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CERTIFICATE OF LIABILITY INSURANCE (507)AC•RO® CERTIFICATE OF LIABILITY INSURANCE `...--*". DATE(MM/DD/YYYY) 6/27/2014 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 Vermont & Associates, LLC 1120 Belcher Rd S Suite 1 Largo FL 33771 CONTACT Maryanne Gillespie (A/C. No. (727) 748 -2886 FAX No): (727) 748-0168 E -MAIL ili ie @vermost.com ADDRESS: es p INSURER(S) AFFORDING COVERAGE NAIC 4 INSURERA:Southern Owners Insurance 10190 INSURED Douglas Taylor A/C & Refrigeration, Inc 6560 116Th Ave Largo FL 33773 -3725 INSURERB:OWners Insurance Company 32700 INSURERCAuto- Owners Insurance Company 18988 INSURER D: $ 1,000,000 INSURER E : 50 000 $ r INSURERF: COVERAGES CERTIFICATE NUMBER:Master 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 (MM /DD/YYYY) POLICY EXP (MM /DDtYYYY) LIMITS A GENERAL X LIABILITY COMMERCIAL GENERAL LIABILITY 20638149 RECEIVED AUG 19 2014 7/24/2014 7/24/2015 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES (Ea occurrence) 50 000 $ r CLAIMS -MADE X OCCUR MED EXP (Any one person) $ 5,000 & ADV INJURY $ 1,000,000 GENERAL AGGREGATE GENERAL $ 3,000,000 GEN'L AGGREGATE 7 POLICY x LIMIT APPLIES 71-9-f PER: LOC PRODUCTS - COMP /OP AGG $ 3,000,000 $ B AUTOMOBILE X X LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS X _ SCHEDULED AUTOS NON -OWNED AUTOS �(''�/�� RE Y1Rr1C gg5�2�1 — LEGISLATIVE ATIVE SR 'C De LGVfJLJ1IIrG ® /2014 7/24/2015 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 BODILY INJURY (Per person) $ PROPS INJURY accident) $ PROPERTY DAMAGE DAMAGE (Per accident) $ $ `. X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE 4458745201 7/24/2014 7/24/2015 EACH OCCURRENCE $ 2,000,000 AGGREGATE $ 2,000,000 DED X RETENTION$ 10,000 $ 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 / A WC STATU- TORY I IMITS OTH- ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ A Crime /Employee Dishonesty Inclds 3rd Party Fidelity 20740847 2/27/2014 2/27/2015 Blanket Form $100,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Heating /Air Conditioning, Refrigeration, Installation, Service & Repair. ERTIFICATE HOLDER CITY OF CLEARWATER FL 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 M Gillespie /GILLMA '%- Yvz.,0a--4_"` _- °,,,_'`e_' ACORD 25 (2010/05) INS025 (201005).01 © 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD