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CERTIFICATE OF LIABILITY INSURANCE (366)
ACRD® L...----' CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD/YYYY) 4/1/2014 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 Wallace Welch & Willingham, Inc. 300 1st Ave. So., 5th Floor Saint Petersburg FL 33701 CONTACT NAME: PHONE 727 - 522 -7777 FAX 727- 521 -2902 (A/C. No, Frt)• (/UC. No): n D IREESS, certificates @w3ins.com INSURER(S) AFFORDING COVERAGE NAIL 0 INSURER A :Travelers Property Casualty Co of A 25674 INSURED SUNCMAR -01 Suncoast Electronics & Supply, Inc. d /b /a Suncoast Marine Electronics 2167 D Lions Club Rd Clearwater FL 33764 INSURER B :Zurich American Ins. Co. 16535 INSURER C :Phoenix Ins. Co. 25623 INSURER D $1,000,000 INSURER E : $100,000 INSURER F : •1423452287 N 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 INSD SUBR W VD POLICY NUMBER POLICY EFF (MM /DD/YYYY) POLICY EXP (MM /DD/YYYY) LIMITS A X COMMERCIAL GENERAL UABIUTY ZOL14P8480814ND G,., T----, (' -: J \% i.._: t_. --^' .,..�.J.., /2014 1 ' s m ,_ 1 3/25/2015 EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED PREMISES (Ea occurrence) $100,000 CLAIMS -MADE X OCCUR MED EXP (Any one person) $10,000 X MOLUMGUSRLL PERSONAL & ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GE X 'L AGGREGATE POLICY OTHER: LIMIT APPLIES JECT PER: LOC PRODUCTS - COMP /OP AGG $2,000,000 $ C AUTOMOBILE X LIABILITY ANY AUTO AUTOS NED HIRED AUTOS X X SCHEDULED NON -OWNED AUTOS BA7085X2IA74OCN ` , ., h . = Y x3/26{2444 J 3 3/25/2015 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ $ DED RETENTION $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER /EXECUTIVE Y/N OFFICER/MEMBER EXCLUDED? N (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A 578237200 12/1/2013 12/1/2014 X STATUTE X ER U.S.L.H. E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 E.L. DISEASE - POLICY LIMIT $1,000,000 A ZOL14P8480814ND 3/25/2014 3/25/2015 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) City of Clearwater is Additional Insured with respect to General Liability if required by written contract. LLATION City of Clearwater P.O. Box 4748 Clearwater FL 33758 I 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 ACORD 25 (2014/01) © 1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD