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CERTIFICATE OF LIABILITY INSURANCE (212)
AC• RQ® `� CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 8/1/2013 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 Ben Brown Insurance Agency 3731 S Tuttle Ave Sarasota FL 34239 -6410 CONTACT Kim Schwartzkopf . NAME: P 1311010. Exti, (941) 487 -3517 FAX Not: (941) 365 -3143 E -MAIL ADDRESS: kim @benbrownins . com INSURER(S) AFFORDING COVERAGE NAIC # INSURERA:National Trust Ins Co 20141 INSURED Irrigation Design Associates, Inc. , IDA Labor, LLC, Terrence A. Fiddelke 6175 Palmer Blvd. Sarasota . FL 34240 INSURERB:FCCI Insurance Co 10178 INSURERC: 8/1/2014 INSURERD: $ 1,000,000 INSURER E : $ 100,000 INSURERF: I CLAIMS -MADE X OCCUR COVERAGES CERTIFICATE NUMBER:13 /1 All (Incl WC renl) 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. NOTV`ATHSTANDING 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 NUMBER POLICY EFF IMM /DD/YYYY) POLICY EXP (MM /DD/YYYY) LIMITS A GENERAL X LIABILITY COMMERCIAL GENERAL LIABILITY GL00089 J15' 8/1/2013 8/1/2014 EACH OCCURRENCE $ 1,000,000 PR RENTED PREEMIMI ESES S l (Ea occurrence) $ 100,000 I CLAIMS -MADE X OCCUR MED EXP (Any one person) $ 5,000 X Contractual Liability PERSONAL & ADV INJURY $ 1,000,000 X XCtJ GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: —I POLICY I i I 17(91:. n _ LOC PRODUCTS - COMP /OP AGG $ 2,000,000 $ A AUTOMOBILE J _ LIABIUTY ANY AUTO ALL OWNED AUTOS HIRED AUTOS _ SCHEDULED AUTOS NON -OWNED AUTOS CAOOi41.11 -5 8/1/2013 8/1/2014 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 $ BODILY INJURY (Per person) BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per acciden0 $ Uninsured motorist combined $ A X UMBRELLA LIAB EXCESS UAB X OCCUR CLAIMS -MADE UMB0009306 -5 8/1/2013 8/1/2014 EACH OCCURRENCE _ $ 5,000,000 AGGREGATE $ 5,000,000 DED I X I RETENTION $ 10,000 $ B WORKERS COMPENSATION AND EMPLOYERS' UABIUTY ANY PROPRIETOR/PARTNER/EXECUTIVE ( OFFICER/MEMBER EXCLUDED? I I (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A 001WC12A62410 001WC13A62410 9/1/2012 9/1/2013 9/1/2013 9/1/2014 XITORY AMU- I IOT FR E.L. EACH ACCIDENT $ 500,000 E.L. DISEASE - EA EMPLOYEE $ 500, 000 E.L. DISEASE - POLICY LIMIT $ _ 500,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) Irrigation /Plumbing Services. CERTIFICATE HOLDER CANCELLATION City of Clearwater 100 S Myrtle Ave PO 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 Ryan Brown /KIM ACORD 25 (2010/05) INS025 (201005).01 ©1988 -2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD