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CERTIFICATE OF LIABILITY INSURANCE (193)ALANS -1 OP ID: EN A`C.°�R° CERTIFICATE OF LIABILITY INSURANCE DATE 07111/2013 07/11 /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 MORROW INSURANCE GROUP Phone: 813 - 963 -1669 LENORA C. OLNEY /A196064 Fax: 813 - 961 -3743 18936 NORTH DALE MABRY HIGHWAY TAMPA, FL 33548 Lenora C. Olney CONTACT NAME: MORROW INSURANCE GROUP (a2NN , Ext): 813- 963 -1669 FAX No): 813 - 961 -3743 ADDRESS: EILEEN @MORROWINSURANCE.NET INSURER(S) AFFORDING COVERAGE NAIC # INSURERA:CANAL INDEMNITY COMPANY 27790 INSURED ALAN'S ROOFING, INC 14498 PONCE DE LEON BLVD BROOKSVILLE, FL 34601 INSURER B: GENERAL INS. CO. OF AMERICA 24732 INSURERC: EVANSTON INSURANCE CO 07/11/2014 INSURER D : $ 1,000,000 INSURER E : $ 50,000 INSURER F : COVERAGES 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. INSR LTR TYPE OF INSURANCE ADDL INSR SUBR WVD POLICY POLICY EFF /DD/YYYY) POLICY EXP (MM /DD/YYYY) LIMITS A GENERAL X LIABILITY COMMERCIAL GENERAL LIABILITY -:_ - GL12301 a: -> ° "' ° t "" r.� i .tY +r 07/11/2013 '" i f 07/11/2014 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES (Ea occurrence) $ 50,000 CLAIMS -MADE X OCCUR MED EXP (Any one person) $ 5,000 X CONTRACTUAL LIAB PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L X AGGREGATE POLICY LIMIT APPLIES JFCT PER 7 LOC PRODUCTS - COMP /OP AGG $ 2,000,000 $ B AUTOMOBILE X X LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS PIP FL X X SCHEDULED AUTOS NON -OWNED AUTOS STATUTORY 25CC35894310 06/04/2013 06/04/2014 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ PIP -BASIC $ 10,000 c X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS-MADE XOVA752326 07/11/2013 07/11/2014 EACH OCCURRENCE $ 1,000,000 AGGREGATE $ 1,000,000 DED X RETENTION $ 0 $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR /PARTNER /EXECUTIVE OFFICER /MEMBER EXCLUDED? n (Mandatory in NH) i__, If yes, describe under DESCRIPTION OF OPERATIONS below N / A WC STATU- TORY LIMITS OTH- ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) CERTIFICATE HOLDER CANCELLATION CITYCLR City of Clearwater tY P.O. Box 4748 Clearwater, FL 34618 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 C.c ACORD 25 (2010/05) © 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ALANS-1 OP ID: TM ACORO" CERTIFICATE OF LIABILITY INSURANCE k....----' DATE(MMIDDIYYYY) 06/06/2014 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 MORROW INSURANCE GROUP LENORA C. OLNEY/A196064 18936 NORTH DALE MABRY HIGHWAY TAMPA, FL 33548 NAME: MORROW INSURANCE GROUP PHONE FAX (A/C. No, Ext):813- 963 -1669 (AIC, No): 813- 961 -3743 ADDRESS: TEREASA ©MORROWINSURANCE.NET INSURER(S) AFFORDING COVERAGE NAIC K INSURER A • AMERICAN STATES INS CO 19704 INSURED ALAN'S ROOFING, INC 14498 PONCE DE LEON BLVD BROOKSVILLE, FL 34601 INSURER e: CANAL INDEMNITY COMPANY 27790 INSURER C: EVANSTON INSURANCE CO 0711112014 INSURER D: $ 1,000,000 INSURER E : $ 50,000 INSURER F : COVERAGES 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. INSR TYPE OF INSURANCE "AWL INSD SUER WVD POLICY NUMBER POLICY EFF (MMIDDIYYYY) POLICY EXP (MMIDDIYYYY) LIMITS B X COMMERCIAL GENERAL LIABILITY y/ /q',, GL104843 }�, "`'r _g y {._- " ` ., r.,-7,-, a c u W • n mo ? 7/11/2013 0711112014 OCCURRENCE $ 1,000,000 DAMAGE TO RENTED $ 50,000 CLAIMS -MADE X OCCUR MED EXP (Any one person) $ 5,000 X CONTRACTUAL LIAB PERSONAL & ADV INJURY $ 1,000,000 GE X GENERAL AGGREGATE $ 2,000,000 'L AGGREGATE POLICY OTHER_ LIMIT APPLIES PRO JECT PER LOC PRODUCTS- COMP /OP AGG $ 2,000,000 $ A AUTOMOBILE X X X LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS FL PIP X X SCHEDULED AUTOS NON -OWNED AUTOS STATUTORY {L" �'� °' !.T2ai L: `' L ,..—.) 01C176263310 .. -- 06/04/2014 06/04/2015 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY Per accident) $ PROPERTY DAMAGE (Per accident) $ BASIC PIP $ 10,000 C X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE XOVA606513 07/11/2013 0711112014 EACH OCCURRENCE $ 1,000,000 AGGREGATE $ $ DED X RETENTION $ NONE WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y ANY PROPRIETOR /PARTNER/EXECUTIVE OFFICER /MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below 1 N N I A STTAATUTE STATUTE H ER E.L. EACH ACCIDENT $ E . DISEASE - EA EMPLOYEE $ E . DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) NCELLATION CITYCLR City of Clearwater P.O. Box 4748 Clearwater, FL 34618 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 qtr, C. COI ACORD 25 (2014/01) O 1988 -2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD