The URL can be used to link to this page

CERTIFICATE OF LIABILITY INSURANCE (299)ROBER -3 OP ID: PB AFRO" CERTIFICATE OF LIABILITY INSURANCE DATE 03/25/2014 Y) 03/25/2014 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 Phone: 352 - 796 -8200 Brown & Brown of Florida, Inc Fax: 352 - 799 -1399 P 0 Box 548 273 North Broad Street Brooksville, FL 34605 -0548 Christopher Scavuzzo CONTACT NAME: Peggy Brim PHONE 352 - 796 -8200 FAX (A/C. No, Ext): (A/C, No): 352 - 799 -1399 E-MAIL ... brim bbbrooksville.com ADDRESS: a 99Y INSURER(S) AFFORDING COVERAGE NAIC # INSURER A : Bridgefield Employers Ins Co 10701 INSURED Roberts Vault Co., Inc. 14621 Roberts Barn Rd. Dade City, FL 33525 INSURER B : National Trust Insurance Co 20141 INSURERC:FCCI Advantage Ins Co 12842 INSURER D : $ 1,000,000 INSURER E : $ 100,000 INSURER F : $ 5,000 • 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 TYPE OF INSURANCE IANSR WVD POLICY NUMBER (MM /DDY/YYYY) (MM /DD //Y�) LIMITS C GENERAL X LIABILITY COMMERCIAL GENERAL LIABILITY CPP0013821 rm'° '- _. 04/01/2014 04/01/2015 EACH OCCURRENCE $ 1,000,000 PREM SES Ea ocou ence) $ 100,000 MED EXP (Any one person) $ 5,000 CLAIMS -MADE X OCCUR PERSONAL & ADV INJURY $ 1,000,000 X P D ded. $250 GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP /OP AGG $ 2,000,000 GEN'L AGGREGATE 7 POLICY LIMIT APPLIES JF/ T PER: LOC $ B AUTOMOBILE X X LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS X _ _OS SCHEDULED NON-OWNED ED AUTOS CA0000964 04/01/2014 04/01/2015 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ PIP $ Statutory B X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE UMB0000462 04/01/2014 04/01/2015 EACH OCCURRENCE $ 4,000,000 AGGREGATE $ 4,000,000 $ DED X RETENT ON $ 10,000 A 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 83028375 01/01/2014 01/01/2015 X TWC RATIU- S 0ER - EL. EACH ACCIDENT $ 500,000 F.I._ DISEASE - FA EMPLOYEE $ 500,000 E.L. DISEASE - POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) City of Clearwater P.O.Box 4748 Clearwater, FL 34618 CITYOFC 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 //14?e7X-r? ACORD 25 (2010/05) ©1988 -2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD