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CERTIFICATE OF LIABILITY INSURANCE (234)BCDAI -1 OP ID: SW ACOR if) ' 4......--- CERTIFICATE OF LIABILITY INSURANCE DATE (MM /DD/YYYY) 08/29/13 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 352- 796 -8200 Brown & Brown of Florida, Inc P 0 Box 548 352- 799 -1399 273 North Broad Street Brooksville, FL 34605 -0548 Christopher Scavuzzo NAMEACT Susan Wilder PHONE FAX (A/C. No. Ext): 352- 796 -8200 (AC, No): 352 - 799 -1399 E-MAIL SS: susanwilder @bbbrooksville.com INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Westfield Insurance Company INSURER B: FCCI Commercial Ins Co 24112 33472 INSURED B.C.D. Air Conditioning & Heating, Inc. 1944 Calumet Street Clearwater, FL 33765 INSURER C - 09/04/13 INSURER D : EACH OCCURRENCE INSURER E : DAMAGE PREMISES (Ea occurrence) INSURER F : MED EXP (Any one person) C FICATE 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. ILNSR TYPE OF INSURANCE IINSR WVD POLICY NUMBER POLICY EFF (MM /DD/YYYY) POLICY EXP (MM /DD //YYYY) LIMITS A GENERAL X LIABILITY COMMERCIAL GENERAL LIABILITY CMM1145751 , i 1 •' $10,000 ., ®. , . - 09/04/13 09/04/14 EACH OCCURRENCE $ 1,000,000 DAMAGE PREMISES (Ea occurrence) $ 150,000 MED EXP (Any one person) $ 10,000 CLAIMS -MADE X OCCUR PERSONAL & ADV INJURY $ 1,000,000 X $1000 Deductible GENERAL AGGREGATE $ 2,000,000 X Mold Sublimit PRODUCTS - COMP /OP AGG $ 2,000,000 GEN'L AGGREGATE POLICY X LIMIT APPLIES JECT PER: LOC $ A AUTOMOBILE X X LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS X SCHEDULED AUTOS AOSWNED UUT CMM1145751 - . + - ° 09/04/13 09/04/14 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ DAMAGE Peraccident) $ $ A X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE CMM1145751 09/04/13 09/04/14 EACH OCCURRENCE $ 1,000,000 AGGREGATE $ 1,000,000 $ DED X RETENTION $ 0 B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/N ANY PROPRIETOR/PARTNER /EXECUTIVE OFFICER /MEMBER EXCLUDED? I N I (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A 001- WC13A70851 07/01/13 07/01/14 X WC STATU- TORY LIMITS 0TH - ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1 000 000 , , A Equipment Floater Leased or Rented CMM1145751 DEDUCTIBLE $500 09/04/13 09/04/14 Blanket 250,000 ACV DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule If more space Is required) City of Clearwater 100 South Myrtle Clearwater, FL 33758 CLEARWA 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