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CERTIFICATE OF LIABILITY INSURANCE (306)l e ACCORD CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY) 03/03/2014 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 DAVID FRAYER, AGENT Commercial & Home Insurance Inc 5635 49th Street N 5635 St Petersburg FL 33709- NAMEACT For Certificates: Victoria or Jamie u HONE C, No, Ext): (727) 527 -5700 FAX No): (727) 527-6285 EL vbuchanan or jfilion @cehinsurance.com PRODUCER CUSTOMER ID /. COMFORT COVER SYSTEMS , INC . INSURER(S) AFFORDING COVERAGE NAIC # INSURED COMFORT COVER SYSTEMS, INC . /REBECCA J. MAYS 711 TURNER STREET CLEARWATER FL 33756- INSURER A :BRIDGEFIELD EMPLOYERS INS CO OCCUR INSURER B : INSURER C : / / / / / / / / / / / / / INSURER D : EACH OCCURRENCE INSURER E : INSURER F : $ • GUVtttAtatb I. rc r lrlvM r G nvnrv..rs. 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 WEIR tWD POLICY NUMBER POLICY EFF (MMIDDIYYYY) POLICY EXP (MMIDDIYYYY) LIMITS GENERAL UABIUTY COMMERCIAL GENERAL LIABILITY OCCUR RECEI MAR/ i3 ��.mp y.p. 4 Ru a 84a` 1`: a.ad�^CSic� / / / / / / / / / / / / / / / / / / / / / / / / / / / EACH OCCURRENCE $ DAMAGE TO RENTED PREMISES (Ea occurrence) $ MED EXP (Any one person) $ CLAIMS -MADE PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ PRODUCTS - COMP /OP AGG $ GEN'L AGGREGATE LIMIT APPLIES PER: $ POLICY PRO- LOC AUTOMOBILE UABIUTY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS g/�i3�� LCGE/A t V � SR\ CS �'`EF■ / / / / / / / / / / / / / / / / / / / / / / / / / / / / COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ DAMAGE (Per accident) $ $ $ UMBRELLA UAB EXCESS UAB OCCUR CLAIMS -MADE / / / / / / / / / / / / / / / / EACH OCCURRENCE $ AGGREGATE $ $ DEDUCTIBLE $ A WORKERS AND ANY OFFICER/MEMBER (Mandatory (M If yes, DESCRIPTION RETENTION $ COMPENSATION EMPLOYERS' UABIUTY PROPRIETOR/PARTNER/EXECUTIVE EXCLUDED? In NH) In describe under OF OPERATIONS Y / N N / A 830 -41395 OWNER INCLUDED 03/21/2014 / / / / / / 03/21/2015 / / / / / / X TOYI NITS ER E.L. EACH ACCIDENT $ $ $ 100,000 100,000 500,000 N E.L. DISEASE - EA EMPLOYEE below E.L. DISEASE - POLICY LIMIT / / / / / / / / DESCRIPTION ROOFING REBECCA OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, it mom space is required) CONTRACTOR MAYS - LICENSE #CCC057091 DAVID FRAYER, AGENT CERTIFICATE HOLDER ( ) ( ) ATTN: BUILDING DEPARTMENT CITY OF CLEARWATER 100 S. MYRTLE AVENUE P.O. 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 .IC ACORD 25 (2009109) INS025 (200909) © 1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD