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CERTIFICATE OF LIABILITY INSURANCE (501)
ACQR�® V CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY) 8/7/2014 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 Atlas Insurance Agency P 0 Box 17669 Sarasota FL 34276 -0669 CONTACT NAME: (MC_ O Fes). 941 - 366 -8424 FAX No). 941- 552 -4099 E-MAIL ADDREss• sdeer @atlasinsuranceagency.com INSURER(S) AFFORDING COVERAGE NAIC # INSURER A :FCCI Commercial Insurance 33472 INSURED ABSOL -1 Absolute Aluminum, Inc. Absolute Aluminum & Construction Company 1220 Ogden Road Venice FL 34285 INSURER B : GL00089286 RECEIb AUG 12 INSURER C : 8/8/2015 INSURER D : $1,000,000 INSURER E : $100,000 INSURER F : •652744448 EVISION 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 INSD SUER MD POLICY NUMBER POLICY EFF (MM /DD/YYYY) POLICY EXP (MM /DD/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY GL00089286 RECEIb AUG 12 2014 AND 8/8/2015 EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED PREMISES (Ea occurrence) $100,000 CLAIMS -MADE X OCCUR MED EXP (Any one person) $5,000 PERSONAL & ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GE 'L AGGREGATE POLICY OTHER: X LIMIT APPLIES 510 PER: LOC PRODUCTS - COMP /OP AGG $2,000,000 A AUTOMOBILE X X LIABILITY ANY AUTO AUTOS OWNED HIRED AUTOS $500 Comp X SCHEDULED NON -OWNED AUTOS $500 Coll r CA00140336 �SIATI'/E JI DE/8/2015 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ A X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE UM6000089613 8/8/2014 8/8/2015 EACH OCCURRENCE $2,000,000 AGGREGATE $2,000,000 $ DED X RETENTION $10,000 A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A 001WC14A38676 7/1/2014 7/1/2015 X STATUTE ER 0H E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 E.L. DISEASE - POLICY LIMIT $1,000,000 A Leased /Rented Equipment CM00047495 8/8/2014 8/8/2015 Limit 100,000 Deductible 500 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) Coverage is subject to policy forms, conditions & exclusions. 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