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CERTIFICATE OF LIABILITY INSURANCE (239)ACORri7 0 a L..----- CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 09/19/2013 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 MARSH USA, INC. 501 MERRITT 7 NORWALK, CT 06856 Attn: Emcor.Certrequest@marsh.com I Fax: 203 - 229 -6787 332800 - STAND - MECHA -13 -14 CONTACT • NAME: PHONE FAX IA/C. No. Extl: (A/C. No): E -MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A : Continental Casualty Company 20443 INSURED MECHANICAL SERVICES OF CENTRAL FLORIDA, INC. 9820 SATELLITE BLVD. ORLANDO, FL 32837 INSURER B : American Casualty Company Of Reading, Pa 20427 INSURER c : Transportation Insurance Co 20494 INSURER D : $ 2,000,000 INSURER E : 1,000,000 $ INSURER F : $ 25,000 COVERAGES CERTIFICATE NUMBER: NYC - 005445082 -20 REVISION NUMBER: 1 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 POUCY NUMBER POLICY EFF ( MIDD/YYYY) POLICY EXP (MM /DD/YYYY) LIMITS A GENERAL X LIABILITY COMMERCIAL GENERAL LIABILITY GL 4025755083 = '' i �- f ' - ..'',1Q101 = L m ... _. - .. /2013 .' ta a 10/01/2014 EACH OCCURRENCE $ 2,000,000 DAMAGE TO RENTED PREMISES (Ea occurrence) 1,000,000 $ MED EXP (Any one person) $ 25,000 CLAIMS -MADE X OCCUR PERSONAL 8 ADV INJURY $ 2,000,000 GENERAL AGGREGATE $ 6,000,000 PRODUCTS - COMP /OP AGG $ 14,000,000 GEN'L AGGREGATE LIMIT APPLIES � —1 POLICY I y� " I !pi PER: LOC $ A AUTOMOBILE X X LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS X SCHEDULED AUTOS NON-OWNED AUTOS BUA 4025755133 10/01/2013 10/01/2014 COMBINED SINGLE LIMIT (Ea accident) 2,000,000 $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ Auto Physical Damage $ Included A X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE L 2068208285 10/01/2013 10/01/2014 EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 $ DED X RETENTION $10'000 B B C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR /PARTNER/EXECUTIVE OFFICER /MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below Y / N N N / A WC 4025755021 (AOS) WC 4025755035 (CA) WC 4025755018 (AZ, WI OR) ( ) 10/01/2013 10/01/2013 10/01/2013 10/01/2014 10/01/2014 10/01/2014 X WC STATU- TORY LIMITS OTH- ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE 1,000,000 $ E.L. DISEASE - POLICY LIMIT 1,000,000 $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) CERTIFICATE HOLDER CANCELLATION CITY OF CLEARWATER PO BOX 4748 CLEARWATER, FL 33758 -4748 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 of Marsh USA Inc. Heidi Bauermeister .i ACORD 25 (2010/05) © 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ACORE0 AGENCY CUSTOMER ID: 332800 LOC #: Norwalk ADDITIONAL REMARKS SCHEDULE Page 2 of 2 AGENCY MARSH USA, INC. POLICY NUMBER CARRIER NAIC CODE NAMED INSURED MECHANICAL SERVICES OF CENTRAL FLORIDA, INC. 9820 SATELLITE BLVD. ORLANDO, FL 32837 EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance Auto Physical Damage Comp I Coll Deductible $500 In the event of cancellation or material change that reduces or restricts the insurance afforded by this Coverage Part (other than the reduction of aggregate limits through payment of claims as applicable), Insurer agrees to mail prior written notice of cancellation or material change to: Certificate Holder Schedule 1. Number of days advance notice: For any statutorily permitted reason other than non - payment of premium, the number of days required for notice of cancellation as provided in paragraph 2 of either the Cancellation Common Policy Conditions or as amended by the applicable state cancellation endorsement is increased to the lesser of 60 days or the number of days required in a written contract. For non - payment of premium, The greater of (1) the number of days required by state law or (2) the number of days required by written contract. 2. Name: Notice will be mailed to: Certificate holder ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 0000708 SP 0310 CITY OF CLEARWATER PO BOX 4748 CLEARWATER, FL 33758 -4748 - C01- P00708 -I