CERTIFICATE OF LIABILITY INSURANCE (464)Client#: 137132
14ENERCONSER
ACORDTM CERTIFICATE OF LIABILITY INSURANCE
DATE(MM /DD/YYYY)
6/24/2014
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
J. Smith Lanier & Co.- Atlanta
11330 Lakefeld Drive
Bldg 1, Suite 100
Duluth, GA 30097
CONTACT
NAME:
PHONE 770 476 -1770 FAX 770 476 -3651
o, Ext): (A/C, No):
E-MAIL
ADDRESS:
INSURER(S) AFFORDING COVERAGE
NAIC #
INSURER A: AIG Specialty Insurance Co.
26883
INSURED
Enercon Services, Inc.
500 Town Park Lane Ste. 275
Kennesaw, GA 30144
INSURER B : Twin City Fire Insurance Co.
29459
INSURER C : Markel Insurance Company
38970
INSURER D : Hartford Fire Insurance Co.
19682
INSURER E :
$ 300,000
INSURER F :
COVERAGES
CERTIFICATE NUMBER:
REVISION
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
(MM /DD/YYYY)
POLICY EXP
(MM /DD/YYYY)
LIMITS
A
GENERAL
X
LIABILITY
COMMERCIAL GENERAL LIABILITY
24204154 (Th' -'f •)771/1
' `'"
+
01.4
07/01/2015
„
EACH OCCURRENCE
$1,000,000
PREMISES (ERENTED nce)
$ 300,000
CLAIMS -MADE
X
OCCUR
MED EXP (Any one person)
$ 25,000
X
BI /PD Ded:10,000
PERSONAL & ADV INJURY
$1,000,000
GENERAL AGGREGATE
$ 2,000,000
GE
X
'L AGGREGATE
POLICY
LIMIT APPLIES
PRO-
PER:
LOC
PRODUCTS - COMP /OP AGG
$ 2,000,000
$1
D
AUTOMOBILE
X
X
LIABILITY
ANY AUTO
ALL OWNED
AUTOS
HIRED AUTOS
X
_
SCHEDULED
AUTOS
NON -OWNED
AUTOS
20UENJW9053 ---
07/01/201407/01
/2015
COMBIa accideNED nt) SINGLE LIMIT
(E
r 000,000
$
BODILY INJURY (Per person)
$
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
(Per accident)
$
$
A
X
UMBRELLA LIAB
EXCESS LIAB
X
OCCUR
CLAIMS -MADE
24204393
07/01/2014
07/01/2015
EACH OCCURRENCE
$11,000,000
AGGREGATE
$11,000,000
DED
RETENTION $
$
B
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
Y / N
N
N / A
20WEAE9351
07/01 /2014
07/01 /2015
X
)4-
TORY LIMITS
&H-
ER
E.L. EACH ACCIDENT
$1,000,000
E.L. DISEASE - EA EMPLOYEE
$1,000,000
E.L. DISEASE - POLICY LIMIT
$1,000,000
C
C
A
Professional Liab
Professional Liab
Pollution Liab
14EOSE20001
14EOSE20001
242041154
04/18/2014
04/18/2014
07/01/2014
07/01/2015
07/01/2015
07/01/2015
$10,000,000 Each Claim
$10,000,000 Aggregate
$1,000,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space s required)
Certificate Holder is named as additional insured as per written contract, subject to the provisions and
limitations of the policy. Waiver of subrogation applies per written contract, liability policies are
written on primary basis. Separation of insured applies
CERTIFICATE HOLDER
CANCELLATION
City of Clearwater
Attn: City Clerk
PO Box 4748
Clearwater, FL 33758
ACORD 25 (2010/05) 1 of 1
#S2301R2%/M2nn12R7
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 O 988 -Z 010 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
LCVR