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CERTIFICATE OF LIABILITY INSURANCE (461)CASTELE -01 BWARNER "'�, ""' CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 6/26/2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE CERTIFICATE HOLDER. THIS 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 CONTACT ASSOCIATES AGENCY, INC. NAME: 11470 N 53rd St Temple Terrace, FL 33617 PHONE g13 98 (ac, No, Ext): ( ) 8 -1234 FAX No): (813) 988 -0989 EMAIL ADDRESS: EACH OCCURRENCE $ 1,000,000 INSURER(S) AFFORDING COVERAGE NAIC # OCCUR INSURER A:Southern Owners Insurance Co 10190 INSURED INSURER B: OWNERS INSURANCE CO. 32700 Castle Electrical Services Inc INSURER C: Bridgefield Employers Insurance Co 10701 12507 Vision Way INSURER D : AGGREGATE LIMIT APPLIES I PRO- POLICY I JECT OTHER: Riverview, FL 33569 INSURER E : GENERAL AGGREGATE $ 2,000,000 rnvimown,c, -- -•— ----- °--- - -- INSURERf : • " —" ""— rtcvloivni IVUIVIt3t K: 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 INSD SUER WVD POLICY NUMBER POLICY EFF (MM /DD/YYYY) POLICY EXP (MM/DD/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY 20908987 "�, �'! ( . y da ' ,66/20/2015 EACH OCCURRENCE $ 1,000,000 J CLAIMS -MADE X OCCUR DAMAGE TO RENTED PREMISES (Ea occurrence) $ , MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L _, AGGREGATE LIMIT APPLIES I PRO- POLICY I JECT OTHER: PER LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP /OP AGG $ 2,000,000 $ B LIABILITY X J ANY AUTO ALL OWNED AUTOS X HIRED AUTOS - -'- X SCHEDULED AUTOS NON -OWNED AUTOS 4990898700 06/20/2014 06/20/2015 COMBINED SINGLE LIMIT (Ea accident) $ 300,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTION $ $ C WORKERS AND EMPLOYERS' L COMPENSATION ANY PROPRIETOR /PARTNER /EXECUTIVE Y OFFICER /MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below / N N /A 14-287 06/20/2014 06/20/2015 X STATUTE EORH E.L. EACH ACCIDENT $ 500,000 E.L. DISEASE - EA EMPLOYEE $ 500,000 E.L. DISEASE - POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) ATE 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 ACORD 25 (2014/01) ©1988 -2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD