The URL can be used to link to this page

CERTIFICATE OF LIABILITY INSURANCE (242)I.IIenUF: 1 - - - -" -" - -- ACORDTM CERTIFICATE OF LIABILITY INSURANCE 09/26/2013 PRODUCER Construction Underwriters, Inc 4168 Southpoint Pkwy - Ste 305 Jacksonville, FL 32216 rgately @cui- usa.com THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURED Milton J. Wood Fire Protection, Inc. MJW Consolidated, Inc. 3805 Faye Road Jacksonville, FL 32226 INSURER A: Amerisure 19488 INSURER B: Commerce & Industry 19410 INSURER C: XL Group 24554 INSURER D: 10/01/14 INSURER E: $1 000 000 I,V V CI[Al7CO 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR INSRD ADM TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MMIDD/YYI POLICY EXPIRATION DATE (MM/DD/YYI LIMITS A GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY GL2024552 XCU Included Ongoing /Comp Ops Contractual Liab 10/01/13 10/01/14 EACH OCCURRENCE $1 000 000 PREMISFSO(Ea occurrence) $500,000 $10,000 X JCLAIMS MADE X OCCUR MED EXP (Any one person) X Blnkt Addl Insd PERSONAL & ADV INJURY $1,000,000 X Blnkt WOS GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY n JECT El LOC PRODUCTS - COMP /OP AGG $2,000,000 7 A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS 1,000 Comp Ded CA2032133 10/01/13_._ ,. 10/01 /14 _ COMBINED SINGLE LIMIT (Ea accident) $1000,000 r X BODILY INJURY (Per person) _ X BODILY INJURY (Per accident) X PROPERTY DAMAGE (Per accident) X X 1,000 Coll Ded GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ THAN EA ACC $ OTHER AUTO ONLY: AGG $ B EXCESS/UMBRELLA LIABILITY BE15805674 Follow Form Excess over GL/Auto /Empl Lia 10/01/13 10/01/14 EACH OCCURRENCE $10,000,000 OCCUR CLAIMS MADE AGGREGATE $10,000,000 DEDUCTIBLE RETENTION $ $10,000 $ $ X $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER /MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below WC STATU- I [TORY I MITS I DOER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ C C C OTHER Installation Leased Equip Riggers Liab UM00023933MA13A UM00023933MA13A UM00023933MA13A 10/01/13 10/01/13 10/01/13 10/01/14 10/01/14 10/01/14 $2MilI($1MillTempS $1Mil /$2MiIi $1Mill($500TempSite) te) DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Certificate Holder is listed as an Additional Insured. CERTIFICATE HOLDER CANCELLATION 10 Days for Non- Paymen City of Clearwater 100 South Myrtle Avenue Clearwater, FL 33756 -5520 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL nn DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE 42464' 41106646 ACORD 25 (2001/08) 1 of 1 #S62308/M62205 KLC O ACORD CORPORATION 1988 A 9 °® CERTIFICATE OF LIABILITY INSURANCE 9/19/2013D ) 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 Harden and Associates 501 Riverside Avenue, Suite 1000 Jacksonville FL 32202 CONTACT NAME: Kayla Glnakes (aCC.NNo. Ext1:904 -421 -5356 is , No):904- 446 -4356 EDDRIESS:k inakes hardeninsi ht.com 9 @ g INSURER(S) AFFORDING COVERAGE NAIC II INSURER A Safety National Casualty Corp 15105 INSURED MILTO -2 Milton J Wood Fire Protection, Inc. MJW Consolidated, Inc. 3805 Faye Rd Jacksonville FL 32226 INSURER B Lexington Insurance Company 19437 INSURER C : INSURERD: $ INSURER E : $ INSURER F : $ COVERAGES CERTIFICATE NUMBER: 1867968255 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 (MM/DDNYYY) POLICY EXP (MM/DDNYYY) LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY `- EACH OCCURRENCE $ DAMA E TO RENTED PREMISES (Ea occurrence) $ MED EXP (Any one person) $ CLAIMS -MADE OCCUR PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ PRODUCTS - COMP /OP AGG $ GEN'L AGGREGATE 7 POLICY LIMIT APPLIES PRO- PER: LOC $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS SCHEDULED AUTOS NON-OWNED AUTOS � - COMBINED SINGLE /MIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ UMBRELLA LIAB EXCESS LIAB _ OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ $ DED RETENT ON $ A A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER /EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below YIN N N I A SP4049586/SP4049588 (FL & GA) $500,000 SIR 10/1/2013 10/1/2013 10/1/2014 10/1/2014 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 B Professional & Pollution Liab 028395960 10/1/2013 10/1/2014 Ea Claim $5,000,000 Aggregate $5,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) CERTIFICATE HOLDER CANCELLATION City of Clearwater Attn: Richard Martin 100 S Myrtle Avenue Clearwater FL 33756 -5520 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 eel 3 ACORD 25 (2010/05) © 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD