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SID LICKTON PARK SITE CIVIL CONTRUCTION - 12-0024-PR-A - CERTIFICATE OF LIABILITY INSURANCE AL` OC-1 01P ID: JVV .': DATE(¢dIFW81DONYYY). 1T6119f21 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OIL 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 Folder Is an ADDITIONAL INSURED, the pollcy(ies) Frost be endorsed. If SUBROGATION IS WAIVER,subject to the tenris and conditions of the policy,certain policies may require an endorsement, A statement on this certificate does not center rights to the certificate holder in lieu of such endorsement(s). C o CONTACT PRODUCER Florida Insurance Center Inc Phone:813-754-3561 NAME: Judy r AA1 N A.I CPI " 414N Alexander Street Fax:813-764-8402 We o . x1:813-754-356'1 ��c real. 813-752-8794 Plant City,FL 3356 eD5k- ,Jv a ner floridainstlrancecenter.c Florida insurance Center,Inc. - _- _-- -- INSURER.($)AFFORDING COVERAGE I NAIL# INSURER A.:Westfield Insurance Company INSURED Alto Construction Co,, Inc, & INSURERS: �.-.—.._.. ...,...._..______ Alto Concrete Recycling Inc„ - ----- - ------ -- 4192 Causeway Blvd INSURER c Tampa, FL 33619-5124 INSURER c: — -- - --- — --- -- -�--- -. INSURER.E: INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BEL{3t+°+1 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 Pt LICIES UMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. )tt1}C Sll — �-POLICY EFE -PL?LACY mp LTR TYPE of INSURANCE POLICY NUMBER PdGRAIDDIYYYY MWU1)DJYYYY LIMITS _ ' GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CIAmAa TC RENTED _. h�€ERcIAr GENERAL LIABILITY T 66'9873 08138d20t3f1121�$ PREMI 154,000 ESI�ag4rtene�I s CLAtCW1S-•I,AA[YE 7, fJCCUR M6 EXP(Any.one person) t S- 10,000 _ r i PERSC�Nf L s ADV INBURY $ 1,000,000 xC'13&C..tracto-al I � _ _- GENERAL AGGREGATE 5 2,040,400 GEN'L AGGREGATE LIMIT APPLIES PER: �-; I PR�7DI9CTS-C©IW1P1tCP AGG � $ �440,004 _., _ _ --- POLICY� � �Pr�cx � �Lcc � � � kEmp Se n. , $ 1,000,000 AUTOMOBILE LIABILITY - i -.. �a j COMBINED SINGLE L MIT 1,000,000 rya e£c,de�ilE $ A 1 j ANY AUTO TRAr669$873 I`i 0613$12013 0813112014�SODILY INJURY(Per person) �$ _ ALL OWNED F SCHEDULED d a BODILY INJURY(Per accidently$ AUTOS, �AVAT�JS -� NON-WNED E. PerOPERTr DAMAGE -. X HIRED AUTOS � $ Hind Phys' ;PIP $ 10,00 UMBRELLA LrI� I OCCUR - EACH OCCURRENCE 5,4CIO,QO EN w� _ A EXCESS LIAB CLA MS•Nt"UE TRA6699873 0813112013 0813112014 AGGREGtTE 5,400,00 DEb. RETENTIONS $ WORKERS COMPENSATION 'J4'C$TATU OTH AND EMPLOYERS'LIABILITY ( RY LI6JI8TS Ems, ANY PRCPMIET�3Itl6'.RTNERIEXECUTIVE YIN i E:L EAC'8°k AC ...., I OFFICERIMEMBER EXCLUDED? '�!NIA It s (Mandatory In NH) I � E � E L DISEASE EA EMPLOYEE! $ I 0 yes describe under .. ------- -t D ESCRIPTION OF OPERATIONS below, i I I El OISPASE POLICY LIW.=T � A iLeased/Rental !TRA6699873 08131/201 0813112014ILi it: 175„00 A (Install Floater � TRA6699873 ( 0813112013 06131/2014[Limit: 50,00 I DESCRIPTION OF OPERATIONS t LOCATIONS;VEHICLES (Attach ACORD 101 A:ddKional R.orarAr'ks SchuduIii,if more space is roquirea) Project, `Sid Li ckton Pk - iSito Civil Construction 12-00248 R-A 4 ert—i irate holder is named s rr additional insured w:i a...waiver of subrogation with regards to the general and auto liability coverage. Coverage is primary and non-oontribu er°y to any other insurance. The Umbrella follows the form of the above policies, _ CERTIFICATE HOLDER CANCELLATION - CIT'fCLE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Clearwater ACCORDANCE WITH THE POLICY PROVISIONS, Engineering Office Rm,#2.20 100 S. Myrtle Ave AUTHORIZED REPRESENTATIVE Clearwater, FL 33756 b 1986-2010 ACORD CORPORATION. All rights reserved. ACORD 25{2010105) The ACORN name and Pogo are registered marks of ACORD