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181 Metropolitan Systems Certif of Ins i --...., ' l y) OP ID: KH ACORO DATE (MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 07/01/11 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 813 887 - 5531 NAME: ACT Laura Webb Webb Insurance Group PHONE FAX 3212 South Dale Mabry Highway 813- 831 -5801 (A/C. No. Exf ): 813- 887 -5531 (A/C, No): 813- 831 -5801 Tampa, FL 33629 n DResS: Iwebb @webbinsurancegroup.com Laura Webb PRODUCER METRO -1 CUSTOMER ID #: INSURER(S) AFFORDING COVERAGE NAIC # INSURED Metropolitan Systems INSURER A : Allied Property and Casualty 42579 A Community Bench Program INSURER B : 3014 Horatio St INSURER C : Tampa, FL 33609 INSURER D : INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 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 ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR TYPE OF INSURANCE INSR 1A/VD POLICY NUMBER (MM /DD /YYYY) (MM /DD /YYYY) GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY X ACP5904555465 07/01/11 07/01/12 DAMAGE TO NTD 100,000 PREMISES (Ea RE occurrence) E $ CLAIMS -MADE X I OCCUR MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP /OP AGG $ 2,000,000 7 POLICY PRO .IF LOC $ I:T AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 A X ANY AUTO ACP5904555465 07/01/11 07/01/12 (Ea accident) BODILY INJURY (Per person) $ ALL OWNED AUTOS BODILY INJURY (Per accident) $ A X SCHEDULED AUTOS ACP5904555465 07/01/11 07/01/12 PROPERTY DAMAGE A X HIRED AUTOS ACP5904555465 07/01/11 07/01/12 (Per accident) $ A X NON -OWNED AUTOS ACP5904555465 07/01/11 07/01/12 $ $ X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 4,000,000 EXCESS LIAB CLAIMS -MADE AGGREGATE $ A 77CU8166663001 07/01/11 07/01/12 DEDUCTIBLE _ $ X 1 RETENTION $ 0 $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS' LIABILITY Y / N TORY LIMITS ER ANY PROPRIETOR/PARTNER /EXECUTIVE E.L. EACH ACCIDENT $ OFFICER /MEMBER EXCLUDED? N / A (Mandatory In NH) E.L. DISEASE - EA EMPLOYEE $ If yes, describe under _^ DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Certificate Holder is Additional Insured. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE ') ` ' ''`' - ` [ _ _ _ _ I A- THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Sanford Attn: City Clerk AUTHORIZED REPRESENTATIVE PO Box 1778 Laura Webb Sanford, FL 32711 © 1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD