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CERTIFICATE OF LIABILITY INSURANCE (150)Acc• R b ® ``` v /// CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 6/7/2013 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 INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. 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 Adcock - Adcock Property & Casualty Agency, Inc. 315 W. Fletcher Ave. Tampa FL 33612 -3414 CONTACT Radha Jones NAME: IAHCNN .Ext1: (813) 933 -6691 A/C.Not: (813)932 -6287 E- MAIL :radhaj @adcock- insurance.com INSURER(S) AFFORDING COVERAGE NAIC # INSURERA:Southern- Owners Insurance Co. 10190 INSURED Sitecrafters of Florida Inc 2207 W North A Street Tampa FL 33606 INSURER B:Auto-OWners Insurance Co. 18988 INSURERC:Bridgefield Employers Ins Co 10701 INSURERD:LlOydr S of London 1122000 INSURER E • $ 300 000 INSURERF: $ 10,000 COVERAGES CERTIFICATE NUMBER:CL136706116 REVISION NUMBER: THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL INSR SUER WVD POLICY NUMBER POLICY EFF IMM /DD/YYYYI POLICY EXP (MM /D1)/YYYY1 LIMITS A GENERAL - X LIABILITY COMMERCIAL GENERAL LIABILITY 20057861 1/6/2013 1/6/2014 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES (Ea occurrence) $ 300 000 MED EXP (Any one person) $ 10,000 CLAIMS -MADE X OCCUR PERSONAL &ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP /OP AGG $ 2, 000, 000 GE 'L AGGREGATE LIMIT APPLIES PER POLICY I I JFOOT n LOG $ B UT AOMOBILE _ X LIABILITY ANY AUTO ALLOWNED AUTOS HIRED AUTOS _ SCHEDULED AUTOS NON -OWNED AUTOS 4485730900 6/7/2013 6/7/2014 COMBINED SINGLE LIMIT (Ea accident) $ 1, 000, 000 $ BODILY INJURY (Per person) BODILYINJURY(Peraccident) $ DAMAGE (Perr accident) $ Combined single limit $ 1,000,000 B X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE 4485730901 1/6/2013 1/6/2014 EACH OCCURRENCE $ 2,000,000 AGGREGATE $ 2,000,000 $ DED X RETENT ON $ 10,000 C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR /PARTNER /EXECUTIVE OFFICER /MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below Y / N N / A 0830 -36694 7/21/2012 7/21/2013 X I TORY LIMITS I I OER E.L. EACH ACCIDENT $ 1,000 , 000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 $ 1,000,000 E.L. DISEASE - POLICY LIMIT D Pollution Liability PGIAGK02095 -00 6/25/2012 7/21/2013 '' Aggregate Limit 2,000,000 yrence Limit 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) . ; City of Clearwater 100 S Myrtle Clearwater, FL 33756 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Jeffrey Kemp, CIC /RRJ ,e v� • ' ACORD 25 (2010/05) INS025 (201005) 01 © 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD