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CERTIFICATE OF LIABILITY INSURANCE (383)
A ® CERTIFICATE OF LIABILITY INSURANCE DATE (MM /DD /YYYY) 2/21/2014 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 Plymouth Insurance Agency 2739 US Hwy 19 North wy Holiday, Fl, 34691 CONTACT AAME HOLLY YAGER PHONE 727_682 -4040 FAX L%UMA`.EXt): ADDRESS: holly •y @plymouthinsuranceagency.com INSURER(S) AFFORDING COVERAGE NAIC# INSURER A: WESTERN HERITAGE INSURANCE CO. INSURED Inspect-O-Graff, LLC 1942 Halifax Lane Clearwater, Fl 33763 727 - 461 -0433 727 - 639 -5941 Cell INSURER B : INSURER C : INSURER D : INSURER E : 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 INSD SUBR WVD POLICY NUMBER POLICY EFF (MM /DD /YYYY) POLICY EXP- (MM /DD/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE I X I OCCUR SCPO983353 B 2/18/2014 2/18/2015 EACH OCCURRENCE $ 1,000,000 $ 100,000 $ 5,000 $ 1,000,000 DAMAGE PREMISES O (Ea E ccurrrrence) MED EXP (Any one person) PERSONAL &ADVINJURY GENERAL GENERAL AGGREGATE $ 2,000,000 'L PER: GE X AGGREGATE POLICY OTHER: LIMIT APPLIES I JE0 I LOC PRODUCTS - COMP/OP AGG $ 2,000,000 AUTOMOBILE LIABILITY p' 6'dI7 Ilj ,r < ,. �+ a "u� d� 4 -)) s T) s C7173),...% '+ ' . ' Ai �" COMBINED SINGLE LIMI I (Ea accident) $ — — — BODILY INJURY (Per person) $ ANY OWNED AUTOS HIRED AUTOS — AUTOSULED NON -OWNED AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ UMBRELLA LIAB EXCESS LIAB _ OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/N ANY PROPRIETOR /PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? Cl (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA PER STATUTE 0TH - ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Pest Control Services, Home Inspection Services, & Carpentry. CERTIFICATE HOLDER CANCELLATION CITY OF CLEARWATER 100 S MYRTLE AVE. 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 (2013/04) © 1988 -2013 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD