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CERTIFICATE OF LIABILITY INSURANCE (208)'4� °® CERTIFICATE OF LIABILITY INSURANCE ;A24 201"3 ) 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 Greyling Insurance Brokerage 450 Northridge Parkway Suite 102 Atlanta GA 30350 CONTA y CT Jerry NO ola NAME: rJ NN.Exo, (770) 552 -4225 I a. No): (866)550 -4082 ADDRESS: jerry•noyola@greyling.com INSURER(S) AFFORDING COVERAGE NAIC S INSURERA:Valley Forge Insurance Company ,20508 20494 INSURED Volkert, Inc. 3809 Moffett Road P.O. Box 7434 Mobile AL 36607 INSURERS :Transportation Insurance Co. INSuRERc:Catlin Insurance Company 19518 INSURERD: EACH OCCURRENCE INSURERE: DAMAGE TO RENTED PREMISES (Ea occurrence) INSURERF: MED EXP (Any one person) COVERAGE CERTIFICATE NUMBER -13 -14 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 W VD POLICY NUMBER POLICY EFF (MM /DD/YYYY) POLICY EXP (MDD/YYYY) MI UNITS A GENERAL X UABILITY COMMERCIAL GENERAL LIABILITY ` --- 508496787(1 . li/1/2012 11/1/2013 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES (Ea occurrence) $ 300, 000 MED EXP (Any one person) $ 15, 000 CLAIMS -MADE X OCCUR PERSONAL BADVINJURY $ :1,000,000 X Contractual Liability GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP /OP AGG $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: 7 POLICY I I TA: n LOC $ A AUTOMOBILE X X LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS X SCHEDULED AUTOS AUTOSWNED 4 . 5084967817 ' '1111/2012 11/1/2013 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 BODILY INJURY (Per person) $ BODILYINJURY(Peraccident) $ PROPERTY DAMAGE (Per accident) $ $ B X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE 5084967770 11/1/2012 11/1/2013 EACH OCCURRENCE $ 10.000,000 AGGREGATE $ 10, 000, 000 $ DED RETENTON$ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVEY OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below /N NIA 5084967722 11/1/2012 11/1/2013 X WC STATU- TORY LIMITS OTH- ER E.L. EACH ACCIDENT $ 500,000 E.L. DISEASE - EA EMPLOYEE $ 500,000 E.L. DISEASE - POLICY LIMIT $ 500,000 C Professional Liability RED 196314 -0714 '7/28/2013 7/28/2014 Per Claim $10,000,000 Aggregate $20,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) RE CLEARWATER PASS BRIDGE ANCELLATION 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 Gregg Bundschuh /JERRY 4;"m 8 � '-'L'� — —� .7-y ACORD 25 (2010/05) INS025 (7mnnsi m © 1988-2010 ACORD CORPORATION. All rights reserved. Tha Arnim name and Innn aro roniafarnrl marls of A(:ARIl