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CERTIFICATE OF LIABILITY INSURANCE (540)REBAI -1 OP ID: R2 '4klia∎ - CERTIFICATE OF LIABILITY INSURANCE DATE(MM /DD/YYYY) 10/16/2014 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 HARTSELLE BIG, LLC 8200 113th Street N, Suite 201 Seminole, FL 33772 Robin Cordell CONTACT PHON: ONE Ext): FAX No): (A/CC E -MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A:Allied P & C Insurance Company 42579 INSURED R E B Air Conditioning Inc Rita P O Box 1129 Oldsmar, FL 34677 INSURER B: Guarantee Insurance Company 11398 INSURER C 10/12/2015 INSURER D : $ 1,000,000 INSURER E : $ 100,000 � INSURER F : COVERAGES CERTIFICATE NUM 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 INKR WVD POLICY NUMBER (MM// DY/YYYY) (MM /DD //YYYY) LIMITS A GENERAL X LIABILITY COMMERCIAL GENERAL LIABILITY ACP5905162101 10/12/2014 10/12/2015 EACH OCCURRENCE $ 1,000,000 DAMAGE PREMISES T (Ea RENTED 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 GEN'L AGGREGATE —1 POLICY LIMIT APPLIES PRO- JECT PER: LOC PRODUCTS - COMP /OP AGG $ 1,000,000 $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS SCHEDULED AUTOS NON -OWNED AUTOS COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) ( ) $ PROPERTY DAMAGE JPERACCIDENT) $ $ A X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE ACP5905162101 10/12/2014 10/12/2015 EACH OCCURRENCE $ 3,000,000 AGGREGATE $ 3,000,000 DED RETENT ON $ $ B WORKERS COMPENSATION AND AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER /EXECUTIVE OFFICER /MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below / N N / A GWG0334003425 -112 11/05/2013 11/05/2014 X WC STATU- TORY LIMITS 0TH - °N - E.L. EACH ACCIDENT $ 100,000 E.L. DISEASE - EA EMPLOYEE $ 100,000 E.L. DISEASE - POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule if more space is required) N' { C71222i4 CERTIFICATE HOLDER CITYCLW City of Clearwater 100 S. Myrtle Aven 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 A,, ACORD 25 (2010/05) © 1988.2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD