DATE (MM/DD/YYYY)CERTIFICATE OF LIABILITY INSURANCETHIS 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 be endorsed. If SUBROGATION IS WAIVED, subject tothe terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to thecertificate holder in lieu of such endorsement(s).

CONTACTPRODUCER NAME:FAXPHONE(A/C, No):(A/C, No, Ext):

E-MAILADDRESS:

INSURER(S) AFFORDING COVERAGE NAIC #

INSURER A :INSURED INSURER B :

INSURER C :

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 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.

ADDL SUBRINSR POLICY EFF POLICY EXPTYPE OF INSURANCE LIMITSPOLICY NUMBERLTR (MM/DD/YYYY) (MM/DD/YYYY)INSD WVD

COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $DAMAGE TO RENTED

CLAIMS-MADE OCCUR $PREMISES (Ea occurrence)

MED EXP (Any one person) $

PERSONAL & ADV INJURY $

GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $PRO-POLICY LOC PRODUCTS - COMP/OP AGG $JECT

$OTHER:COMBINED SINGLE LIMITAUTOMOBILE LIABILITY $(Ea accident)BODILY INJURY (Per person) $ANY AUTO

ALL OWNED SCHEDULED BODILY INJURY (Per accident) $AUTOS AUTOSNON-OWNED PROPERTY DAMAGE $HIRED AUTOS (Per accident)AUTOS

$

UMBRELLA LIAB EACH OCCURRENCE $OCCUREXCESS LIAB CLAIMS-MADE AGGREGATE $

$DED RETENTION $PER OTH-WORKERS COMPENSATIONSTATUTE ERAND EMPLOYERS' LIABILITY Y / N

ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $N / AOFFICER/MEMBER EXCLUDED?

(Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $If yes, describe under

E.L. DISEASE - POLICY LIMIT $DESCRIPTION OF OPERATIONS below

DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)

CERTIFICATE HOLDER CANCELLATION

SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORETHE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED INACCORDANCE WITH THE POLICY PROVISIONS.

AUTHORIZED REPRESENTATIVE

© 1988-2014 ACORD CORPORATION. All rights reserved.The ACORD name and logo are registered marks of ACORDACORD 25 (2014/01)

COCOFOR-01 FOUNTIAND

10/15/2014

Insurance Office of America-JAX1 Sleiman Parkway, Suite 130Jacksonville, FL 32216

(904) 448-9777 (904) 448-9788

FHM Insurance Company 10699

Cocoa Ford Inc dba Paradise Ford1360 W. King St.Cocoa, FL 32922

XA WC306-0021103-2014 05/01/2014 05/01/2015 500,000Y

500,000500,000

School Board of Lake County, FloridaAttn: Purchasing201 West Burleigh BlvdTavares, FL 32778

DATE (MM/DD/YYYY)CERTIFICATE OF LIABILITY INSURANCE 10/16/2014

PRODUCER

INSURER(S) AFFORDING COVERAGE NAIC #INSURED INSURER A:

INSURER B:

INSURER C:

INSURER D:

INSURER E:

EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,

Zurich - Account Service Center7045 College BlvdOverland Park, KS 66211Fax: 888-734-6776 Ph: 877-225-5276

COCOA FORD, INC. DBA; PARADISE FORD1360 WEST KING STREETCOCOA, FL 32922

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 CERTICATE HOLDERIMPORTANT: 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).

CONTACTNAME:

PHONE(A/C No. EXT):E-MAILADDRESS:

FAX(A/C No):

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 THIS

COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:

Zurich - Account Service Center

877-225-5276 888-734-6776

service.center@zurichna.com

Universal Underwriters Insurance Company 41181002233600

INSRLTR

TYPE OF INSURANCE ADD’LINSRD

SUBRWVD

POLICY EFF POLICY EXP(MM/DD/YYYY) LIMITSPOLICY NUMBER (MM/DD/YYYY)

POLICY PROJECT LOC

DAMAGE TO RENTEDPREMISES (Ea occurrence)

EACH OCCURENCE

MED EXP (Any one person)

PERSONAL & ADV INJURY

GENERAL AGGREGATE

PRODUCTS - COMP/OP AGG

GENERAL LIABILITY

COMMERICAL GENERAL LIABILITY

CLAIMS MADE OCCUR

GEN’L AGGREGATE LIMIT APPLIES PER:

05/01/2014 05/01/2015281531

AX

X

$500,000

$

$

$

$

$

AUTOMOBILE LIABILITY

ANY AUTO

ALL OWNED AUTOS

SCHEDULED AUTOS

HIRED AUTOS

COMBINED SINGLE LIMIT

COMP/COLL DED

(Ea Accident)

NON-OWNED AUTOS

BODILY INJURY (Per person)

BODILY INJURY (Per accident)

PROPERTY DAMAGE(Per accident)

$

$

281531 05/01/2014 05/01/2015

AX

XX

$500,000

$

$

$

UMBRELLA LIAB

EXCESS LIAB

OCCUR

CLAIMS-MADE

DEDUCTIBLE

EACH OCCURRENCE

RETENTION

AGGREGATE

PRODUCTS - COMP/OP AGG

$

281531 05/01/2014 05/01/2015

A X X

X

$5,000,000

$

$

$0

WORKERS COMPENSATION ANDEMPLOYERS’ LIABILITYANY PROPRIETOR/PARTNER/EXECUTIVE

WC STATU-

OFFICER/MEMBER EXCLUDED? E.L. EACH ACCIDENT

E.L. DISEASE -EA EMPLOYEE

E.L. DISEASE - POLICY LIMIT

TORY LIMITS

(Mandatory in NH)If yes, describe underDESCRIPTION OF OPERATIONS below

OTH-ER

Y/NN/A

$

$

$GARAGE LIABILITY

ANY AUTO

OTHER THAN AUTO ONLYEACH ACC:281531 05/01/2014 05/01/2015A

X$500,000

281531 05/01/2014 05/01/2015A $8,140,850Customer Auto - Direct Primary

DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required)

Reason for Certificate:General Liability

30 Day notice of cancellation applies, except for cancellation due to non payment of premium.See Additional Remarks Schedule Attached

CANCELLATIONCERTIFICATE HOLDER

AUTHORIZED REPRESENTATIVEAttn:Fax:

SCHOOL BOARD OF LAKE COUNTY, FLORIDA201 WEST BURLEIGH BOULEVARDTAVARES, FL 32778

SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORETHE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.

PURCHASING

© 1988–2010 ACORD CORPORATION, All rights reservedThe ACORD name and logo are registered marks of ACORDACORD 25 (2010/05)

IMPORTANT

If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).

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).

DISCLAIMER

The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon.

© 1988–2010 ACORD CORPORATION, All rights reservedThe ACORD name and logo are registered marks of ACORDACORD 25 (2010/05)

AGENCY CUSTOMER ID:LOC #:

ADDITIONAL REMARKS SCHEDULEAGENCY NAMED INSURED

POLICY NUMBER

CARRIER NAIC CODE

EFFECTIVE DATE:

ADDITIONAL REMARKS

THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,FORM NUMBER: FORM TITLE:

Page of

COCOA FORD, INC. DBA; PARADISE FORD1360 WEST KING STREETCOCOA, FL 32922

Zurich - Account Service Center

281531

Universal Underwriters Insurance Company 41181 05/01/2014

1 1

002233600

25 Certificate of Liability Insurance

Endorsement 089-Umbrella Limit Inclusive applies.

The School Board of Lake County and its Members, Officers, and Employees are named as Additional Insured

© 2008 ACORD CORPORATION, All rights reserved.The ACORD name and logo are registered marks of ACORD

ACORD 101 (2008/01)

ACO~' DATE (MMIODIVYYY)CERTIFICATE OF LIABILITY INSURANCE 283 ~ 04i2f12015I 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 POLIC~ES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S). AUTHORIZED REPR~SENTATIVE OR PRODUCER, AND THE CERTICATE HOLDER

IMPORTANT: If the certificate holder is an ADDITIONAL INSURED. the policy(ies) must be endorsed. If SUBROGATION IS WAIVED. s~bject to the terms and conditions of the policy, certain policies may require an endorsement A statement on this certificate does not confer rights to t~e certificate holder in lieu of such endorsement(s). I

PRODUCER "

CONTACT Zurich - Account Service CenterZurich - Account Service Center NAME: I 7045 College Blvd PHONE IIFAX(Alc No. EXT): 877-225-5276 (AIC No): 888-734-6776Overland Park, KS 66211 Fax: 888-734-6776 Ph: 877-225-5276 E-MAIL. .

ADDRESS: servlce.center@zunchna.com i INSURER(S) AFFORDING COVERAGE NAle.

INSURED 002233600 INSURER A: Universal Underwriters Insurance Company 41181 COCOA FORD. INC DBA PARADISE FORD INSURERB: I 1360 WEST KING STREET

INSURERC:COCOA, FL 32922

INSURERD: i

INSURER E: i

COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: i 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 THISi 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, I

INSR LTR

TYPE OF INSURANCE ADD'L SUBR 11I5RD \WD

POLICV NUMBER POLICYEFF (MMlDDlVYYY)

POLICY EXP (MMIODlVYYY) LIMITS

i

lAl GENERAL LIABILITY

IX] COMMERICAL GENERAL LIABILITY

DO CLAIMS MADE IX] OCCUR

0 0 GEN'L AGGREGATE LIMIT APPLIES PER'

0 0

281531 0510112015 05/0112016

EACH OCCURENCE

DAMAGE TO RENTED PREMISES (Ea occurrence!

MED EXP (Anyone person!

PERSONAL &ADV INJURY

GENERAL AGGREGATE

$500.000

$

$

$

$

i

•

o POLICY o PROJECT 0 LOC PRODUCTS ­ COMPIOP AGG $

i

(AI AUTOMOBILE LIABILITY

\Xl ANY AUTO

o ALL OWNED AUTOS

0 0 COMBINED SINGLE !-IMIT (Ea Accident!

BODILY INJURY (Per personl

$500,000

$

::

o SCHEDULED AUTOS

00 HIRED AUTOS

281531 0510112015 05/0112016 BODILY INJURY (Per accident!

PROPERTY DAMAGE (Per accident)

$

$

IX] NON·OWNED AUTOS

I 0 COMPICOLL DED

$

$

(AI 00 UMBRELLA LIAB [Xl OCCUR 0 0 EACH OCCURRENCE $5,000,000 •

o EXCESS LIAB o CLAIMS·MADE AGGREGATE $

o DEDUCTIBLE 281531 05/0112015 05101/2016 PRODUCTS· COMPIOP AGG $

00 RETENTION $0 $

0 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY

01 we STATU· ;101 OTH·TORY LIMITS ER

;

ANY PROPRIETORIPARTNERlEXECUTIVE YINOFFICERIMEMBER EXCLUDED? 0(Mandatory In NH)

N/A 0 EL EACH ACCIDENT

E,!.. DISEASE ·EA EMPLOYEE

$

$

i , i

If yes, describe under DESCRIPTION OF OPERATIONS below EL DISEASE· POLICY LIMIT $ I

~ GARAGE LIABILITY

IX] ANY AUTO 0 0 281531 0510112015 05/0112016

OTHER THAN AUTO ONLY EACH ACC' $500,000

, I

lAl Customer Auto ­ Direct Primary 0 0 281531 05/0112015 0510112016 $6.905,280 I

DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101. Additional Remarks Schedule. if more space is required) I I

Reason for Certificate:GENERAL LIABILITY I

30 Day notice of cancellation applies, except for cancellation due to non payment of premium. ! See Additional Remarks Schedule Attached

CERTIFICATE HOLDER CANCELLATION SCHOOL BOARD OF LAKE COUNIY, FLORIDA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED IJ!EFORE

201 WEST BURLEIGH BOULEVARD THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.TAVARES.. FL 32778

AUTHORIZED REPRESENTATIVE Attn: PURCHASING Fax:

'-f}uttt D. YYJ~ ii

© 1988-2010 ACORD CORPORATION. All rights reserved ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD

IMPORTANT

If the certificate holder is an ADDITIONAL INSURED. the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).

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).

DISCLAIMER

The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s). authorized representative or producer. and the certificate holder. nor does it affirmatively or negatively amend. extend or alter the coverage afforded by the policies listed thereon.

© 1988-2010 ACORD CORPORATION. All rights reserved ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD

285

AGENCYCUSTOMERID:~0~0~2~23~3~6~00~____________________ LOC#'

Pa e1 of 1ADDITIONAL REMARKS SCHEDULE AGENCY NAMED INSURED

Zurich· Account Service Center COCOA FORD. INC. DBA PARADISE FORD 1360 WEST KING STREET

POLICY NUMBER COCOA. FL 32922 281531

CARRIER /NAICCODE

Universal Underwriters Insurance Company 41181 EFFECTIVE DATE: 0510112015

ADDITIONAL REMARKS

THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, I 25 Certificate of Liability Insurance

. FORM NUMBER: FORM TITLE:

1

Endorsement 08g-Umbrella Limit Inclusive applies.

The School Board of Lake County and its Members. Officers. and Employees are named as Additional Insured I

ACORD 101 (2008/01) © 2008 ACORD CORPORATION, All rights reserved. The ACORD name and logo are registered marks of ACORD