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CERTIFICATE OF LIABILITY INSURANCE (364)• ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE (MMDD4 IYYYY) 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 BB &T- Landrum Yaeger 3375 -B Capital Circle, NE PO Box 14099 Tallahassee, FL 32317 CONTACT NAME: PHONE 850 386 -2143 FAX 888 - 328 -1326 NO Ext): (ac, No): E-M, MAIL PRODUCER CUSTOMER ID #: INSURER(S) AFFORDING COVERAGE NAIC # INSURED Rowe Drilling Company, Inc. P. O. Drawer 1389 Tallahassee, FL 32302 INSURER A: Granite State Insurance Company 23809 INSURER B: Travelers Excess and Surplus Li 29696 INSURER C: FFVA Mutual Insurance Company 10385 INSURER D : $1,000,000 INSURER E : PREMISES O(Ea RENTED occurrence) INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL N$jt 6UBR (/VD POLICY NUMBER POLICY EFF (MM/DD/YYYY) POLICY EXP (MM/DD/YYYY) LIMITS A GENERAL UABILITY COMMERCIAL GENERAL LIABILITY OCCUR X X 02LX024057 280 �t� L �'. `' 04/01 /2014 _ 04/01/2015 EACH OCCURRENCE $1,000,000 X PREMISES O(Ea RENTED occurrence) $300,000 CLAIMS -MADE X MED EXP (Any one person) $1 0,000 X Pollution Liability PERSONAL & ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP /OP AGG $2,000,000 7 POLICY X P JERCO LOC $ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS X X 02C/ 0645970980 .,. 04/01/2014 ;., 04/01/2015 (E0aMBINdED SINGLE LIMIT $ 1,000,000 X BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ X X $ $ B X UMBRELLA LIAB EXCESS UAB X OCCUR CLAIMS -MADE X X AUP1 OR9021314NF 04/01/2014 04/01/2015 EACH OCCURRENCE $5,000,000 $5,000,000 AGGREGATE DEDUCTIBLE RETENTION $ 10,000 $ X $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER /MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS Y/ N N/A X WC84000218452014A 04/01/2014 04/01 /2015 X V'JCSTATU- 0TH - TORY LIMITS FR E.L. EACH ACCIDENT $1,000,000 N E.L. DISEASE - EA EMPLOYEE $1,000,000 below E.L. DISEASE - POLICY LIMIT $1,000,000 A A Leased /Rent Equip Installation Coy 02LX0240573280 02LX0240573280 04/01/2014 04/01/2014 04/01/2015 04/01/2015 275,000 occ /500,000 agg 500,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Addkional Remarks Schedule, If more space is required) City of Clearwater,it's officers,employees are listed as additional insured with respects to liability to include completed operations. CERTIFICATE HOLDER CANCELLATION City of Clearwater 100 S. Myrtle Ave Clearwater, FL 33756 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 /1°-- ACORD 25 (2009/09) 1 of 1 #S12111576/M12101020 ©1988 -2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD NL6