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CERTIFICATE OF LIABILITY INSURANCE (536)
DOCKS -2 OP ID: TM A�r-KV CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY) 1010612014 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 MORROW INSURANCE GROUP LENORA C. OLNEY /A196064 18936 NORTH DALE MARRY HIGHWAY TAMPA, FL 33548 Steven Mitzel CONTACT NAME MORROW INSURANCE GROUP iA "rc ° °, No, Eot):813- 963 -1669 FAX No): 813- 961 -3743 aoalEss: TEREASA @MORROWINSURANCE.NET INSURER(S) AFFORDING COVERAGE NAIC K INSURERA:AXIS SURPLUS INSURANCE CO 26620 INSURED DOCKSIDE ROOFING, INC. 8916 MAISLIN DRIVE TAMPA, FL 33637 INSURERB: FLGLN00915AX RECEI\/ED OCT 0 8 INSURER C: 10114/2015 INSURER D : $ 1,000,000 INSURER E : INSURER F : X ERAGES 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 AUUL INSD SUIiH WVQ POLICY NUMBER POLICY EFF (MMIDDIYYYY) POLICY EP (MMIDDIYYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY FLGLN00915AX RECEI\/ED OCT 0 8 10/14/2014 2014 10114/2015 EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE X OCCUR DAMAGETO RLM ED one $ 50,000 X GEN'L CONTRACTUAL LIAB person) MED EXP (Any MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 AGGREGATE POLICY OTHER X LIMIT APPLIES JECT PER. LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS- COMPIOP AGG $ 2,000,000 $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS — _ SCHEDULED AUTOS NON -OWNED AUTOS OFFICIAL 1 RECORDS i /1L IVC\.aLJ LEGISLATIVE $ AND AND VC$ DEPT COMBINED SINGLE LIMIT (Ea accident) BODILY INJURY (Per person) $ BODILY INJURY (Per accidenq $ PROPERTY DAMAGE (Per accident) $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR /PARTNERIEXECUTIVE OFFICER /MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below I N I A PEN STATUTE OTH- ER E L. EACH ACCIDENT - - $ E . DISEASE - EA EMPLOYEE $ E . DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS 1 LOCATIONS! VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) CERTIFICATE HOLDER CITYCL4 CITY OF CLEARWATER 100 S MYRTLE AVE CLEARWATER, FL 33758 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