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CERTIFICATE OF LIABILITY INSURANCE (294)AUSTELE -01 NIBLACKD ACORO° 4.......--- CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 3/28/2014 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 Insurance Office of America -LNG 1855 West State Road 434 Longwood, FL 32750 NAME: Judi Beetle PHONE 407 7$$_3000 ITC, 788 -7933 MC. No, Est): ( ) (A/C, No): ( ) ADDRESS :. /Udi.Beede@ioausa.com INSURER(S) AFFORDING COVERAGE NAIC # INSURER A:SCOttSdale Insurance Company 41297 INSURED Austen Electric, Inc 2369 W. 78th Street Hialeah, FL 33016 INSURER B : Philadelphia Indemnity Insurance Company 18058 INSURER C : Comp Options Insurance Company 10834 INSURER D :Travelers Property Casualty Company of America 25674 INSURER E : DAMAGE 1 O RENTED PREMISES {Ea occurrence) 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 POLIC ES 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 INSD SUBR WVD POLICY NUMBER POUCY EFF (MDD/YYYY) POUCY LICY EXP (MM/DD/YYYY) LIMITS A COMMERCIAL GENERAL LIABIUTY CPS1971833 ,- ..,� 1 4Y .> 04/01/2014 04/01/2015 EACH OCCURRENCE $ 3,000,000 DAMAGE 1 O RENTED PREMISES {Ea occurrence) $ 100,000 CLAIMS -MADE X OCCUR MED EXP (Any one person) 5000 $ , PERSONAL & ADV INJURY $ 3,000,000 GENERAL AGGREGATE $ 3,000,000 GE 'L AGGREGATE POLICY OTHER: X LIMIT APPLIES !in PER: LOC PRODUCTS - COMP /OP AGG $ 3,000,000 $ B AUTOMOBILE X X LIABILITY ANY AUTO ALL OWNED H REDSAUTOS — X SCHEDULED AUTOS NON OWNED AUTOS ,/'' P yCsl , , ;` PHPK1di' I _ : y 0410t/1t014 ,�; 04/01/2015 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ A X UMBRELLA UAB EXCESS UAB X OCCUR CLAIMS -MADE CLUMB764382 04/01/2014 04/01/2015 EACH OCCURRENCE $ 2,000,000 AGGREGATE $ 2,000,000 $ DED RETENTION $ C 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 N N / A WC610-007608 04/01/2014 04/01/2015 X PER STATUTE OTH- ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 D Equipment Floater QT- 660- 8602P17A- TIL -14 04/01/2014 04/01 /2015 Rented /Leased Equip 50,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) City of Clearwater 100 S Myrtle Ave (Clearwater, FL 337584748 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 (- (LG�!y ACORD 25 (2014/01) © 1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD