CERTIFICATE OF LIABILITY INSURANCE (208) DATEIIAIRDDIYYYYi
kb.� CERTIFICATE OF LIABILITY INSURANCE
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PRODUCER (201)262-1200 FAX. (201)262-7810 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Fenner & Esler ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES C AMEND, EXTEND CR
467 Kinderkamack Road ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW,
C. Box 60
--cadell NAT 07649-0060 1 INSURERS AFFORDING COVERAGE NAIL
INSURED i INSURER A,Charter Oak Fire Insurance 25615
Biller Reinhart Structural Group, Inc. INSURERS Everest National Insurance 103,20
4014 Gunn Highway, Suits 246 i INSURER C:
__ _ _. ..
INSURER a
, Tampa FL 33616 INSURER E"
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.N47TWITHSTAN DING
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 CLAMS.
I"aiSR�bd"L � � ��qLY�a��n �� `—P-0—Li eaYa ��crlvE�aLw^-EXPIRATION'
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LTR T
fYY LIMITS
GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000
70 COMMERCIAL GENERAL LIABILITY j ;;PREMISE.SS,Ea pccurcnce)_F_$ __1.1 000,000
�_j CYJs11fiS FfiA€1E 1 OCCUR 1680-8783L610-COP-12 3/1,x'2412 /1/2 1 ME[ EXP IAnyone person) - 3 - 10,k�(�C
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- PERSONAL&ADV INJURY S 2,0]00,000
_ — - _
i GENERAL.AGGREGATE S 4.,000,004..:
GEN°L AGGREGATE LIMIT APPLIES PER: PRODUCTS C4MPI(SP A{sG 4,000 000'
77 P
POLICYIa ) I.#3C -
AUTOMOSI.LE LIABILITY `
s COMBINED SINGLE LIMIT
(Ea accident) 1,000,000=
}ANY AUTO °
A � �._._�ALL OVMED AUTOS 6aO--67831,610-COB-12 3/1,42012 �3/1/2013
BODILY INJURY
SCHEDULED AUTOS IFer perscn)
..,' 1 HIRED AUTOS BODILY INJURY
(Per accfdant) E
NON-OVINED AUTOS
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--- — PR PE@ Ttj AMAGE
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GARAGE LIABILITY - --- - i j AUTO?ONLY-EA ACC[DENT�
ANY AUTO I t
j OTHER THAN EA ACC ,5
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AUTO ONLY AGG I S
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EXCESS 1UMISRELLA LIABILITY LAIIaAS MADE i ���' � �EACH OCCURRENCE of
I AOGREOATE
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DEDUCTIBLE -r--
RETENTION S _ S
WORKERS COMPENSATION ) � � WCSTATU- i OTH
AND EMPLOYERS'LIABILffY YIN
ANY PROPRIETORIPARTNERIEXECUTIVf E L EACH ACCIC]ENT I$
OFFICERMEMBER E#C=ED?
(M and In NkE) ;. ( E L DISEASE.-EA EMPLOYEE$
If yes,d&scribe under e . --—-
SPECIAL PROVISIONS Maw E L DISEASE POLICY LIMIT 1 S
B I OTHER rOf ggipnal 79AE000318-121 3/1/2012 3/1/2013 Per Claim Limit 1,000,400
Liability Annual Aggregate 1,0300,000
DESCRIPTION OF OPERAT IONS ILOC ATTON!S I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT)SPECI AL PROVISIONS
Additional Insured - Certificate Holder as respects general liability where required by written contract.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
'.. DATE THEREOF'„..THE ISSUING INSURER WILL ENDEAVOR..TO FAIL 303 DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO 00 SO SHALL
Municipal Services er ualdin
City Clearwater IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR
ic
r
Roan #220 REPRESENTATIVES, _
100 S. Myrtle Ave, AUTHORIZED REPRESENTATIVE
Clearwater, FL 33756-6520
Timothy EBler/d3EBP6I ° .
ACCRC 25(2049101) 0 1999°2009 AC RD CORPORATION. All rights reserved.
INIS025 420169011 1 The ACORD hams and logo are registered marks of ACORN