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DREW STREET AND US 19 OVERPASS LANDSCAPE IMPROVEMENTS - 05-0004-EN - CERTIFICATE OF LIABILITY INSURANCE (3)MOREL -2 OP ID: B8 ,4�o,R °� CERTIFICATE OF LIABILITY INSURANCE DATE 09(30 /2014 ) 09/30/2014 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 Icier may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such PRODUCER Phone: 813426-1300 Brown & Brown of Florida, Inc. P. O. Box 173086 C 2 2 014 Fax: 813- 226 -1313 Tampa, FL 33672 John McManus STORMWATER CONTACT NAME: Bernadette Perreault ac°.NNo. Extl: 813- 472 -7022 FAX No): 813426 -1313 E-MAIL DRESS: bperreault @bbtampa.com INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: AUTO OWNERS INSURANCE 18988 INSURED Morelli Landscaping Inc. 4855 162nd Ave North Clearwater, FL 33762 -3224 INSURER B : FCCI INSURANCE CO 10178 INSURER C : Southern Owners Insurance Co. 10190 INSURER D : $ 1,000,000 INSURER E : $ 50,000 INSURER F : COVERAGES CERTIF • 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 INSR WVD POLICY NUMBER (MM/ D YYYY) (MM DD/YYYYL LIMITS C GENERAL X LIABILITY COMMERCIAL GENERAL LIABILITY 20654637 CI 08/06/2014 08/06/2015 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES (Ea occurrence) $ 50,000 CLAIMS -MADE X OCCUR MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L X AGGREGATE LIMIT APPLIES POLICY [ PF I 14� PER: LOC PRODUCTS - COMP/OP AGG $ 2,000,000 Emp Ben. $ none A AUTOMOBILE X X LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS _AUTOS X SCHEDULED NON -OWNED AUTOS a o1d O v 4216601100 O �0/2014 ��� �� • rj1`"dt4' 1.YtcA rt 08/06/2015 COMBINED SINGLE LIMIT (Ea accident) 1,000,000 _J BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ A X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE 4216601102 08/06/2014 08/06/2015 EACH OCCURRENCE $ 2,000,000 AGGREGATE $ 2,000,000 DED X RETENT ON $ 10,000 $ B 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 001 -WC14A -47444 09/30/2014 09/30/2015 X WC STATU- TORY I IMITS OTH- ER E.L. EACH ACCIDENT $ 100,000 E.L. DISEASE - EA EMPLOYEE $ 100,000 E.L. DISEASE - POLICY LIMIT $ 500,000 C Equipment Floater 20654637 08/06/2014 08/06/2015 IM St. 10,000 Ded 500 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule if more space is required) Landscaping CERTIFICATE HOLDER CLEARWA City of Clearwater Public Works Administration PO Box 4748 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 `-7MiG a„eA - ACORD 25 (2010/05) © 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD MOREL -2 OP ID: B8 AC:CAROY CERTIFICATE OF LIABILITY INSURANCE DATE(MM /DD /YYYY) 07/30/2014 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 Phone: 813 - 226 -1300 Brown & Brown of Florida, Inc. Fax: 813 - 226 -1313 P. O. Box 173086 Tampa, FL 33672 Steve Ayers NAME: Bernadette Perreault PHONE 813 -472 -7022 FAX tA/C, No, Ext): (A /C, No): 813426 -1313 E -MAIL ADDRESS: bperreault©bbtampa.com INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: AUTO OWNERS INSURANCE 18988 INSURED Morelli Landscaping Inc. 4855 162nd Ave North Clearwater, FL 33762 -3224 INSURER B : FCCI INSURANCE CO 10178 INSURER C : Southern Owners Insurance Co. 10190 INSURER D : $ 1,000,000 INSURER E : $ 50,000 INSURER F : • 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 /DDIYYYYL LIMITS C GENERAL X LIABILITY COMMERCIAL GENERAL LIABILITY 20654637 08/06/2014 08/06/2015 EACH OCCURRENCE $ 1,000,000 PREMISPAMAGES ((D ES (Ea RENTE occurrence) $ 50,000 CLAIMS -MADE X OCCUR MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L X' GENERAL AGGREGATE $ 2,000,000 AGGREGATE LIMIT APPLIES POLICY n PF� PER: LOC PRODUCTS - COMP /OP AGG $ 2,000,000 Emp Ben. $ none A AUTOMOBILE X X LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS X SCHEDULED AUTOS NON -OWNED AUTOS 4216601100 08/06/2014 08/06/2015 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 4216601102 08/06/2014 08/06/2015 EACH OCCURRENCE $ 2,000,000 AGGREGATE $ 2,000,000 DED X RETENT ON $ 10,000 $ B 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 001 -WC13A -47444 09/30/2013 09/30/2014 X WC STATU- TORY LIMITS 0TH - ER E.L. EACH ACCIDENT $ 100,000 E.L. DISEASE - EA EMPLOYEE $ 100,000 E.L. DISEASE - POLICY LIMIT $ 500,000 C IM Inst. Floater 20654637 08/06/2014 08/06/2015 IM Inst 10,000 Ded 500 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule if more space is required) Landscaping CERTIFICATE HOLDER CLEARWA City of Clearwater Public Works Administration PO Box 4748 Clearwater, FL 33758 i 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 (2010/05) © 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD