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CERTIFICATE OF LIABILITY INSURANCE (228)AC■R>D' VENTMAN -02 HICKSN DATE (MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE DA8/23/2013 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 Insurance Office of America P.O. Box 162207 Altamonte Springs, FL 32716 -2207 CONTACT NAME: PHONE 800 243 -6899 (A/C, No, E.* ) E -MAIL ADDRESS: I FAX (ac, No): (407) 788 -7933 INSURERS) AFFORDING COVERAGE NAIC # INSURER A: Zurich American Insurance Company 16535 INSURED CMS Mechanical Services, LLC 445 West Drive Melbourne, FL 32904 COVERAGES INSURER B : Great American Insurance Company 16691 INSURER C:Amerlcan Zurich Insurance Company 40142 INSURER D : INSURER E : INSURER F : 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 NUMBER POLICY EFF IMM/DD/YYYY) POLICY EXP (MMIDD/YYYY) LIMITS A GENERAL X LIABILITY COMMERCIAL GENERAL LIABILITY GL0591212001 7-- -,' ^-' - -. 9/112013 - 9/1/2014 EACH OCCURRENCE $ 1,000,000 DAMAGETO 500 PREMISES {Ea occurrenceRENTED ) $ 500,000 MED EXP (Any one person) $ 10,000 j CLAIMS -MADE X OCCUR PERSONAL & ADV INJURY $ 1 ,000,000 GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP /OP AGG $ 2,000,000 GEN'L AGGREGATE POLICY , X LIMIT APPLIES PRO- I PER: LOC $ A AUTOMOBILE X X LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS X SCHEDULED AUTOS AUU TOSWNED - ", _ BAP931310502 - " "' ' " 9/1/2013 9/1/2014 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PER ACCIDENMAGE $ $ B X UMBRELLA UAB EXCESS LIAB X OCCUR CLAIMS -MADE T00024314902 EACH OCCURRENCE $ 5,000,000 9/1/2013 9/1/2014 AGGREGATE $ 5,000,000 $ DED X RETENTION $ 10,000 C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR /PARTNER/EXECUTIVE Y / N OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A WC591212101 X WC STATU- TORY LIMITS IOTH- ER 9/1/2013 9/1/2014 E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 A Leased /Rented Equip CPP9313121 -02 9/1/2013 9/1/2014 Any One Item /Per Occ 500,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) Insurance Verification City of Clear water is named as additional insured on all policies except workers compensation when required by written contract. CERTIFICATE HOLDER CANCELLATION City of Clearwater 100 S. 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 THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE — ? - ACORD 25 (2010/05) © 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD