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CERTIFICATE OF LIABILITY INSURANCE (548)Insurance Solutions of Pi 1 7273981288 p.2 A� `0: CERTIFICATE OF LIABILITY INSURANCE DATE(MMrDD:YYYt7 10123/2014 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: tithe 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 Insurance Solutions of Pinellas LLC 10825 Seminole Blvd A3 Largo FL 33778 CONTACT NAME: Rick Kohler PH ONN E, (727) 398 -1288 FPX 72T 398 -1288 ( 4 )' (AC No): ( ) annRFSS. rakahlerrverizon.net INSURER(S) AFFORDING COVERAGE NAIC # INSURERA: Ohio Security 24082 INSURED Curt's Electric, Inc. 1876 Lake Ave SE Suite H Largo FL 33771 INSURER B: Bridgefield 10701 INSURER C: EACH OCCURRENCE INSURER D: PRRPM SFS (Fe crclrarre) INSURER : MED EXP (Any one person) INSURER F : COVERAGES CERTIFICATE NUMBER: 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 LT TYPE OF INSURANCE ADDLSUBRI JNSR w.m POLICY NUMBER POLICY EFF fIIMfDDIYYYYI POLICY EXP rMMIDDVYYYY) LIMITS A GENERAL LIABILITY — X COMMERCIAL GENERAL LJABIUTY X 56343958 10/30/2014 10/30/2015 EACH OCCURRENCE $1,000,000 PRRPM SFS (Fe crclrarre) $ 300,000 MED EXP (Any one person) 515,000 CLAIMS -MADE X occuR PERSONAL &ADM INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/CP AGO $2,000,000 GEN'L AGGREGATE 7 POLICY LIMIT APPLIESPER: PF I LOC $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS HIREJAUTOS — SCHEDULED AUTOS AUTOS COMBINED SINGLE LIMIT (Fa a.n'v1Pn•) _l___ $ BODILY INJURY (Perpe-sdn) BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Peraccidrit) $ $ UMBRELLA UAB EXCESS LJAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ $ DED I gETENT ON $ B WORKERS COMPENSATION AND EMPLOYERS LIABIL TY J 0830506730 03/15/2014 03/15/2015 WCSTATU- 1 IOTH TfRY I VITS cR EL EACH ACCIDENT $ 100,000 OFFICR_RA EMBER EXCLUDED? UDEDECUTIVdY I N f A {Mandatory in NH) Eyes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - EA EMPLOYEE $ 500,000 E L DISEASE - POLICY LIMIT $ 100,000 DESCRIPTION OF OPERATIONS 1 LOCATIONS ! VEHICLES (Attach ACORD 101, Additional Reriarks Schedule, if more space is required) CERTIFICATE HOLDER CANCELLATION Clearwater Gas System 400 N Myrtle Ave Clearwater, FL 33755 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 y 7e <DA> ACORD 25 (2010/05) © 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD