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DREW STREET AND US 19 OVERPASS LANDSCAPE IMPROVEMENTS - 05-0004-EN - CERTIFICATE OF LIABILITY INSURANCE (2)MOREL -2 OP ID: B8 A`C. --- CERTIFICATE OF LIABILITY INSURANCE DATE D/YYYY) 09 /25 09/25/13 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 813- 226 -1300 Brown & Brown of Florida, Inc. P. O. Box 173086 Tampa, FL 33672 Steve Ayers NAME: CT Bernadette Perreault No, Ex11: 813 -472 -7022 Mart PHONE r , No): 813- 226 -1313 ADDRESS: bperreault @bbtampa.com INSURER(S) AFFORDING COVERAGE NAIC # INSURER A :AUTO OWNERS INSURANCE 18988 INSURED Morelli Landscaping Inc. 4855 162nd Ave North Clearwater, FL 33762 -3224 INSURER B : FCCI INSURANCE CO 10178 INSURER C : Southern Owners Insurance Co. 10190 INSURER D : $ 1,000,000 INSURER E : 50,000 $ � INSURER F : COVERAGES CERTIFICATE 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 W VD POLICY NUMBER POLICY EFF (MMIDD /YYYY) POLICY EXP (MM /DD /YYYY) LIMITS C GENERAL X LIABILITY COMMERCIAL GENERAL LIABILITY 20654637 _ 08/06/13 08/06/14 EACH OCCURRENCE $ 1,000,000 DAMAGES (RENTED PREMISES (Ea occurrence) 50,000 $ � CLAIMS -MADE X OCCUR MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GE X 'L AGGREGATE POLICY LIMIT APPLIES JF� PER: LOC PRODUCTS - COMP /OP AGG $ 2,000,000 Emp Ben. $ none A AUTOMOBILE X X LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS X SCHEDULED AUTOS AUT -0WNED 4216601100 08/06/13 08/06/14 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 4216601102 08/06/13 08/06/14 EACH OCCURRENCE $ 2,000,000 AGGREGATE $ 2,000,000 DED X RETENTION $ 10,000 $ B 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 / A 001 -WC13A -47444 09/30/13 09/30/14 X WC STATU- TORY LIMITS OTH- ER E.L. EACH ACCIDENT $ 100,000 E.L. DISEASE - EA EMPLOYEE $ 100,000 E.L. DISEASE - POLICY LIMIT $ 500,000 C IM Install Floater 20654637 08/06/13 08/06/14 IM Instal 10,000 Ded: 500 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) Landscaping CERTIFICATE HOLDER CANCELLATION CLEARWA City of Clearwater Public Works Administration PO Box 4748 Clearwater, FL 33758 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 kEtzic 4e-ht. ACORD 25 (2010/05) © 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD