2011 SIDEWALK CONTRACT - 11-0012-EN - CERTIFICATE OF LIABILITY INSURANCE (2) OIL In C
CERTIFICATE
8513011
TKIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION NLY AND CONFERS FCC RIGHTS UPON) THE CERTIFICATE HOLDER. TIME
CERTIFICATE DOES AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELCH ' THIS CERTIFICATE OF INSURANCE DOES li OT CONSTITUTE A CONTRACT BETWEEN THE WSUIN G INSU ER($), A UTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER,
IMPORTANT, If the certificate holder Is an ADDITIONAL INSURED,the pollcy les) must be endorsed. If SUBROGATION IS WAIVED..subject to
the terms and conditions of ft poliq, certa I n pol Wes may regLjire an en dorsem ent A statement on this certificate does not confer rights to the
certificate holder in lieu of such endorsement N
PRO UCER _ CONTACT
ITAtIARC INSURANCE NAIE:
P
AX
P,O.Ux 18425 813 77-8Q77 Pr NP
A,C
No.Exal, sac Na
'Tampa,FL 33679-6425 E4AAIL� .
C! FI I
NAIC 0 _
INSURED Central Florida Contractors INSURER.A: a c Iris-..Llran00 Co of Almeri cal. ;24,740
Inc. mare orne .NSU ---__-.
P.O. �� 917 I��uR>rR e: �rt�onit oITultir�l ,log
Seminole,FL 33775
INSURER C The IR'� ���I
INSURER D The
INSURER E
114 URERFt
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTE'Y THAT THE POLICIES, OF INSURANCE LISTED BELOW HAVE BEEN ISSUED' TO THE INSURED NAMED ABOVE. FOR THE P LI Y PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER aQCLJNIENT WITH RE5PEC T TO WHICH THt
CERTIFICATE: MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLiCjES DESCRIBED HERE-IN (S SUBJECT TO ALL THE TERM ,
EXCLUSIONS AAND B.CsNDITION S OF SUCH PCIUC:,IE .L n-S SHOWN AaW(KA E BEEN REnUEED BY PAID CL&ItA :
i TS
TYPE OF MURANCE PGLACY NUMBER
_ 'BIB'..-. Y tdlzG74.r5''T"f'. I.. LIrkIT."
GENERAL LIABILITY �'a1F'N ' R.' 'F�. it 7,00 ; 1!
I] C W ER IAs FNFRA? ..IABILLTY I t � 1 p51 1,113 5i3161;A PR rAIrSES � � =x nc�y 100,00
CLCIMIS ADD 1iij ,r"DE]sr�Anrrr��,a��}_ .r� 10,00
;ErwCRAL.G GaEGAT 8 2,000,000
GENT AGGRFGATE E,1MIT APPLIES PER PRODUCTS-GCRj'df7R AG 5 2,Tiflll,00
1�R , ,.. ....- -_..a ..
POLICY LCC
3
AUTOMOBILE LIABILITY ! I I Gtar.wINED SINGLE.LIMIT
1 Ea amicianl)
A I ANYAUT4 )OIC13460113 051111/4 ,
6 BODILY INJURY(N.rg..oraan) 5
AU,OWNED AuTs s �.� ..,x...
BODILY INJURY I Per zaca sen(} 5
SCHEDULEDAUTOS
PROPERTY DAMAGE 5
HALL,AUT S (Pmr iw6wnl)
i
iJ teR LM8 C�taCLJH EACH MURREK—E S
_...
..wm
EXCESS LIAS ' CUAL Ilt�&MA2"3L"
DFDUCTk'BLE
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RETEr.mO
Ws R)GRIS CO PE"ATIOR g X44 STATU CTH
AND EMPL€AYERS LITY y J N � kY Ih9 T S I
1 ANYPRGPR TO:WARTNE�t1= .CL70fF' �'�I � 0 d� ������� �' ����� El EACH.1.aCCIDENT 5pT73� ..
i Mandatory in ratlT• El MSEASE-EA Er,1PL e�
If 'es" +�tfbLw:d d _._.. .. .:..: __..��
D 80RIPTION,OF U.PF.RAT i0N8 tm 1,pw E L OI SFA E-POLICY L IroiT i S 500,00o
C be Ohio Casualty 391 Fe71 05*1113 M31114 Equipment 25,000,1
Rontal 55,00
DESCIUPTION OF OPERATIONS,i LOC A.TIORS I VFHICLES �A ach ACORD 101,Addltiwal Ramarks,S00dula'.,It FWT43 gPaxd 145 roqu14ad�
C t;3r of C1,ea aatex7 name as InErarad, 2011 Sidewalk Contract„
CIERTIFICATEI-40LDER CANCELLATION
CICL
,SHOULD+SNIT'OF THE ABOVE.0-E SCRIITE0 POLICIES BE CAN rCELLED SEFQRH'
TFIE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
City of C lea r at r#En !need r
ACCORDANCE WITH THE POLICY PR WIBION -
Dept:
100 S. Myrtle Ave.S,u ite 220 AUTHORIZED REPRESENTATIVE
Clea rwater. F L 33756
1988-2009 ACORD CORPCI TION:� All right reserved.
ACORD 26(2,009 IT9) The ACORD name and logo are registered mar"-of ACORD