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CERTIFICATE OF LIABILITY INSURANCE (271)BATES -4 OP ID: CJ '`��.° -R °* CERTIFICATE OF LIABILITY INSURANCE DATE 12/26/2013 12/26/2013 '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 Phone: 813 - 226 -1300 Brown & Brown of Florida, Inc. Fax: 813 - 226 -1313 P. O. Box 173086 Tampa, FL 33672 John McManus ONTACT N CAME: CJ Stevens PHONE g13- 226 -1336 FAX (A /C, No, Ext): (A /C, No): 813426 -1313 ADDRRESS: cstevens @bbtampa.com INSURER(S) AFFORDING COVERAGE NAIC # INSURER A :WESTFIELD INSURANCE COMPANY 24112 INSURED Bates Electric, Inc Bates Electrical Services Inc. 7901 Hopi Place Tampa, FL 33634 INSURER B : Bridgefield Employers Ins. 10701 INSURER C 04/01/2014 INSURER D : $ • 1,000,000 INSURER E : $ 150,000 INSURER F : COVERAGES CERTIFICATE 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. INSR LTR TYPE OF INSURANCE ADDL INSR SUBR W VD POLICY NUMBER POLICY EFF (MM /DD /YYYY) POLICY EXP (MM /DD /YYYY) LIMITS A GENERAL X LIABILITY COMMERCIAL GENERAL LIABILITY TRA5177845 04/01/2013 04/01/2014 EACH OCCURRENCE $ • 1,000,000 DAMAGES(RENTED PREMISES (Ea occurrence) $ 150,000 CLAIMS -MADE X OCCUR MED EXP (Any one person) $ 10,000 PERSONAL 8 ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE 7 POLICY X LIMIT APPLIES (T PER: LOC PRODUCTS - COMP /OP AGG $ 2,000,000 Emp Ben. $ 1,000,000 A AUTOMOBILE X X LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS x _ X SCHEDULED AUTOS NON -OWNED AUTOS TRA5177845 04/01/2013 04/01/2014 COMBINED SINGLE LIMIT (Ea accident) 1000,000 $ , BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ A X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE TRA5177845 04/01/2013 04/01/2014 EACH OCCURRENCE $ 10,000,000 AGGREGATE $ 10,000,000 $ DED X RETENTION $ 0 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 830 -22803 01/01/2014 01/01/2015 X WC ST- TORY LATUIMITS OTH- ER E. L. EACH ACCIDENT $ 500,000 E L DISEASE - EA EMPLOYEE $ 500,000 E.L. DISEASE - POLICY LIMIT $ 500,000 A Equipment Floater TRA5177845 04/01/2013 04/01/2014 Leased 100,000 Ded 1,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule if more space is required) * 30 days notice of cancellation, except 10 days notice of cancellation for non payment of premium. Re: William B. Goldthorp License # EC 0001305 CERTIFICATE HOLDER City of Clearwater 727 - 562 -4576 P.O.Box 4748 Clearwater, FL 33756 dirJe-2. E CANCELLATION 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 John McManus ACORD 25 (2010/05) © 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD