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CERTIFICATE OF LIABILITY INSURANCE (466)Client#: 504547 17ANCHOSIG ACORDT. 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 BB &T - Boyle Vaughan Insurance 2000 Center Point Rd, Ste 2400 P. 0. Box 8628, 29202 Columbia, SC 29210 CONTACT Tony Redman PHONE 803 748 -0100 (A/C No): 8774677214 Ext). (E MAILo ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A : Zurich American Insurance Compa 16535 INSURED Anchor Sign Inc PO Box 22737 Charleston, SC 29413 (Domiciles in South Carolina) INSURER B: Wausau Business Insurance Compa 26069 INSURER C : PREMISES (EaEoNCCTu ante) INSURER D INSURER E : X INSURER F : MED EXP (Any one person) VERAGES CERTIFICATE 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 ADDLSUBR INSR WVD POLICY NUMBER POLICY EFF (MM/DD/YYYYLIMM/DD/YYYYL 06/26/2014 Z -- -- POLICY EXP 06/26/2015 LIMITS EACH OCCURRENCE $1,000,000 $ 300,000 A GENERAL X LIABILITY COMMERCIAL GENERAL LIABILITY GL0595566440 ( q - - - 1 � ' °" PREMISES (EaEoNCCTu ante) CLAIMS -MADE X OCCUR MED EXP (Any one person) $10,000 PERSONAL & ADV INJURY $1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE POLICY X LIMIT APPLIES PRO JECT PER; LOC PRODUCTS - COMP/OP AGG $2,000,000 $ A AUTOMOBILE X X X LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS Drive Oth Car X SCHEDULED AUTOS NON -OWNED AUTOS BAP5955cQ62Od T� - 06/26/2014 06/26/2015 COMBINED SINGLE LIMIT (Ea act dent) $1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accdent ( ) $ PROPERTY DAMAGE (Per accident) $ $ B X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE TH7651290012 06/26/2014 06/26/2015 EACH OCCURRENCE $5,000,000 AGGREGATE $5,000,000 DED X RETENTION $10000 $ A 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 WC595566500 FL Included State 06/26/2014 06/26/2015 X WC TAT- TORY LIMITS OTH ER E.L. EACH ACCIDENT $1000,000 s E.L. DISEASE - EA EMPLOYEE $1,000,000 E.L. DISEASE - POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) David W Jackson is qualifier for Anchor Sign /ES- 0000291 ATE HOLDER CANCELLATION City of Clearwater PO Box 4748 Clearwater, FL 33759 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 ©1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD #S12555102/M12552486 JL1