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CERTIFICATE OF LIABILITY INSURANCE (463)
A ° CERTIFICATE OF LIABILITY INSURANCE 6/26/2014 ) 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 Vermost & Associates, LLC 1120 Belcher Rd S Suite 1 Largo FL 33771 NAME: Maryanne Gillespie P, NNo.Extl, (727)748 -2886 I .Nol:(72 ?)577 -4991 trakss,millespie@vermost.com INSURER(S) AFFORDING COVERAGE NAIC # INSURER A:OWners Insurance Company 32700 INSURED A T Communications Inc STEHEN 3' LOCKARD 2561 Sweetgum Way W Clearwater FL 33761 -3923 INSURER B :Southern Owners Insurance 10190 INSURER C:Retailflrst Insurance Company r 710/2014' INSURER D : EACH OCCURRENCE INSURERE: X INSURERF: $ 300,000 REVISION NUMBER. 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 POLICY EFF IMM/DD/YYYY) POLICY EXP (MM /DD/YYYYI LIMITS A GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY OCCUR €1 " ' Th 20589182 t r 710/2014' 7/6/2015 EACH OCCURRENCE $ 1,000,000 X PREMISES $ES (EaEoccunrence) $ 300,000 I CLAIMS -MADE X MED EXP (Any one person) $ 10,000 PERSONAL BADVINJURY $ 1,000,000 GENERAL AGGREGATE $ 1,000,000 AGGREGATE LIMIT APPLIES PER: l POLICY n RP n LOC PRODUCTS - COMP/OP AGG $ 1,000,000 �GEN'L x $ AUTOMOBILE — LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS SCHEDULED AUTOS NON -OWNED AUTOS "` °° COMBINED SINGLE LIMIT Ea accident) BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ _ PROPERTY DAMAGE (Per accident) $ $ B X UMBRELLA LIAR EXCESS LIAB _ OCCUR CLAIMS -MADE 4237998700 7/17/2013 7/6/2014 EACH OCCURRENCE $ 5,000,000 AGGREGATE $ DED I IRETENTON$ $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS YIN N I A 052035702 4/17/2014 4/17/2015 WC STATU- 10TH- I TORY LIMITS I I FR_ E.L. EACH ACCIDENT $ 500,000 below E.L. DISEASE - EA EMPLOYEE $ 500,000 E.L. DISEASE - POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, H more space Is required) Electrical Work STEPHEN J LOCKARD LIC # C -9803 (PINELLAS) STATE REGISTRATION # ET11000781 CANCELLATION CITY OF CLEARWATER FL PO BOX 4748 Clearwater, FL 33758 -4748 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 M Gillespie /MARSAN ACORD 25 (2010/05) INS025 (201005).01 © 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD