CERTIFICATE OF INSURANCE (251)
ACORD", CERTIFICATE OF LIABILITY INSURANCE
DATE (MMlDDIYYYY)
PRODUCER
Work Comp Specialists
P.O. Box 9435
Panama City Beach, FL 32417
850-234-3197
INSURED J& K ELECTRIC, INC.
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
2712 20TH AVENUE, NORTH
ST. PETERSBURG, FL 33713
7
COVERAGES
INSURERS AFFORDING COVERAGE
INSURER A: BEIC
INSURER B:
INSURER C:
INSURER 0:
INSURER E:
NAlC#
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, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS,
I~:: ~s':;~ POLICY NUMBER POLl~rMtf,b~~YE P8k+~1~~J~?N LIMITS
OAT 0
~NERAL LIABILITY EACH OCCURRENCE $
- ~~MERCIAL GENERAL LIABILITY PREMISes ~E~~o~~~:;nca\ $
~ 1---1 CLAIMSMADE D OCCUR MED exP (Any ona parson) $
~ PERSONAL & ADV INJURY $
~ GENERAL AGGREGATE $
GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGG $
h POLlcvr=Y ~~8i n LOC
~TOMOBILE LIABILITY COMBINED SINGLE LIMIT $
ANY AUTO (Ea accldant)
~
ALL OWNED AUTOS BODILY INJURY
~ $
SCHEDULED AUTOS (Par parson)
~
~ HIRED AUTOS BODILY INJURY
(Paraccldant) $
NON-OWNED AUTOS
~
PROPERTY DAMAGE $
. (Paraccldant)
RRAGE LIABILITY AUTO ONLY - EA ACCIDENT $
ANY AUTO OTHER THAN EAACC $
AUTO ONLY: AGG $
~ESSlUMBRELLA LIABILITY EACH OCCURRENCE $
1---1 OCCUR CI CLAIMS MADE AGGREGATE $
$
R DEDUCTIBLE $
RETENTION $ - -----_._-,-- ---"--~ - . -- l---~------- ---"-
-- .--- - --- -. --~-'-- --
---- -VVUKI\~~:> COMPENSATION AND -- Tsl 10J~-
YLI
EMPLOYERS' LIABILITY 0830-32866 01/01/05 01/01/06 E,L. EACH ACCIDENT 500 000
ANY PROPRIETORlPARTNERlEXECUTIVE $
A OFFICERlMEMBER EXCLUDED? E,L, DISEASE. SA EMPLOYE $ 500 000
If~as, describe under E.L. DISEASE. POLICY LIMIT $ 500 .000
S ECIAL PROVISIONS below
OTHER
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I exCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
CERTIFICATE HOLDER
CITY OF CLEARWATER
A 112 SOUTH OSCELOA AVENUE
CLEARWATER, FL 33770
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED ~EOORE THE exPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAl,=--- DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
REPRESENTATIVES,
AUTHORIZED REPRESENTATIVE
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