The URL can be used to link to this page

CERTIFICATE OF LIABILITY INSURANCE (420)OP ID: KW HI__ ILO CERTIFICATE OF LIABILITY INSURANCE DATE(MM /DD/ YYY) 12/17/2013 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 Phone: 727-447 -6481 Bouchard - Clearwater 101 Starcrest Drive Fax: 727-449 -1267 P 0 Box 6090 Clearwater, FL 33758 -6090 Nicholas Amaro CONTACT (A/C No Ext): (AC, No): E-MAIL ADORE E: CUSDUC ER ENGLA -1 CUSTOMER ID #: INSURER(S) AFFORDING COVERAGE NAIL # INSURED England Brothers ConstCo Inc Marsha England 12255 75th Street North Largo, FL 33773 INSURER A : Amerisure Mutual Insurance Co 23396 INSURER B: Amerisure Insurance Company 19488 INSURER C: FCCI Insurance Co 10178 INSURER D: 07/31/2014 INSURER E : $ INSURER F : DAMAGE i0 RENTED PREMISES (Ea occurrence) • 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. -ADDI_ INSR LTR TYPE OF INSURANCE INSR SUBR WVD POLICY N POLICY EFF POLICY EXP (MM /DDVWYY) LIMITS A GENERAL X LIABILITY COMMERCIAL GENERAL LIABILITY OCCUR k. GL2088626 Pm ;,) a^ ^y'' 2 `"' 0210A1. p� 6'r'f�'ie I r°( ci AWE Sr ; 07/31/2013 2013 �?, 4L . aS AND VCS DEPT 07/31/2014 EACH OCCURRENCE $ 1,000,000 DAMAGE i0 RENTED PREMISES (Ea occurrence) $ 100,000 CLAIMS-MADE X MED EXP (Any one person) $ 5,000 GENT X PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 AGGREGATE LIMIT APPLIES PER: LOC PRODUCTS- COMP /OP AGG $ 2,000,000 POLICY JEPRO- CT Emp Ben. $ 1,000,000 B AUTOMOBILE X LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS CA2002045 07/31/2013 07/31/2014 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ $ A X UMBRELLA UAB EXCESS LIAB X OCCUR CLAIMS-MADE CU2001045 07/31/2013 07/31/2014 EACH OCCURRENCE $ 1,000,000 AGGREGATE $ 1,000,000 X DEDUCTIBLE RETENTION $ 0 $ $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNERIEXECUTIVE Y / N OFFICER/MEMBER EXCLUDED? ❑ (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below NI A 001 WC13A03034 01/01/2014 01/01/2015 WC STATU- 0TH - X TORY LIMITS ER E.L. EACH ACCIDENT $ 100,000 E.L. DISEASE - EA EMPLOYEE $ 100,000 E.L. DISEASE - POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) CERTIFICATE HOLDER CICLEAR CITY OF CLEARWATER PO Box 4748 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 ACORD 25 (2009/09) ©1988 -2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD