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NAIC # 203032028124988 07/30/2020 1,000,0001,000,00010,0001,000,0002,000,000Incl in GA1,000,00050,000,00050,000,0001,000,0001,000,0001,000,000149,879,12532,550,000 DATE (MM/DD/YYYY) (813) 226-1313 $$$$$$$$$$$$$$$$$$ LIMITS OTH-ER FAX(A/C, No): Ejhjubmmz!tjhofe!cz!Gsbodjof!S/!Wjmmbsfbm!Ebuf;!3131/19/28!21;51;14!.18(11( PERSTATUTE EACH OCCURRENCEDAMAGE TO RENTEDPREMISES (Ea occurrence)MED EXP (Any one person)PERSONAL & ADV INJURYGENERAL AGGREGATEPRODUCTS - COMP/OP AGGCOMBINED SINGLE LIMIT(Ea accident)BODILY INJURY (Per person)BODILY INJURY (Per accident)PROPERTY DAMAGE(Per accident)EACH OCCURRENCEAGGREGATEE.L. EACH ACCIDENTE.L. DISEASE - EA EMPLOYEEE.L. DISEASE - POLICY LIMIT Personal PropertyData Proc Equipment REVISION NUMBER: Gsbodjof!S/!Wjmmbsfbm POLICY EXP 08/01/202108/01/202108/01/202108/01/202108/01/2021 (MM/DD/YYYY) © 1988-2015 ACORD CORPORATION. All rights reserved. INSURER(S) AFFORDING COVERAGE (813) 226-1337 Great Northern Insurance CompanyFederal Insurance CompanySentry Insurance a Mutual Company Mia Bushmbush@bbtampa.com POLICY EFF 08/01/202008/01/202008/01/202008/01/202008/01/2020 (MM/DD/YYYY) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORETHE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED INACCORDANCE WITH THE POLICY PROVISIONS. CONTACTNAME:PHONE(A/C, No, Ext):E-MAILADDRESS:INSURER A :INSURER B :INSURER C :INSURER D :INSURER E :INSURER F :CANCELLATION AUTHORIZED REPRESENTATIVE 2020 Standard 336723351092701 POLICY NUMBER FLFL CA 35798711749860357981835590149230135798711 WVD The ACORD name and logo are registered marks of ACORD SUBR N / A INSD ADDL CERTIFICATE OF LIABILITY INSURANCE Y Y / N CERTIFICATE NUMBER: LOC OCCUROCCURCLAIMS-MADE $ SCHEDULEDAUTOSNON-OWNEDAUTOS ONLY PRO-JECT RETENTION TYPE OF INSURANCE Holland & Knight LLP524 Grand Regency BlvdBrandonCity of Santa AnaRisk Management Division20 Civic Center Plaza 4th FlrSanta Ana CLAIMS-MADE COMMERCIAL GENERAL LIABILITYPOLICYOTHER:ANY AUTOOWNEDAUTOS ONLYHIREDAUTOS ONLYUMBRELLA LIABEXCESS LIABDED Personal PropertyData Proc Equipment GEN'L AGGREGATE LIMIT APPLIES PER:AUTOMOBILE LIABILITY WORKERS COMPENSATIONAND EMPLOYERS' LIABILITYANY PROPRIETOR/PARTNER/EXECUTIVEOFFICER/MEMBER EXCLUDED?(Mandatory in NH)If yes, describe underDESCRIPTION OF OPERATIONS below THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THISCERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIESBELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZEDREPRESENTATIVE 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 onthis certificate does not confer rights to the certificate holder in lieu of such endorsement(s).THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIODINDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THISCERTIFICATE 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. AABCA Brown & Brown of Florida, Inc.P.O. Box 173086Tampa PRODUCERINSURED COVERAGES DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)CERTIFICATE HOLDERACORD 25 (2016/03) LTR INSR