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CERTIFICATE OF LIABILITY INSURANCE (184)'4� °® CERTIFICATE OF LIABILITY INSURANCE 6 %2e /2o1) 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 Stahl & Associates Insurance Inc. 91 Lake Morton Drive P O Box 3608 Lakeland FL 33802 CONTACT Michele Crifasi NAME: PHONE c Fwd): (863) 688 -5495 I No): (863) 688 -4344 E-MAIL SS: michele .crifasi @stahlinsurance.com ADDRE INSURER(S)AFFORDINGCOVERAGE NAIC# INSURER AAmerisure Insurance Co LIABILITY COMMERCIAL GENERAL LIABILITY INSURED RID Construction Inc PO Box 2439 Zephyrhills FL 33539 -2439 INSURER B :North River Insurance Co CPP20831990101 EGL0002137 Poll Aggregate/$1,000,000 Ea Poll Incid /$1 000 000 INSURERCMt. Hawley Insurance Co 6/30/2014 1/01/2014 INSURER D AGCS Marine Insurance Co $ 1, 000 , 000 INSURER E : $ 100 000 INSURERF: $ 5,000 COVERAGES CERTIFICATE NUMBER:13 /14 all REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCI 'LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMEN1 M 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 SUBR WVD POLICY NUMBER POLICY EFF (MM /DD/YYYY) POLICY EXP (MM /DD/YYYY) LIMITS A C GENERAL X LIABILITY COMMERCIAL GENERAL LIABILITY X CPP20831990101 EGL0002137 Poll Aggregate/$1,000,000 Ea Poll Incid /$1 000 000 6/30/2013 1/01/2013 6/30/2014 1/01/2014 EACH OCCURRENCE $ 1, 000 , 000 DAMAGE TO RENTED PREMISES (Ea occurrence) $ 100 000 MED EXP (Any one person) $ 5,000 CLAIMS -MADE l X OCCUR PERSONAL & ADV INJURY $ 1,000,000 X Contractual Liability GENERAL AGGREGATE $ 2,000,000 X Pollution Liability PRODUCTS - COMP /OP AGG $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: n POLICY n 78- n LOC $ A AUTOMOBILE X X LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS X SCHEDULED AUTOS NON -OWNED CA20831970105 I xi td` . ) ° a 6/30/2013 6/30/2014 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ (Per aacEcident DAMAGE $ PIP -Basic $ 10,000 B X UMBRELLA UAB EXCESS UAB X OCCUR CLAIMS -MADE (." , ' y)a' l r' "' Sit ;-''�J U ' ! a B I : ; o o wJ 5811019047 �.`.. i:: 6/30/2013 6/30/2014 EACH OCCURRENCE $ 10, 000, 000 AGGREGATE $ 10 , 000 , 000 $ DED I X RETENTION$ 10,000 A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, DESCRIPTION OF OPERATIONS below Y / N N N/A WC2083198 6/30/2013 6/30/2014 I TORY LIAMITS I I ER EACH ACCIDENT $ 1,000,000 $ 1,000,000 $ 1,000,000 E DISEASE - EA EMPLOYEE E.L. DISEASE - POLICY LIMIT D Rented /Leased equip (:4193043175 6/30/2013 6/30/2014 Limit w$5,000 Deductible 600, 000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) City of Clearwater is listed as an additional insured with respects to the General liability if required by written contract. CANCELLATION City of Clearwater P 0 Box 4748 Clearwater, FL 33758 I 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 i/'"'""1 r Gerald Powell /CRIFAS ACORD 25 (2010/05) INS025 (201005).01 © 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD