CERTIFICATE OF LIABILITY INSURANCE (3) CERTIFICATEDArEI�nroDrYYYYI
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 INSURERS}„ AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT. If the certificate holder is an ADDITIONAL.INSURED, the pollcy(ies) must be endorsee?, 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 Beecher Carlson Insurance Services CONTACT NAME.. (ATE}Judith Bolch _..
Concourse F'arkv y, Suite 2300 _P DNE AL 678.53q.4827
Atlanta, GA 30328
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INSURERIS}AFFORDINGCOVERAaE NAIC.#_�.
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IN.,.SUR.EO INSURER.B°_I�1�3.It{'�C EI I,�.1 rr1C71?�3P IC4�t�.1"�C'���f;��7Ji1�C;:��'1�: ..._ �?4�r
Coca-Cola Refreshments GSA, Inc. _.
f}lt z Coca-Cola ffiiI 6 F`i U f7G. _NSt zEr c:_Ply 11ajTJ Irk II ul_n rs ;r�' -
DBA Florida Coca-CIS a Bottling Co. NsLIRERD II7 �rnry�tT h �r�rc�CST r� of�v�€h Art n��. ...---) Wiz .
2950 Caddy Bridge Blvd, INSURERE
St. Petersburg FL 3370
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COVERAGES CERTIFICATE NUMBER: 12933084 .,._ REVISION NUMBER:.
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THIS IS TO ('FRTiPY THAT THE P0.1 ICIFS OF ANSI lRANCS,LI TEO Sa LOW HAVE SEEN ISSUED TO THE INSURED NAMED ABOVE FOR TNF R,)I ICY PFRInr,
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, I
EXCLUSIONS AND CONDIT IONS OF SUCH POLICIES,LIMITS SHOWN MAY HAVE SEEN REDUCED BY PAID CLAIMS,
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LTR TYPE OF INSURANCE POLICY NUMBER IMMIDDIYYYYi I MMQDfYYYY LIMITS
A GENERAL LIABILITY IHDG 627009360 j 51112012 15,1V2013 EACH4OCCURRENCE 1$ 2,000,000
r C DAMAGE TO RENTED ... � s,
I COMMERCIAL GNtRAI LIA ILITx I PRLINISL•�La oect rrencu� is
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£:LA,Rh:55•AVJkQE ( I OCCUR i MED EXP�Ariy�ante r.seis+rn} $_. — -- 5,t�9t1
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PERSONAL&AW,1 INJURY s$ 14,000,000
$ _..
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I CEN'LAGGREGA,9°E LIMP,4PPI ICS DER. ( PkCifivUC.r COO OF GG $ SaCC®,LSt7
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AUTOMOBILE UARI LETY '.49$274 (A.[1`U' Sf1?2t112 5(t 12[713 COMBINED SINGLE LIMIT_� _.. -.
} �Ea acudenl} -- 5,000,000
yI` ANY AUTO I � "BODILY INJURY CPer persorE) ;� ..__.. ._.._._. .._
C C — 1*4982749
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(M A)ALL MINED C` BODILY INJURY(rea nxatent))TOS (AR t S--NON-OWNED - F%RG+PERTY DAMAGE
HIRED AUTOS j 49827 50(`�'A] .
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UMBRELLA LIAR
OCCUR ( (..._ � EACH OC CURRENQF j S
EXCESS LIA6 CLAM#S tag YDE� AGGREGATE
t DED ;_I RE=TENTION S ( ..... $
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RSCOMENSATION ( s C S TA t cR N7R L rC � � 3C17t U � � fir � 3 p V
AND EMPLOYEKS JAWLITY YIN I 9AY ki
ANY PRO PRIETOR�.'PARTNERtEXECUTIVP I
' 5,11 (E L I,...EACH,~ cFF.ACCIDENT f„4`tr Fr $ _ 1,000,000 OFFICERIMEMSER EXCLUDED? N A I ,S7F C46140382(WI) /2012 5112013
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DESCRIPTION OF OPERATIONS belowti�° _ � I 000,000t Jh 4L 9 '.
A Excess WC(AZ, CA,LA, MD,NV,OR VVCU 0413785927 5F112I712 5,11'12013 Statutory Excess of $1 MM each accident
RI,WA, MA,GA,CI-I} for listed states except MA-Statutory
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DESCRIPTION OF OPERATIONS,'LOCATICO'NS t VFHIGLES €AStach A.COPD 101,A€ditional Re mark&S.c.Ireduie,K more spue Ss rettkdredl
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
't of Clearwater THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
11 South t �rr9 tl Avenue tlG ACCORDANCE WITH THE POLICY PROVISIONS.
Clearwater FL 33756-5520
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AUTHORIZED REPRESENTATIVE
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(ATL i RRobert I!y Fiessel
r 1985.2€710 ACCRD CORPORATION, All rights reserved,
A CCRI 2 (2010/05) The ACCORD name and logo are registered sitars of AICCRC
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