The URL can be used to link to this page

CERTIFICATE OF LIABILITY INSURANCE (392)ACORO® CERTIFICATE OF LIABILITY INSURANCE L--/ DATE(MWDD/YYYY) 2/26/2014 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 ' Lykes Insurance, Inc. P. O. Box 2703 Winter Park FL 32790 NAME: Laura Scuteri PHONE FAX (A/c. No. EXt):813- 470 5023 (A/C, Net:813 -221 -1857 E -MAIL ADDRESS:Iscuteri@lykesinsurance corn INSURER(S) AFFORDING COVERAGE NAIC # INSURER A Southern-Owners Insurance Co 10190 13012 INSURED FRANK -9 Frank Gay Plumbing, Inc. 6206 Forest City Road Orlando FL 32810 INSURER B :Normandy Harbor Ins. Co.. Inc. INSURER C :Owners Insurance Co 32700 INSURER D : INSURER E : $1,000,000 INSURER F : $300,000 COVERAGES CERTIFICATE NUMBER: 560705792 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 INSR SUER WVD POLICY NUMBER POLICY EFF (MM /DD/YYYY) POLICY EXP (MM /DD/YYYY) LIMITS A GENERAL X LIABILITY COMMERCIAL GENERAL LIABILITY 727379433' f :?t' 3/1/2014 ) 3/1/2015 EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED PREMISES (Ea occurrence) $300,000 CLAIMS -MADE X OCCUR MED EXP (Any one person) $10,000 PERSONAL & ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE POLICY ' LIMIT APPLIES PRO - IE(T PER: LOC PRODUCTS - COMP /OP AGG $2,000,000 $ C AUTOMOBICE'LIABILITY — X _ X ANY AUTO ALL OWNED AUTOS HIRED AUTOS PIP $10,000 x SCHEDULED AUTOS NON -OWNED AUTOS 48rk944809-' - — �gI 6/,1/2014 3/1/2015 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ A UMBRELLA UAB EXCESS LIAB X OCCUR CLAIMS -MADE 4873942601 3/1/2014 3/1/2015 EACH OCCURRENCE $1,000,000 AGGREGATE $1,000,000 DED RETENTION $ $ g WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR /PARTNER /EXECUTIVE OFFICER /MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below YIN N / A NUFL141998 2/1/2014 2/1/2015 WC STATU- TORY LIMITS OTH- ER E. L. EACH ACCIDENT $500,000 E.L. DISEASE - EA EMPLOYEE $500,000 E.L. DISEASE - POLICY LIMIT $500,000 A Equipment Floater 114682- 72737943 -13 3/1/2014 3/1/2015 Leased/Rented $100,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) 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 © 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD