CERTIFICATE OF LIABILITY INSURANCE (445)ACORD. CERTIFICATE OF LIABILITY INSURANCE
10/29/2013
PRODUCER
ASSURE LLC
2511 Manatee Avenue E
Bradenton, FL 34208
(941) 739 -5121
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND,
ALTER THE COVERAGE AFFORDED BY THE POLICIES
INSURERS AFFORDING COVERAGE
EXTEND OR
BELOW.
NAIC#
INSURED Properties o West F orida Inc dba
Perfect Weather AC & Refrigeration
PO BOX 7857
North Port, FL 34290
FAX: 866 - 859 -5967
INSURER A: Cypress Property & Casualty
LIMITS
INSURER B: Progressive Express Insurance Co
INSURER C: Business First Ins Co
LIABILITY
COMMERCIAL GENERAL LIABILITY
INSURER 0:
11/08/13
INSURER E:
EACH OCCURRENCE
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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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR
LTR INSRD
ADD•L
TYPE OF INSURANCE
-
POLICY NUMBER
POLICY EFFECTIVE
DATE (MM/DD/YY)
POLICY EXPIRATION
DATE(MM/DDMI)
LIMITS
A
GENERAL
LIABILITY
COMMERCIAL GENERAL LIABILITY
GFL- 1028350
11/08/13
11/08/14
EACH OCCURRENCE
$ 1,000,000
$ 100,000
X
PREMISES SES (Ea occurence)
CLAIMS MADE M OCCUR
MED EXP (Any one person)
$ 5,000
PERSONAL &ADVINJURY
$ 1,000,000
$ 2,000,000
$ 2,000,000
GENERAL AGGREGATE
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP /OP AGG
7 POLICY 7 M. PRO LOC
$
AUTOMOBILE
LIABILITY
ANYAUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NONOWNEDAUTOSI
08314898 -2
11/08/13
,� �t
j
11/08/14
f
COMBINED SINGLE LIMIT
(Ea accident)
$
X
BODILY INJURY
(Per person)
$ 10,000
X
BODILY INJURY
(Peraccident)
$ 20,000
PROPERTY DAMAGE
(Peraccident)
$ 10,000
GARAGE
LIABILITY
ANYAUTO
'
AUTO ONLY- EAACCIDENT
$
THAN EA ACC
$
OTHER
AUTO ONLY: AGG
$
EXCESS/UMBRELLA LIABILITY
t
:" r"r
EACH OCCURRENCE
$
AGGREGATE $
OCCUR CLAIMS MADE
$
DEDUCTIBLE
RETENTION $
$
$
—
C
WORKERSCOMPENSATIONAND
EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
If yes, describe under
SPECIAL PROVISIONS below
0521 -09417
11/08/13
11/08/14
I
X ORYLMTTS l IOR
E.L. EACH ACCIDENT
$ 1,000,000
1,000,000
$ 1,000,000
E.L. DISEASE - EAEMPLOYEE$
E.L. DISEASE - POLICY LIMIT
OTHER
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
Jesse Campos Lic# CAC1814387
CERTIFICATE HOLDER
CANCELLATION
City of Clearwater
100 Myrtle Avenue
Clearwater, FL 33756
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL30 DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
ACORD 25 (2001 /08)
ION 1988