CERTIFICATE OF LIABILITY INSURANCE (409)■�CORLY
V
CERTIFICATE OF LIABILITY INSURANCE
AMER111 OP ID: KA
DATE (MMIDDIYYYY)
01/09/14
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
Sihie Insurance Group
2000 Polaris Parkway
P. O. Box 728
Columbus, OH 43216 -0728
INSURED
American Home Heating &
Air Inc.
2807 Nicholas Lane
Apopka, FL 32703
800 -230 -1468
614 - 796 -7808
CONTACT
NAME:
PNONE
(AM, No, Ext):
E-MAIL
ADDRESS:_
(A/C, No):
INSURER(S) AFFORDING COVERAGE
NAIC 1
INSURER _Westfield Insurance Company/
INSURER B
24112
INSURER C :
INSURER D
INSURER E :
INSURER F :
COVERAGES
•
„I■ •IVUV11 r.Vr.WOG11•
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.
INTR
TYPE OF INSURANCE
ADM
INSR
SUBR
WVD-
POLICY NUMBER
POLICY EFF
(MMIDDIYYYY)
POLICY EXP
(MMIDDIYYYY)
LIMITS
A
GENERAL LIABILITY
X ' COMMERCIAL GENERAL LIABILITY
CWP395945 I
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p 1!06/14
01106115
5
EACH OCCURRENCE
$ 1,000,000
DAMAGE T� RENT D rence)
PREMISE S (Ea occur
$ 150,000
CLAIMS -MADE
X OCCUR
MED EXP (Any one person)
$ 10,000
PERSONAL & ADV INJURY
$ 1,000,000
GENERAL AGGREGATE
$ 2,000,000
GEN'_ AGGREGATE MAT APPLIES
POLICY `•jE T'
PER:
LOC
PRODUCTS- COMP /OP AGG
$ 2,000,000
$
A
AUTOMOBILE LIABILITY
I ANY AUTO
, ALL OWNED
AUTOS
i
X HIRED
(HIRED AUTOS
{
-
X
X
SCHEDULED
AUTOS
NON -OWNED
AUTOS
k
..,3 4. ,,, H
CWP395g SI
, i
•: "
"�1'i06/14
01/06/15
COMBINED SINGLE LIMIT
(Ea accident)
1,000,000
$
BODILY INJURY (Per person)
$
BODILY INJURY (Per accident)
$
-PROPERTY DAMAGE
(Per accident)
$
$
I UMBRELLA LIAB
EXCESS LIAB
_
OCCUR
CLAIMS -MADE
EACH OCCURRENCE
$
AGGREGATE
$
[ DED
RETENTION $
$
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANY PP.OPPIETOR,PAPT*3ER'E,ECUP.VE
OFFICER.MEMBER EXCLUDED?
(Mandatory In NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
YIN
N I A
WC STATU-
TORY I IMITS
OTH-
ER
E.L. EACH ACCIDENT
$
E.L. DISEASE - EA EMPLOYEE
$
E.L. DISEASE - POLICY LIMIT
$
DESCRIPTION OF OPERATIONS! LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required)
RTIFICATE HOLDER
CITCLI O
City of Clearwater
100 S Myrtle Avenue
Clearwater, FL 33765
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
etht
ACORD 25 (2010/05)
01988-2010 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD