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CERTIFICATE OF LIABILITY INSURANCE (3)CLEAR -1 OP ID: WN .."1, W.— CERTIFICATE OF LIABILITY INSURANCE DATE (MM /DD/YYYY) 06/13/2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. HOLDER. THIS BY THE POLICIES AUTHORIZED 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 Chase Insurance Agency Inc 333 N W 70 Ave; #108 Plantation, FL 33317 MIKE CHASE CONTACT NAME: MIKE CHASE PHONE 954492 -4300 Ext): FAX No): 954 - 791 -9344 E- MAILo, ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: State National Ins Co Inc 12831 INSURED Clearwater Towing Sery Inc dba CTS Towing & Transport Ascension Auto Service Inc dba CTS Towing & Transport 1955 Carroll St Clearwater, FL 33765 INSURER B : 06/18/2014 INSURER C: EACH OCCURRENCE INSURER D : INSURER E : CLAIMS -MADE INSURER F : OCCUR • RCVIJIVIV mU1VIDGR: 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 INSD SUBR WVD POLICY NUMBER POLICY EFF (MM /DD/YYYY) POLICY EXP (MM /DD/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY XNDP - 0025941- - 06/18/2014 06/18/2015 EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE X OCCUR 14EM SES Ea ocou ence) $ 100,000 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE POLICY OTHER: LIMIT APPLIES PRO- JECT PER: LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP /OP AGG $ 2,000,000 $ A AUTOMOBILE X LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS X X SCHEDULED AUTOS NON -O ED XNDA - 00259 -01 1)6/18/2014 06/18/2015 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) ( ) $ PROPERTY DAMAGE (Per accident) $ $ UMBRELLA UAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y ANY PROPRIETOR/PARTNER /EXECUTIVE OFFICER /MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below / N N / A PER STATUTE OTH- ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ A A Garagekeepers On Hook & Cargo XNDA- 00259 -01 XNDP - 00259 -01 06/18/2014 06/18/2014 06/18/2015 06/18/2015 $500 Ded 500,000 $1000 Ded 500,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) LOC COVERED GKLL 1955 CARROLL ST, CLEARWATER, FL, 1597 B NORTH HERCULES, CLEARWATER, FL.AND SW CORNER LOT 21 CARROLL ST., CLEARWATER, FL. CANCELLATION CLEAP01 Clearwater Police Dept 644 Pierce St Clearwater, FL 34616 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 • C-4464:2'-'4"- ACORD 25 (2014/01) © 1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD