIMIT 1 $ 1,000,000
DESCRIPTION OF OPERATIONS/ LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached Boners space is required)
Certificate is for Evidence of Insurance Only.
Certificate is for Evidence of Insurance Only.
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
eV
5 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD