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CERTIFICATE OF LIABILITY INSURANCE (439)
A o- CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 11/4/2013 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 ADCOCK - ADCOCK PROPERTY & CASUALTY AGENCY INC 315 W FLETCHER AVE TAMPA FL 33612 CONTACT MICHAEL ADCOCK (A/C. No. Bet): $139336691 FAX No): E -MAIL ADDRESS: MIKFgaAQrn .K- IN5IRaNf`M INSURER(S) AFFORDING COVERAGE NAIC II INSURERA: FWCJUA GENERAL INSURED MIDFLORIDA ARMORED & ATM SERVICES INC 4314 WEST DR. MLK BLVD TAMPA FL 33614 FEIN: 043586886 INSURER B : $ INSURER C : INSURER D : INSURER E : MED EXP (Any one person) INSURER F : GES CERTIFICAT • 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 SUBR WVD POLICY NUMBER '� YYY"'fff... 2C� w72c5. LI :-.:: Jltrp." POLICY EFF (MM/DD/YYYY) ' 3 , ' '- POLICY EXP (MM/DD/YYYY) LIMITS EACH OCCURRENCE $ GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES (Ea occurrence) $ CLAIMS -MADE OCCUR MED EXP (Any one person) $ PERSONAL 8 ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE —1 POLICY LIMIT APPLIES PO PER: LOC PRODUCTS - COMP /OP AGG $ $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS _ SCHEDULED AUTOS NON -OWNED AUTOS (r `R' b", pp nn f"" S':11, f L asEr.�'S,I i�7 Q,,. � J\* ,S.ei'E''3 COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ UMBRELLA LIAB EXCESS LIAB _ OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTION $ $ A WORKERS ANDEMPLOYERS' ANY OFFICE (Mandatory If yes, DFSCRIPTION COM''ENSATION PROPRIETOR /MEMBER in NH) describe under OF LIABILITY /PARTNER /EXECUTIVE EXCLUDED? r1PFRATIONS helow Y / ��N I N I N /A 7D748236 11/2/2013 11/2/2014 I WC STATU- I OTH- X I TORY LIMITS I ER E.L. EACH ACCIDENT $ 1 000.000 00 E.L. DISEASE - EA EMPLOYEE $ 1,000,000.00 E.L. DISEASE - POLICY LIMIT $ 1,000,000.00 nn DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule if more space is required) CERTIFICATE HOLDER CANCELLATION City of Clearwater P.O. Box 4748 Clearwater PhoneNumber FL 33758 None Provided 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 (2010/05) © 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD