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CERTIFICATE OF LIABILITY INSURANCE (290)A'I`D " CERTIFICATE OF LIABILITY INSURANCE DATE YY) 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 J Kevin Campbell Agency P 0 Box 9435 Panama City Beach FL 32417 CONTACT House NAME: lac°NfY Extl: (800)508-9126 I .No): (877)234 -6089 ADDRIESS:jfreeman @workcompspecialists.com INSURER(S) AFFORDING COVERAGE NAIC # INSURERA:FFVA Mutual Insurance 10385 INSURED McGill Plumbing, Inc. 111 N Missouri Ave Largo FL 33770 -3763 INSURER B : LIABILITY COMMERCIAL GENERAL INSURER C : INSURERD: INSURER E : $ INSURERF: RTIFICATE NUMBER:CL1427074 • I 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 � TYPE OF INSURANCE - SUBR yyVD POLICY NUMBER REcE ,f r �' * POLICY EFF IMM /DD/YYYY) POLICY EXP IMM/DD/YYYY) LIMITS EACH OCCURRENCE $ GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY OCCUR PREMISES (Ea occurrence) $ CLAIMS -MADE MED EXP (Any one person) $ PERSONAL & ADV INJURY $ • GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP /OP AGG $ ■ POLICY ■ PRO- ■ LOC $ AUTOMOBILE LIABILITY ALL OWNED AUTOS HIRED AUTOS -OWNED is f r�,,,, u (,, RFC!'" •aekF ` - C..:%Z. ,, VE: S;o ��. r� • / y`? 1 COMBINED INGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ ■ SCHEDULED ■ AUTOS BODILY INJURY (Per accident) $ NON : AUTOS PROPERTY DAMAGE (Per awiden t) $ $ ■ UMBRELLA UAB EXCESS LIAB ■ OCCUR CLAIMS -MADE EACH OCCURRENCE $ ■ AGGREGATE $ DED RETENT ON $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR /PARTNER/EXECUTIVE OFFICER/MEMBER (Mandatory inNH) EXCLUDED? If yes, describe under DESCRIPTION OF OPERATIONS Y / N N/A 8539 x/1/2014 r /1/2015 x l Y 10 R T TORIM TS I E.L. EACH ACCIDENT $ 500,000 E.L. DISEASE - EA EMPLOYE = $ 500,000 below E.L. DISEASE - POLICY LIMIT $ 500 000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) ERTIFICATE HOLDER CANCELLATION City of Clearwater 100 South Myrtle Ave PO Bx 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 -» /n Kevin Campbell /JAMIE gr ACORD 25 (2010/05) INS025 (201005).01 © 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD MCGIL -1 OP ID: GX AC°R° CERTIFICATE OF LIABILITY INSURANCE `,., DATE(MM/DD/YYYY) 02/1412014 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 Barber Agency 60 Years Strong/ 4025 Tampa Road, Suite 1208 Oldsmar, FL 34677 �� Robert A Barber II "Pike" CONTACT PHONE FAX Ext ): (NC, No): (CAL . ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Allied P & C Insurance Company 42579 INSURED McGill Plumbing Inc. 111 N. Missouri Ave Largo, FL 33770 INSURER B: 03/01/2014 INSURER C: EACH OCCURRENCE INSURER D : X INSURER E : DAMAGE TO RENTED PREMISES {Ea occurrence) INSURER F : MED EXP (Any one person) • LA/VCR/M=0 vcn. Iurrvr'.i G 1W11111,Go■• - - - - - — - — - 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 VD POLICY NUMBER POLICY EFF (MDD/YYYY) POLICY EXP (MM/DD/YYYY) LIMITS A GENERAL LIABILITY ACP5906146654 03/01/2014 03/01/2015 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES {Ea occurrence) $ 100,000 MED EXP (Any one person) $ 5,000 CLAIMS -MADE X OCCUR PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP /OP AGG $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: � POLICY n JF n LOC $ A I AUTOMOBILE LIABILITY ACP5916046654 03/01/2014 03/01/2015 CMBINED Ea accident) SINGLE LIMIT 1,000,000 X BODILY INJURY (Per person) $ ANY AUTO ALL OWNED AUTOS HIRED AUTOS X X SCHEDULED AUTOS AUTOS MED BODILY INJURY (Per accident) $ PROPERTY DAMAGE _PER ACCIDENT) UM $ 30,000 A X UMBRELLA LIAB EXCESS LIAB _ OCCUR CLAIMS -MADE ACP5916046654 03/01/2014 03/01/2015 EACH OCCURRENCE $ 3,000,000 AGGREGATE $ 3,000,000 $ DED RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER /EXECUTIVE Y OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A WC STATU- TORY LIMITS OTH- ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ A A Employee Benefits Employee Practices ACP5916046654 ACP5916046654 03/01/2014 03/01/2015 03/01/2015 03/01/2015 1,000,000 100,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, I afa l(s yy i 13t`? �.,. r),' ,w{, e If more space Is required) A . A A D v I :rW GCK 111'IIiA I C nVLUCR City of Clearwater 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 — ._— au ..L.G. ..1 ACORD 25 (2010/05) -LULU MIiVRU VVRt"VR/111Vr\• . The ACORD name and logo are registered marks of ACORD