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CERTIFICATE OF LIABILITY INSURANCE (634)
BHDCONS OP ID: TM CERTIFICATE OF LIABILITY INSURANCE 70711312015(MMIDDIYYYY) �� 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 Ni ACT MORROW INSURANCE GROUP MORROW INSURANCE GROUP PHONE FAX LENORA C.OLNEYIA196064 arc No Ext:813-963-1669 AID No): 813-961-3743 18936 NORTH DALE MABRY HIGHWAY l LUTZ, FL 33548 —ADDRESS:TEREASA MORROWINSURANCE.NET INSURER(S)AFFORDING COVERAGE NAIC p INSURERA:AXIS SURPLUS INSURANCE CO 26620 INSURED ALAN'S ROOFING INC. INSURER B:AMERICAN ECONOMY INS CO 39012 14498 PONCE DE LEON BLVD INSURER C:EVANSTON INSURANCE CO 35378 BROOKSVILLE, FL 34601 INSURER D:OHlO CASUALTY INSURANCE COM PAN 24074 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFYTHAT 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 MAYHAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE POLICY EFF POLICY EXP LIMITS LTR INSD WVD POLICY NUMBER MMIDDIYYYY MMIDDIYYYY A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE F�I OCCUR FLGLN01716AX 07/1112015 07/11/2016 DAMAGE TO RENTED 50 000 PREMISES Ea occurrence $ X CONTRACTUAL LIAB MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2,000,000 POLICY � PRO- POLICY F71 LOC PRODUCTS-COMPIOP AGG $ 2,000,000 OTHER. $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 Ea accident B X ANY AUTO 25CC38042210 06/0412015 06/04/2016 BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS X rxx NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Peraccldert X FL PIP S TATUTORY BASIC PIP $ 10,00 UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000 C X EXCESS LIAR CLAIMS-MADE MKLV20LE102459 07/1112015 07/11/2016 AGGREGATE $ 1,000,000 DED X I RETENTION$ NONE $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY YIN STATUTE771 ER ANY PROPPIETORfPARTNERfEXECUTIVE NIA E.L.EACH ACCIDENT $ OFFICERWEMBER EXCLUDED? (Mandatory in NH) E.L DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below EL DISEASE-POLICY LIMIT $ D Equipment Floater BM (16)56620566 03/3012015 03/30/2016 RENTAL 100,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION CITYCLR SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE CITY OF CLEARWATER THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. P.O. BOX 4748 CLEARWATER, FL 34618 AUTHORIZED REPRESENTATIVE olr, (9')� c. o ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD