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HomeMy Public PortalAboutGIRMA- COI- Exp 5-1-2020 CERTIFICATE HOLDER CANCELLATION Amerigas Attn: Shelly 5117 Augusta Rd. Garden City, GA 31408 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. By: Willis Insurance Services of GA, Inc. DISCLAIMER This Certificate of Coverage does not constitute a contract between the issuing insurer(s), authorized representative or administrator, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. GMAwpp v6.11.10rm CERTIFICATE OF COVERAGE ISSUE DATE 5/1/2019 ADMINISTRATOR: 404-224-5000 FAX 404-224-5001 meghan.murray@willis.com THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND Willis Insurance Services of GA, Inc. CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS Concourse Corporate Center Five CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE 18th Floor AFFORDED BY THE POLICIES BELOW. Atlanta, GA 30328 Company Affording Coverage NAMED MEMBER City of Tybee Island COMPANY A: Georgia Interlocal Risk Management Agency (GIRMA) 403 Butler Avenue PO Box 2749 COMPANY B: Tybee Island, GA 31328 ID: 21761 COLL: 9254 THIS IS TO CERTIFY THAT THE COVERAGE LISTED BELOW HAVE BEEN ISSUED TO THE MEMBER NAMED ABOVE FOR THE AGR EEMENT 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 COVERAGE AFFORDED BY THE AGREEMENT DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIO NS OF SUCH AGREEMENT. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TYPE OF COVERAGE POLICY NUMBER EFFECTIVE DATE EXPIRATION DATE LIMITS DEDUCTIBLE GENERAL LIABILITY TY-3 5/1/2019 5/1/2020 EACH OCCURRENCE $2,000,000 $2,500 X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Any one fire) $2,000,000 $2,500 X OCCURRENCE MED EXP (Any one person) EXCLUDED X GEN’L AGGREGATE LIMIT APPLIES per POLICY PERSONAL & ADV INJURY $2,000,000 $2,500 GENERAL AGGREGATE UNLIMITED PRODUCTS-COMP/OP AGG $10,000,000 $2,500 LAW ENFORCEMENT LIABILITY $2,000,000 $2,500 AUTOMOBILE LIABILITY TY-3 5/1/2019 5/1/2020 COMBINED SINGLE LIMIT $2,000,000 $2,500 X ALL AUTOS BODILY INJURY (per person) $ $ X GEORGIA FLEET BODILY INJURY (per accident) $ $ X HIRED AND NON-OWNED PROPERTY DAMAGE (per accident) $ $ AUTOMOBILE PHYSICAL DAMAGE TY-3 5/1/2019 5/1/2020 ALL VEHICLES $ NO COVERAGE NO VEHICLES OWNED X SELECTED VEHICLES $2,500 PUBLIC OFFICIALS LIABILITY $ $ EMPLOYEE BENEFIT LIABILITY $ $ CRIME TY-3 5/1/2019 5/1/2020 X BLANKET BOND $500,000 $2,500 X DEPOSITORS FORGERY $500,000 $2,500 X MONEY & SECURITIES $500,000 $2,500 PROPERTY TY-3 5/1/2019 5/1/2020 X BUILDINGS & CONTENTS, including EDP As per Schedule with GIRMA $10,000 X MOBILE EQUIPMENT Actual Cash Value $10,000 X BOILER AND MACHINERY As per Schedule with GIRMA $10,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Evidence of Coverage as respects dispensary - Gas ""Propane"" Campground. CERTIFICATE HOLDER CANCELLATION BB&T Governmental Finance P.O. Box 261510 Miami, FL 33126 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. By: Willis Insurance Services of GA, Inc. DISCLAIMER This Certificate of Coverage does not constitute a contract between the issuing insurer(s), authorized representative or administrator, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. GMAwpp v6.11.10rm CERTIFICATE OF COVERAGE ISSUE DATE 5/1/2019 ADMINISTRATOR: 404-224-5000 FAX 404-224-5001 meghan.murray@willis.com THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND Willis Insurance Services of GA, Inc. CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS Concourse Corporate Center Five CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE 18th Floor AFFORDED BY THE POLICIES BELOW. Atlanta, GA 30328 Company Affording Coverage NAMED MEMBER City of Tybee Island COMPANY A: Georgia Interlocal Risk Management Agency (GIRMA) 403 Butler Avenue PO Box 2749 COMPANY B: Tybee Island, GA 31328 ID: 21762 COLL: 9254 THIS IS TO CERTIFY THAT THE COVERAGE LISTED BELOW HAVE BEEN ISSUED TO THE MEMBER NAMED ABOVE FOR THE AGR EEMENT 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 COVERAGE AFFORDED BY THE AGREEMENT DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIO NS OF SUCH AGREEMENT. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TYPE OF COVERAGE POLICY NUMBER EFFECTIVE DATE EXPIRATION DATE LIMITS DEDUCTIBLE GENERAL LIABILITY TY-3 5/1/2019 5/1/2020 EACH OCCURRENCE $2,000,000 $2,500 X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Any one fire) $2,000,000 $2,500 X OCCURRENCE MED EXP (Any one person) EXCLUDED X GEN’L AGGREGATE LIMIT APPLIES per POLICY PERSONAL & ADV INJURY $2,000,000 $2,500 GENERAL AGGREGATE UNLIMITED PRODUCTS-COMP/OP AGG $10,000,000 $2,500 LAW ENFORCEMENT LIABILITY $2,000,000 $2,500 AUTOMOBILE LIABILITY TY-3 5/1/2019 5/1/2020 COMBINED SINGLE LIMIT $2,000,000 $2,500 X ALL AUTOS BODILY INJURY (per person) $ $ X GEORGIA FLEET BODILY INJURY (per accident) $ $ X HIRED AND NON-OWNED PROPERTY DAMAGE (per accident) $ $ AUTOMOBILE PHYSICAL DAMAGE TY-3 5/1/2019 5/1/2020 ALL VEHICLES $ NO COVERAGE NO VEHICLES OWNED X SELECTED VEHICLES $2,500 PUBLIC OFFICIALS LIABILITY TY-3 5/1/2019 5/1/2020 $2,000,000 $2,500 EMPLOYEE BENEFIT LIABILITY TY-3 5/1/2019 5/1/2020 $2,000,000 $2,500 CRIME TY-3 5/1/2019 5/1/2020 X BLANKET BOND $500,000 $2,500 X DEPOSITORS FORGERY $500,000 $2,500 X MONEY & SECURITIES $500,000 $2,500 PROPERTY TY-3 5/1/2019 5/1/2020 X BUILDINGS & CONTENTS, including EDP As per Schedule with GIRMA $10,000 X MOBILE EQUIPMENT Actual Cash Value $10,000 X BOILER AND MACHINERY As per Schedule with GIRMA $10,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Evidence of coverage with respects to Tosihba Ipledge Phone System. BB&T Governmental Finance is named Loss Payee as their interest may appear. CERTIFICATE HOLDER CANCELLATION BB&T Governmental Finance P.O. Box 261510 Miami, FL 33126 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. By: Willis Insurance Services of GA, Inc. DISCLAIMER This Certificate of Coverage does not constitute a contract between the issuing insurer(s), authorized representative or administrator, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. GMAwpp v6.11.10rm CERTIFICATE OF COVERAGE ISSUE DATE 5/1/2019 ADMINISTRATOR: 404-224-5000 FAX 404-224-5001 meghan.murray@willis.com THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND Willis Insurance Services of GA, Inc. CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS Concourse Corporate Center Five CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE 18th Floor AFFORDED BY THE POLICIES BELOW. Atlanta, GA 30328 Company Affording Coverage NAMED MEMBER City of Tybee Island COMPANY A: Georgia Interlocal Risk Management Agency (GIRMA) 403 Butler Avenue PO Box 2749 COMPANY B: Tybee Island, GA 31328 ID: 21763 COLL: 9254 THIS IS TO CERTIFY THAT THE COVERAGE LISTED BELOW HAVE BEEN ISSUED TO THE MEMBER NAMED ABOVE FOR THE AGR EEMENT 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 COVERAGE AFFORDED BY THE AGREEMENT DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIO NS OF SUCH AGREEMENT. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TYPE OF COVERAGE POLICY NUMBER EFFECTIVE DATE EXPIRATION DATE LIMITS DEDUCTIBLE GENERAL LIABILITY EACH OCCURRENCE $ $ X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Any one fire) $ $ X OCCURRENCE MED EXP (Any one person) EXCLUDED X GEN’L AGGREGATE LIMIT APPLIES per POLICY PERSONAL & ADV INJURY $ $ GENERAL AGGREGATE UNLIMITED PRODUCTS-COMP/OP AGG $ $ LAW ENFORCEMENT LIABILITY $ $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ $ X ALL AUTOS BODILY INJURY (per person) $ $ X GEORGIA FLEET BODILY INJURY (per accident) $ $ X HIRED AND NON-OWNED PROPERTY DAMAGE (per accident) $ $ AUTOMOBILE PHYSICAL DAMAGE ALL VEHICLES $ NO COVERAGE NO VEHICLES OWNED SELECTED VEHICLES $ PUBLIC OFFICIALS LIABILITY $ $ EMPLOYEE BENEFIT LIABILITY $ $ CRIME TY-3 5/1/2019 5/1/2020 X BLANKET BOND $500,000 $2,500 X DEPOSITORS FORGERY $500,000 $2,500 X MONEY & SECURITIES $500,000 $2,500 PROPERTY TY-3 5/1/2019 5/1/2020 X BUILDINGS & CONTENTS, including EDP As per Schedule with GIRMA $10,000 X MOBILE EQUIPMENT Actual Cash Value $10,000 X BOILER AND MACHINERY As per Schedule with GIRMA $10,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Evidence of coverage as respects to Toshiba Ipledge Phone system UCC Financing Statement Filed 5. BB&T Governmental Finance is named Loss Payee, as their interest may appear. CERTIFICATE HOLDER CANCELLATION Chatham Parkway Toyota 7 Park of Commerce Way Savannah, GA 31405 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. By: Willis Insurance Services of GA, Inc. DISCLAIMER This Certificate of Coverage does not constitute a contract between the issuing insurer(s), authorized representative or administrator, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. GMAwpp v6.11.10rm CERTIFICATE OF COVERAGE ISSUE DATE 5/1/2019 ADMINISTRATOR: 404-224-5000 FAX 404-224-5001 meghan.murray@willis.com THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND Willis Insurance Services of GA, Inc. CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS Concourse Corporate Center Five CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE 18th Floor AFFORDED BY THE POLICIES BELOW. Atlanta, GA 30328 Company Affording Coverage NAMED MEMBER City of Tybee Island COMPANY A: Georgia Interlocal Risk Management Agency (GIRMA) 403 Butler Avenue PO Box 2749 COMPANY B: Tybee Island, GA 31328 ID: 21764 COLL: 9254 THIS IS TO CERTIFY THAT THE COVERAGE LISTED BELOW HAVE BEEN ISSUED TO THE MEMBER NAMED ABOVE FOR THE AGR EEMENT 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 COVERAGE AFFORDED BY THE AGREEMENT DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIO NS OF SUCH AGREEMENT. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TYPE OF COVERAGE POLICY NUMBER EFFECTIVE DATE EXPIRATION DATE LIMITS DEDUCTIBLE GENERAL LIABILITY TY-3 5/1/2019 5/1/2020 EACH OCCURRENCE $2,000,000 $2,500 X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Any one fire) $2,000,000 $2,500 X OCCURRENCE MED EXP (Any one person) EXCLUDED X GEN’L AGGREGATE LIMIT APPLIES per POLICY PERSONAL & ADV INJURY $2,000,000 $2,500 GENERAL AGGREGATE UNLIMITED PRODUCTS-COMP/OP AGG $10,000,000 $2,500 LAW ENFORCEMENT LIABILITY $2,000,000 $2,500 AUTOMOBILE LIABILITY TY-3 5/1/2019 5/1/2020 COMBINED SINGLE LIMIT $2,000,000 $2,500 X ALL AUTOS BODILY INJURY (per person) $ $ X GEORGIA FLEET BODILY INJURY (per accident) $ $ X HIRED AND NON-OWNED PROPERTY DAMAGE (per accident) $ $ AUTOMOBILE PHYSICAL DAMAGE TY-3 5/1/2019 5/1/2020 ALL VEHICLES $ NO COVERAGE NO VEHICLES OWNED X SELECTED VEHICLES $2,500 PUBLIC OFFICIALS LIABILITY TY-3 5/1/2019 5/1/2020 $2,000,000 $2,500 EMPLOYEE BENEFIT LIABILITY TY-3 5/1/2019 5/1/2020 $2,000,000 $2,500 CRIME TY-3 5/1/2019 5/1/2020 X BLANKET BOND $500,000 $2,500 X DEPOSITORS FORGERY $500,000 $2,500 X MONEY & SECURITIES $500,000 $2,500 PROPERTY TY-3 5/1/2019 5/1/2020 X BUILDINGS & CONTENTS, including EDP As per Schedule with GIRMA $10,000 X MOBILE EQUIPMENT Actual Cash Value $10,000 X BOILER AND MACHINERY As per Schedule with GIRMA $10,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Evidence of coverage as respects 2011 Toyota Rav4Sport VIN #2T3WF4DVXBW080654 valued at $15,000. CERTIFICATE HOLDER CANCELLATION For Informational Purposes 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. By: Willis Insurance Services of GA, Inc. DISCLAIMER This Certificate of Coverage does not constitute a contract between the issuing insurer(s), authorized representative or administrator, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. GMAwpp v6.11.10rm CERTIFICATE OF COVERAGE ISSUE DATE 5/1/2019 ADMINISTRATOR: 404-224-5000 FAX 404-224-5001 meghan.murray@willis.com THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND Willis Insurance Services of GA, Inc. CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS Concourse Corporate Center Five CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE 18th Floor AFFORDED BY THE POLICIES BELOW. Atlanta, GA 30328 Company Affording Coverage NAMED MEMBER City of Tybee Island COMPANY A: Georgia Interlocal Risk Management Agency (GIRMA) 403 Butler Avenue PO Box 2749 COMPANY B: Tybee Island, GA 31328 ID: 21765 COLL: 9254 THIS IS TO CERTIFY THAT THE COVERAGE LISTED BELOW HAVE BEEN ISSUED TO THE MEMBER NAMED ABOVE FOR THE AGR EEMENT 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 COVERAGE AFFORDED BY THE AGREEMENT DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIO NS OF SUCH AGREEMENT. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TYPE OF COVERAGE POLICY NUMBER EFFECTIVE DATE EXPIRATION DATE LIMITS DEDUCTIBLE GENERAL LIABILITY TY-3 5/1/2019 5/1/2020 EACH OCCURRENCE $2,000,000 $2,500 X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Any one fire) $2,000,000 $2,500 X OCCURRENCE MED EXP (Any one person) EXCLUDED X GEN’L AGGREGATE LIMIT APPLIES per POLICY PERSONAL & ADV INJURY $2,000,000 $2,500 GENERAL AGGREGATE UNLIMITED PRODUCTS-COMP/OP AGG $10,000,000 $2,500 LAW ENFORCEMENT LIABILITY $2,000,000 $2,500 AUTOMOBILE LIABILITY TY-3 5/1/2019 5/1/2020 COMBINED SINGLE LIMIT $2,000,000 $2,500 X ALL AUTOS BODILY INJURY (per person) $ $ X GEORGIA FLEET BODILY INJURY (per accident) $ $ X HIRED AND NON-OWNED PROPERTY DAMAGE (per accident) $ $ AUTOMOBILE PHYSICAL DAMAGE TY-3 5/1/2019 5/1/2020 ALL VEHICLES $ NO COVERAGE NO VEHICLES OWNED X SELECTED VEHICLES $2,500 PUBLIC OFFICIALS LIABILITY TY-3 5/1/2019 5/1/2020 $2,000,000 $2,500 EMPLOYEE BENEFIT LIABILITY TY-3 5/1/2019 5/1/2020 $2,000,000 $2,500 CRIME TY-3 5/1/2019 5/1/2020 X BLANKET BOND $500,000 $2,500 X DEPOSITORS FORGERY $500,000 $2,500 X MONEY & SECURITIES $500,000 $2,500 PROPERTY TY-3 5/1/2019 5/1/2020 X BUILDINGS & CONTENTS, including EDP As per Schedule with GIRMA $10,000 X MOBILE EQUIPMENT Actual Cash Value $10,000 X BOILER AND MACHINERY As per Schedule with GIRMA $10,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Evidence of Coverage CERTIFICATE HOLDER CANCELLATION H & E Equipment Services Attn: Matt Martin & Lynn Williams 7500 Pecue Lane Baton Rouge, LA 70809 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. By: Willis Insurance Services of GA, Inc. DISCLAIMER This Certificate of Coverage does not constitute a contract between the issuing insurer(s), authorized representative or administrator, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. GMAwpp v6.11.10rm CERTIFICATE OF COVERAGE ISSUE DATE 5/1/2019 ADMINISTRATOR: 404-224-5000 FAX 404-224-5001 meghan.murray@willis.com THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND Willis Insurance Services of GA, Inc. CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS Concourse Corporate Center Five CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE 18th Floor AFFORDED BY THE POLICIES BELOW. Atlanta, GA 30328 Company Affording Coverage NAMED MEMBER City of Tybee Island COMPANY A: Georgia Interlocal Risk Management Agency (GIRMA) 403 Butler Avenue PO Box 2749 COMPANY B: Tybee Island, GA 31328 ID: 21766 COLL: 9254 THIS IS TO CERTIFY THAT THE COVERAGE LISTED BELOW HAVE BEEN ISSUED TO THE MEMBER NAMED ABOVE FOR THE AGR EEMENT 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 COVERAGE AFFORDED BY THE AGREEMENT DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIO NS OF SUCH AGREEMENT. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TYPE OF COVERAGE POLICY NUMBER EFFECTIVE DATE EXPIRATION DATE LIMITS DEDUCTIBLE GENERAL LIABILITY TY-3 5/1/2019 5/1/2020 EACH OCCURRENCE $2,000,000 $2,500 X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Any one fire) $2,000,000 $2,500 X OCCURRENCE MED EXP (Any one person) EXCLUDED X GEN’L AGGREGATE LIMIT APPLIES per POLICY PERSONAL & ADV INJURY $2,000,000 $2,500 GENERAL AGGREGATE UNLIMITED PRODUCTS-COMP/OP AGG $10,000,000 $2,500 LAW ENFORCEMENT LIABILITY $2,000,000 $2,500 AUTOMOBILE LIABILITY TY-3 5/1/2019 5/1/2020 COMBINED SINGLE LIMIT $2,000,000 $2,500 X ALL AUTOS BODILY INJURY (per person) $ $ X GEORGIA FLEET BODILY INJURY (per accident) $ $ X HIRED AND NON-OWNED PROPERTY DAMAGE (per accident) $ $ AUTOMOBILE PHYSICAL DAMAGE TY-3 5/1/2019 5/1/2020 ALL VEHICLES $ NO COVERAGE NO VEHICLES OWNED X SELECTED VEHICLES $2,500 PUBLIC OFFICIALS LIABILITY $ $ EMPLOYEE BENEFIT LIABILITY $ $ CRIME TY-3 5/1/2019 5/1/2020 X BLANKET BOND $500,000 $2,500 X DEPOSITORS FORGERY $500,000 $2,500 X MONEY & SECURITIES $500,000 $2,500 PROPERTY TY-3 5/1/2019 5/1/2020 X BUILDINGS & CONTENTS, including EDP As per Schedule with GIRMA $10,000 X MOBILE EQUIPMENT Actual Cash Value $10,000 X BOILER AND MACHINERY As per Schedule with GIRMA $10,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Evidence of coverage as it relates to Rented/Leased Equipment. H & E Equipment Services is named Loss Payee as their interest may appear. ID: 21766 COLL: 9254 Georgia Interlocal Risk Management Agency (GIRMA) is a self-insured pool for Georgia municipalities and authorities, regulated by the Georgia Insurance Commissioner's Office, Official Code of Georgia Annotated 36-85-1 et seq. When a city joins GIRMA, they enter into an intergovernmental contract with all other cities and authorities who are pool members. Therefore, per the contract filed with the State of Georgia, Georgia Insurance Commissioner's Office, GIRMA is unable to indemnify or name anyone other than a municipality or municipal authority as Additional Insured. We hope that this information and coverage certificate will be adequate to satisfy your insurance requirements. However, please do not hesitate to contact our office if you have any questions or require any additional information after reviewing these materials. CERTIFICATE HOLDER CANCELLATION LEAF c/o Insurance Service Center P.O. Box 979127 Miami, FL 33197 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. By: Willis Insurance Services of GA, Inc. DISCLAIMER This Certificate of Coverage does not constitute a contract between the issuing insurer(s), authorized representative or administrator, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. GMAwpp v6.11.10rm CERTIFICATE OF COVERAGE ISSUE DATE 5/1/2019 ADMINISTRATOR: 404-224-5000 FAX 404-224-5001 meghan.murray@willis.com THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND Willis Insurance Services of GA, Inc. CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS Concourse Corporate Center Five CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE 18th Floor AFFORDED BY THE POLICIES BELOW. Atlanta, GA 30328 Company Affording Coverage NAMED MEMBER City of Tybee Island COMPANY A: Georgia Interlocal Risk Management Agency (GIRMA) 403 Butler Avenue PO Box 2749 COMPANY B: Tybee Island, GA 31328 ID: 21767 COLL: 9254 THIS IS TO CERTIFY THAT THE COVERAGE LISTED BELOW HAVE BEEN ISSUED TO THE MEMBER NAMED ABOVE FOR THE AGR EEMENT 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 COVERAGE AFFORDED BY THE AGREEMENT DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIO NS OF SUCH AGREEMENT. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TYPE OF COVERAGE POLICY NUMBER EFFECTIVE DATE EXPIRATION DATE LIMITS DEDUCTIBLE GENERAL LIABILITY EACH OCCURRENCE $ $ X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Any one fire) $ $ X OCCURRENCE MED EXP (Any one person) EXCLUDED X GEN’L AGGREGATE LIMIT APPLIES per POLICY PERSONAL & ADV INJURY $ $ GENERAL AGGREGATE UNLIMITED PRODUCTS-COMP/OP AGG $ $ LAW ENFORCEMENT LIABILITY $ $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ $ X ALL AUTOS BODILY INJURY (per person) $ $ X GEORGIA FLEET BODILY INJURY (per accident) $ $ X HIRED AND NON-OWNED PROPERTY DAMAGE (per accident) $ $ AUTOMOBILE PHYSICAL DAMAGE ALL VEHICLES $ NO COVERAGE NO VEHICLES OWNED SELECTED VEHICLES $ PUBLIC OFFICIALS LIABILITY $ $ EMPLOYEE BENEFIT LIABILITY $ $ CRIME TY-3 5/1/2019 5/1/2020 X BLANKET BOND $500,000 $2,500 X DEPOSITORS FORGERY $500,000 $2,500 X MONEY & SECURITIES $500,000 $2,500 PROPERTY TY-3 5/1/2019 5/1/2020 X BUILDINGS & CONTENTS, including EDP As per Schedule with GIRMA $10,000 X MOBILE EQUIPMENT Actual Cash Value $10,000 X BOILER AND MACHINERY As per Schedule with GIRMA $10,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Evidence of Coverage as respects to Leased/Financed Equipment agreement #1002135156002, equipment. Value: $27,600 2 HP Systems. LEAF, its successors and/or assigns are named as Loss Payee, as their interest may appear. CERTIFICATE HOLDER CANCELLATION LEAF Capital Funding, Its successors and/or assigns Attn: Ins. Service Center P.O. Box 979127 Miami, FL 33197 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. By: Willis Insurance Services of GA, Inc. DISCLAIMER This Certificate of Coverage does not constitute a contract between the issuing insurer(s), authorized representative or administrator, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. GMAwpp v6.11.10rm CERTIFICATE OF COVERAGE ISSUE DATE 5/1/2019 ADMINISTRATOR: 404-224-5000 FAX 404-224-5001 meghan.murray@willis.com THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND Willis Insurance Services of GA, Inc. CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS Concourse Corporate Center Five CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE 18th Floor AFFORDED BY THE POLICIES BELOW. Atlanta, GA 30328 Company Affording Coverage NAMED MEMBER City of Tybee Island COMPANY A: Georgia Interlocal Risk Management Agency (GIRMA) 403 Butler Avenue PO Box 2749 COMPANY B: Tybee Island, GA 31328 ID: 21768 COLL: 9254 THIS IS TO CERTIFY THAT THE COVERAGE LISTED BELOW HAVE BEEN ISSUED TO THE MEMBER NAMED ABOVE FOR THE AGR EEMENT 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 COVERAGE AFFORDED BY THE AGREEMENT DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIO NS OF SUCH AGREEMENT. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TYPE OF COVERAGE POLICY NUMBER EFFECTIVE DATE EXPIRATION DATE LIMITS DEDUCTIBLE GENERAL LIABILITY TY-3 5/1/2019 5/1/2020 EACH OCCURRENCE $2,000,000 $2,500 X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Any one fire) $2,000,000 $2,500 X OCCURRENCE MED EXP (Any one person) EXCLUDED X GEN’L AGGREGATE LIMIT APPLIES per POLICY PERSONAL & ADV INJURY $2,000,000 $2,500 GENERAL AGGREGATE UNLIMITED PRODUCTS-COMP/OP AGG $10,000,000 $2,500 LAW ENFORCEMENT LIABILITY $2,000,000 $2,500 AUTOMOBILE LIABILITY TY-3 5/1/2019 5/1/2020 COMBINED SINGLE LIMIT $2,000,000 $2,500 X ALL AUTOS BODILY INJURY (per person) $ $ X GEORGIA FLEET BODILY INJURY (per accident) $ $ X HIRED AND NON-OWNED PROPERTY DAMAGE (per accident) $ $ AUTOMOBILE PHYSICAL DAMAGE TY-3 5/1/2019 5/1/2020 ALL VEHICLES $ NO COVERAGE NO VEHICLES OWNED X SELECTED VEHICLES $2,500 PUBLIC OFFICIALS LIABILITY $ $ EMPLOYEE BENEFIT LIABILITY $ $ CRIME TY-3 5/1/2019 5/1/2020 X BLANKET BOND $500,000 $2,500 X DEPOSITORS FORGERY $500,000 $2,500 X MONEY & SECURITIES $500,000 $2,500 PROPERTY TY-3 5/1/2019 5/1/2020 X BUILDINGS & CONTENTS, including EDP As per Schedule with GIRMA $10,000 X MOBILE EQUIPMENT Actual Cash Value $10,000 X BOILER AND MACHINERY As per Schedule with GIRMA $10,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Evidence of Coverage as respects Samsung CLX-9352NA Color Copier Printer, SIN - Z94UB1ED500022N and KIP 7100 Color Copy Print, Large Format, SIN - 12411937. Total Replacement Value $34,545.00. LEAF Capital Funding, Its successors and/or assigns, is name CERTIFICATE HOLDER CANCELLATION Proof of Insurance SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. By: Willis Insurance Services of GA, Inc. DISCLAIMER This Certificate of Coverage does not constitute a contract between the issuing insurer(s), authorized representative or administrator, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. GMAwpp v6.11.10rm CERTIFICATE OF COVERAGE ISSUE DATE 5/1/2019 ADMINISTRATOR: 404-224-5000 FAX 404-224-5001 meghan.murray@willis.com THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND Willis Insurance Services of GA, Inc. CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS Concourse Corporate Center Five CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE 18th Floor AFFORDED BY THE POLICIES BELOW. Atlanta, GA 30328 Company Affording Coverage NAMED MEMBER City of Tybee Island COMPANY A: Georgia Interlocal Risk Management Agency (GIRMA) 403 Butler Avenue PO Box 2749 COMPANY B: Tybee Island, GA 31328 ID: 21769 COLL: 9254 THIS IS TO CERTIFY THAT THE COVERAGE LISTED BELOW HAVE BEEN ISSUED TO THE MEMBER NAMED ABOVE FOR THE AGR EEMENT 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 COVERAGE AFFORDED BY THE AGREEMENT DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIO NS OF SUCH AGREEMENT. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TYPE OF COVERAGE POLICY NUMBER EFFECTIVE DATE EXPIRATION DATE LIMITS DEDUCTIBLE GENERAL LIABILITY TY-3 5/1/2019 5/1/2020 EACH OCCURRENCE $2,000,000 $2,500 X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Any one fire) $2,000,000 $2,500 X OCCURRENCE MED EXP (Any one person) EXCLUDED X GEN’L AGGREGATE LIMIT APPLIES per POLICY PERSONAL & ADV INJURY $2,000,000 $2,500 GENERAL AGGREGATE UNLIMITED PRODUCTS-COMP/OP AGG $10,000,000 $2,500 LAW ENFORCEMENT LIABILITY $2,000,000 $2,500 AUTOMOBILE LIABILITY TY-3 5/1/2019 5/1/2020 COMBINED SINGLE LIMIT $2,000,000 $2,500 X ALL AUTOS BODILY INJURY (per person) $ $ X GEORGIA FLEET BODILY INJURY (per accident) $ $ X HIRED AND NON-OWNED PROPERTY DAMAGE (per accident) $ $ AUTOMOBILE PHYSICAL DAMAGE TY-3 5/1/2019 5/1/2020 ALL VEHICLES $ NO COVERAGE NO VEHICLES OWNED X SELECTED VEHICLES $2,500 PUBLIC OFFICIALS LIABILITY $ $ EMPLOYEE BENEFIT LIABILITY $ $ CRIME TY-3 5/1/2019 5/1/2020 X BLANKET BOND $500,000 $2,500 X DEPOSITORS FORGERY $500,000 $2,500 X MONEY & SECURITIES $500,000 $2,500 PROPERTY TY-3 5/1/2019 5/1/2020 X BUILDINGS & CONTENTS, including EDP As per Schedule with GIRMA $10,000 X MOBILE EQUIPMENT Actual Cash Value $10,000 X BOILER AND MACHINERY As per Schedule with GIRMA $10,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Evidence of coverage with respects to 2014 Ford F550 VINL 1FDOW5HT2FEA41781, valued at $171,209. CERTIFICATE HOLDER CANCELLATION SunTrust Equipment Finance & Leasing Corp. its successors and/or Assigns P.O. Box 4418 Atlanta, GA 30302 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. By: Willis Insurance Services of GA, Inc. DISCLAIMER This Certificate of Coverage does not constitute a contract between the issuing insurer(s), authorized representative or administrator, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. GMAwpp v6.11.10rm CERTIFICATE OF COVERAGE ISSUE DATE 5/1/2019 ADMINISTRATOR: 404-224-5000 FAX 404-224-5001 meghan.murray@willis.com THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND Willis Insurance Services of GA, Inc. CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS Concourse Corporate Center Five CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE 18th Floor AFFORDED BY THE POLICIES BELOW. Atlanta, GA 30328 Company Affording Coverage NAMED MEMBER City of Tybee Island COMPANY A: Georgia Interlocal Risk Management Agency (GIRMA) 403 Butler Avenue PO Box 2749 COMPANY B: Tybee Island, GA 31328 ID: 21770 COLL: 9254 THIS IS TO CERTIFY THAT THE COVERAGE LISTED BELOW HAVE BEEN ISSUED TO THE MEMBER NAMED ABOVE FOR THE AGR EEMENT 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 COVERAGE AFFORDED BY THE AGREEMENT DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIO NS OF SUCH AGREEMENT. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TYPE OF COVERAGE POLICY NUMBER EFFECTIVE DATE EXPIRATION DATE LIMITS DEDUCTIBLE GENERAL LIABILITY TY-3 5/1/2019 5/1/2020 EACH OCCURRENCE $2,000,000 $2,500 X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Any one fire) $2,000,000 $2,500 X OCCURRENCE MED EXP (Any one person) EXCLUDED X GEN’L AGGREGATE LIMIT APPLIES per POLICY PERSONAL & ADV INJURY $2,000,000 $2,500 GENERAL AGGREGATE UNLIMITED PRODUCTS-COMP/OP AGG $10,000,000 $2,500 LAW ENFORCEMENT LIABILITY $2,000,000 $2,500 AUTOMOBILE LIABILITY TY-3 5/1/2019 5/1/2020 COMBINED SINGLE LIMIT $2,000,000 $2,500 X ALL AUTOS BODILY INJURY (per person) $ $ X GEORGIA FLEET BODILY INJURY (per accident) $ $ X HIRED AND NON-OWNED PROPERTY DAMAGE (per accident) $ $ AUTOMOBILE PHYSICAL DAMAGE TY-3 5/1/2019 5/1/2020 ALL VEHICLES $ NO COVERAGE NO VEHICLES OWNED X SELECTED VEHICLES $2,500 PUBLIC OFFICIALS LIABILITY $ $ EMPLOYEE BENEFIT LIABILITY $ $ CRIME TY-3 5/1/2019 5/1/2020 X BLANKET BOND $500,000 $2,500 X DEPOSITORS FORGERY $500,000 $2,500 X MONEY & SECURITIES $500,000 $2,500 PROPERTY TY-3 5/1/2019 5/1/2020 X BUILDINGS & CONTENTS, including EDP As per Schedule with GIRMA $10,000 X MOBILE EQUIPMENT Actual Cash Value $10,000 X BOILER AND MACHINERY As per Schedule with GIRMA $10,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Evidence of coverage with respects to Agreement #09517 and Agreement #443-4009517-001 for 2014 Motor Grader Noram 65E, serial 65ET-9766; valued at $112,000 AND 2014 John Deere Backhoe 310SK: 1T0310SKKEE270072, valued at $76,400. SunTrust Equipment Finance & Leasing Corp. its successors and/or assigns are named Loss Payee as their interest may appear. CERTIFICATE HOLDER CANCELLATION SunTrust Equipment Finance & Leasing Corp. its successors and/or Assigns 300 East Joppa Road, 7th Floor Towson, Maryland 21286 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. By: Willis Insurance Services of GA, Inc. DISCLAIMER This Certificate of Coverage does not constitute a contract between the issuing insurer(s), authorized representative or administrator, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. GMAwpp v6.11.10rm CERTIFICATE OF COVERAGE ISSUE DATE 5/1/2019 ADMINISTRATOR: 404-224-5000 FAX 404-224-5001 meghan.murray@willis.com THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND Willis Insurance Services of GA, Inc. CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS Concourse Corporate Center Five CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE 18th Floor AFFORDED BY THE POLICIES BELOW. Atlanta, GA 30328 Company Affording Coverage NAMED MEMBER City of Tybee Island COMPANY A: Georgia Interlocal Risk Management Agency (GIRMA) 403 Butler Avenue PO Box 2749 COMPANY B: Tybee Island, GA 31328 ID: 21771 COLL: 9254 THIS IS TO CERTIFY THAT THE COVERAGE LISTED BELOW HAVE BEEN ISSUED TO THE MEMBER NAMED ABOVE FOR THE AGR EEMENT 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 COVERAGE AFFORDED BY THE AGREEMENT DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIO NS OF SUCH AGREEMENT. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TYPE OF COVERAGE POLICY NUMBER EFFECTIVE DATE EXPIRATION DATE LIMITS DEDUCTIBLE GENERAL LIABILITY TY-3 5/1/2019 5/1/2020 EACH OCCURRENCE $2,000,000 $2,500 X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Any one fire) $2,000,000 $2,500 X OCCURRENCE MED EXP (Any one person) EXCLUDED X GEN’L AGGREGATE LIMIT APPLIES per POLICY PERSONAL & ADV INJURY $2,000,000 $2,500 GENERAL AGGREGATE UNLIMITED PRODUCTS-COMP/OP AGG $10,000,000 $2,500 LAW ENFORCEMENT LIABILITY $2,000,000 $2,500 AUTOMOBILE LIABILITY TY-3 5/1/2019 5/1/2020 COMBINED SINGLE LIMIT $2,000,000 $2,500 X ALL AUTOS BODILY INJURY (per person) $ $ X GEORGIA FLEET BODILY INJURY (per accident) $ $ X HIRED AND NON-OWNED PROPERTY DAMAGE (per accident) $ $ AUTOMOBILE PHYSICAL DAMAGE TY-3 5/1/2019 5/1/2020 ALL VEHICLES $ NO COVERAGE NO VEHICLES OWNED X SELECTED VEHICLES $2,500 PUBLIC OFFICIALS LIABILITY $ $ EMPLOYEE BENEFIT LIABILITY $ $ CRIME TY-3 5/1/2019 5/1/2020 X BLANKET BOND $500,000 $2,500 X DEPOSITORS FORGERY $500,000 $2,500 X MONEY & SECURITIES $500,000 $2,500 PROPERTY TY-3 5/1/2019 5/1/2020 X BUILDINGS & CONTENTS, including EDP As per Schedule with GIRMA $10,000 X MOBILE EQUIPMENT Actual Cash Value $10,000 X BOILER AND MACHINERY As per Schedule with GIRMA $10,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Evidence of Coverage with respects to 2014 Viper E911 System IWS-911; valued at $134,552. CERTIFICATE HOLDER CANCELLATION SunTrust Equipment Finance & Leasing Corp. its successors and/or Assigns 211 Perimeter Center Parkway Suite 100 Atlanta, GA 30346 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. By: Willis Insurance Services of GA, Inc. DISCLAIMER This Certificate of Coverage does not constitute a contract between the issuing insurer(s), authorized representative or administrator, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. GMAwpp v6.11.10rm CERTIFICATE OF COVERAGE ISSUE DATE 5/1/2019 ADMINISTRATOR: 404-224-5000 FAX 404-224-5001 meghan.murray@willis.com THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND Willis Insurance Services of GA, Inc. CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS Concourse Corporate Center Five CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE 18th Floor AFFORDED BY THE POLICIES BELOW. Atlanta, GA 30328 Company Affording Coverage NAMED MEMBER City of Tybee Island COMPANY A: Georgia Interlocal Risk Management Agency (GIRMA) 403 Butler Avenue PO Box 2749 COMPANY B: Tybee Island, GA 31328 ID: 21772 COLL: 9254 THIS IS TO CERTIFY THAT THE COVERAGE LISTED BELOW HAVE BEEN ISSUED TO THE MEMBER NAMED ABOVE FOR THE AGR EEMENT 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 COVERAGE AFFORDED BY THE AGREEMENT DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIO NS OF SUCH AGREEMENT. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TYPE OF COVERAGE POLICY NUMBER EFFECTIVE DATE EXPIRATION DATE LIMITS DEDUCTIBLE GENERAL LIABILITY TY-3 5/1/2019 5/1/2020 EACH OCCURRENCE $2,000,000 $2,500 X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Any one fire) $2,000,000 $2,500 X OCCURRENCE MED EXP (Any one person) EXCLUDED X GEN’L AGGREGATE LIMIT APPLIES per POLICY PERSONAL & ADV INJURY $2,000,000 $2,500 GENERAL AGGREGATE UNLIMITED PRODUCTS-COMP/OP AGG $10,000,000 $2,500 LAW ENFORCEMENT LIABILITY $2,000,000 $2,500 AUTOMOBILE LIABILITY TY-3 5/1/2019 5/1/2020 COMBINED SINGLE LIMIT $2,000,000 $2,500 X ALL AUTOS BODILY INJURY (per person) $ $ X GEORGIA FLEET BODILY INJURY (per accident) $ $ X HIRED AND NON-OWNED PROPERTY DAMAGE (per accident) $ $ AUTOMOBILE PHYSICAL DAMAGE TY-3 5/1/2019 5/1/2020 ALL VEHICLES $ NO COVERAGE NO VEHICLES OWNED X SELECTED VEHICLES $2,500 PUBLIC OFFICIALS LIABILITY $ $ EMPLOYEE BENEFIT LIABILITY $ $ CRIME TY-3 5/1/2019 5/1/2020 X BLANKET BOND $500,000 $2,500 X DEPOSITORS FORGERY $500,000 $2,500 X MONEY & SECURITIES $500,000 $2,500 PROPERTY TY-3 5/1/2019 5/1/2020 X BUILDINGS & CONTENTS, including EDP As per Schedule with GIRMA $10,000 X MOBILE EQUIPMENT Actual Cash Value $10,000 X BOILER AND MACHINERY As per Schedule with GIRMA $10,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Evidence of Coverage with respects to Agreement #09517 and Agreement #443-4009517-001 for 2014 Motor Grader Noram 65E, serial 65ET-9766; valued at $112,000 and 2014 John Deere Backhoe 310SK; 1T0310SKKEE270072, valued at $76,400. CERTIFICATE HOLDER CANCELLATION Yancey Brothers Company 1465 E. Highway 80 Attn: Mike Ashdown Pooler, GA 31322 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. By: Willis Insurance Services of GA, Inc. DISCLAIMER This Certificate of Coverage does not constitute a contract between the issuing insurer(s), authorized representative or administrator, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. GMAwpp v6.11.10rm CERTIFICATE OF COVERAGE ISSUE DATE 5/1/2019 ADMINISTRATOR: 404-224-5000 FAX 404-224-5001 meghan.murray@willis.com THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND Willis Insurance Services of GA, Inc. CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS Concourse Corporate Center Five CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE 18th Floor AFFORDED BY THE POLICIES BELOW. Atlanta, GA 30328 Company Affording Coverage NAMED MEMBER City of Tybee Island COMPANY A: Georgia Interlocal Risk Management Agency (GIRMA) 403 Butler Avenue PO Box 2749 COMPANY B: Tybee Island, GA 31328 ID: 21773 COLL: 9254 THIS IS TO CERTIFY THAT THE COVERAGE LISTED BELOW HAVE BEEN ISSUED TO THE MEMBER NAMED ABOVE FOR THE AGR EEMENT 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 COVERAGE AFFORDED BY THE AGREEMENT DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIO NS OF SUCH AGREEMENT. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TYPE OF COVERAGE POLICY NUMBER EFFECTIVE DATE EXPIRATION DATE LIMITS DEDUCTIBLE GENERAL LIABILITY TY-3 5/1/2019 5/1/2020 EACH OCCURRENCE $2,000,000 $2,500 X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Any one fire) $2,000,000 $2,500 X OCCURRENCE MED EXP (Any one person) EXCLUDED X GEN’L AGGREGATE LIMIT APPLIES per POLICY PERSONAL & ADV INJURY $2,000,000 $2,500 GENERAL AGGREGATE UNLIMITED PRODUCTS-COMP/OP AGG $10,000,000 $2,500 LAW ENFORCEMENT LIABILITY $2,000,000 $2,500 AUTOMOBILE LIABILITY TY-3 5/1/2019 5/1/2020 COMBINED SINGLE LIMIT $2,000,000 $2,500 X ALL AUTOS BODILY INJURY (per person) $ $ X GEORGIA FLEET BODILY INJURY (per accident) $ $ X HIRED AND NON-OWNED PROPERTY DAMAGE (per accident) $ $ AUTOMOBILE PHYSICAL DAMAGE TY-3 5/1/2019 5/1/2020 ALL VEHICLES $ NO COVERAGE NO VEHICLES OWNED X SELECTED VEHICLES $2,500 PUBLIC OFFICIALS LIABILITY $ $ EMPLOYEE BENEFIT LIABILITY $ $ CRIME TY-3 5/1/2019 5/1/2020 X BLANKET BOND $500,000 $2,500 X DEPOSITORS FORGERY $500,000 $2,500 X MONEY & SECURITIES $500,000 $2,500 PROPERTY TY-3 5/1/2019 5/1/2020 X BUILDINGS & CONTENTS, including EDP As per Schedule with GIRMA $10,000 X MOBILE EQUIPMENT Actual Cash Value $10,000 X BOILER AND MACHINERY As per Schedule with GIRMA $10,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Evidence of Coverage as respects leased/rented equipment. 2012 CAT ID:EM2011505, Serial: 0M9D00913, Model: 140M2, Motorgrader 140 M with scarfier valued at $311,111. Certificate holder is named Loss Payee as their interest may appear.