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CERTIFICATE OF LIABILITY INSURANCE (157)
Aie°,. CA CERTIFICATE OF LIABILITY INSURANCE 06/13/2013 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 Jovita Insurance Agency, Inc. P.O. Box 189 San Antonio, Fl. 33576 CONTACT NAME: PHroNE 352 - 588 -3671 WC, No): 352 - 588 -2885 ADDRESS: PRODUCER ID s212 INSURER(S) AFFORDING COVERAGE INSURER A : NAEC # INSURED A -1 B COOL HEAT AND AIR, LLC 15873 LAKE IOLA RD dade city, FL 33523 INSURER B : LIABILITY COMMERCIAL GENERAL LIABILITY INSURER C ' INSURER D : G �`y fff�'''! t INSURERE: MARKEL INSURNACE COMPANY INSURER F : EACH OCCURRENCE COVERA CERTIFICATE NUMBER: 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 LIRR TYPE OF INSURANCE ® POLICY NUMBER ( OOIYYYFY) (M1YDD/ �) LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY OCCUR G �`y fff�'''! t �" EACH OCCURRENCE $ TO RENTED PREMISES (Ea occurrence) $ CLAIMS -MADE MED EXP (My one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGG $ POLICY , jE,COT- LOC $ AUTOMOBILE LIABILITY ANY AUTO';) ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS '� ., ` Y _ t � �'' � f, ` _. ° b- .�. COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DEDUCTIBLE RETENTION $ $ $ E WORIO=RS COMPENSATION AND EMPLOYERS' LIABILITY ANY F PER MEMBER/ PROPRIETOR/PARTNER/EXECUTIVE (Mandatory EXCLUDED? ( hi NH) W yes, describe under DESCRIPTION OF OPERATIONS N/A MWC0034320-02 D6/13/13 06/13/14 WC STATU- OTH- TORY LIMITS ER E.L EACH ACCIDENT $ 500,000 EL DISEASE - EA EMPLOYEE $ 500,000 below E L DISEASE - POLICY LIMIT $ 500 000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remits Schedule, if more apace is required) LICENCE# CAC 1814313 RUSSELL FINALY CITY OF CLEARWATER 100 SOUTH MYRTLE AVE. CLEARWATER, FL. 33756 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH 'RE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE , ---- ..msw J ♦ ) _ "f —i ACORD 26 (2009109) ©1988- ACORD CORPORATION. All nghts reserved. The ACORD name and logo are to arks of ACORD