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CERTIFICATE OF LIABILITY INSURANCE (283)ACORO® CERTIFICATE OF LIABILITY INSURANCE 4as.--- DATE(MM/DD/YYY`/) 12/27/2013 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 Lanier Upshaw, Inc. 1115 US Hwy 98 South P.O. Box 468 Lakeland FL 33802 NAME: Jeanette T Carter ((MC. No. Exo:863- 686 -2113 FAX No►:863- 682 -6292 E-MAIL ADDRESS :jeanette.carter@lanierupshaw.com INSURER(S) AFFORDING COVERAGE NAIC # INSURER A :Westfield Insurance Company 24112 INSURED DIXISIG Dixie Signs Inc. 2930 Drane Field Rd. Lakeland FL 33811 -9736 INSURER B :Bridgefield Employers Insurance Corn 10701 INSURER C : 1/1/2015 INSURER D : $1,000,000 INSURER E : $100,000 INSURER F : COVERAGES CERTIFICATE NUMBER: 166752000 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/DD/YYYY) POLICY EXP (MM /DD/YYYY) LIMITS A GENERAL X LIABILITY COMMERCIAL GENERAL LIABILITY TRA3508994 p 1/1/2014 1/1/2015 EACH OCCURRENCE $1,000,000 PRMMGE TO RENTED PREMISES (Ea occurrence) $100,000 CLAIMS -MADE X OCCUR MED EXP (Any one person) $5,000 X 2,500 PERSONAL 8 ADV INJURY $1,000,000 GENERAL AGGREGATE $1,000,000 GEN'L AGGREGATE 7 POLICY LIMIT APPLIES PRO- P PRO- PER: LOC PRODUCTS - COMP /OP AGG $1,000,000 $ A AUTOMOBILE X X LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS PIP $10,000 SCHEDULED AUTOS NON -OWNED AUTOS TRA35p$994 . — , -, 1/1/2014 1/1/2015 COMBINED SINGLE LIMIT (Ea accident) $500,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ A UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE TRA3508994 1/1/2014 1/1/2015 EACH OCCURRENCE $2,000,000 AGGREGATE $2,000,000 DED X RETENT ON $0 $ g 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 83022687 1/1/2014 1/1/2015 X WCSTATU- TORY LIMITS OTH- ER E.L. EACH ACCIDENT $500,000 E.L. DISEASE - EA EMPLOYEE $500,000 E.L. DISEASE - POLICY LIMIT $500,000 A Leased /Rental Equipment Installation Floater TRA3508994 1/1/2014 1/1/2015 $75,000 w/$2500 ded $50,000 w/$2,500 ded DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) CERTIFICATE HOLDER CANCELLATION 1 City of Clearwater 100 South Myrtle Avenue Clearwater FL 33756 -0000 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 ACORD 25 (2010/05) © 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD