CERTIFICATE OF LIABILITY INSURANCE (637)A » CERTIFICATE OF LIABILITY INSURANCE
I srNAINDWYT )
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 TIE 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 18 WAIVED, subject to
the terms and conditions of the policy, certain icies may require an endorsement A statement on this certificate dose not confer rights to the
certificate holder In lieu of such endoreen E1 VED
PRODUCER
A. KNbride Insurance,
2438 Land o i Blvd
Land 0 Lakes, Ft. 34639 JUN 1— 2015
CONTACT .
NAME:
N 813- 996 -7467 FAX 813-949-1324 Not
ADS
ISIS) AFFORDING COVERAGE
MAC I
'" A' Granada Insurance Co.
16870
INSURED GAS ADMEN
CSP Plumbing Services Inc
12511 Choctaw Trail
Hudson, FL 34669
INSURER B :
0185FL00069778
swum c:
INSURER a
$ 1,000,000
INSURER E:
$
INSURER F :
$
REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE SEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POUCY 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. OMITS SHOWN MAY HAVE BEEN REDUCED BY PAID MAIMS.
ILLTT11
TYPE OF INSURANCE
MD
POLICY NUMBER
tMM160rrYW1
tNMieer vm
RS
A
GENERAL
7
UASIUTY
COMMERCIAL GENERAL LIABILRY
XX
0185FL00069778
04/22/15 .04/22/16
EACH OCCURRENCE
$ 1,000,000
PROEM SESDtEa oorwance
$
MEDEXP (Ary onepereon)
$
I CLAIi1S.MADE I ✓ I OCCUR
PERSONAL &AOVINJURY
$ 1,000,000
GENERAL AGGREGATE
$ 2,000,000
PRODUCTS- COMP /OP AGO
$ 2,000,000
GENL AGGREGATE UNIT APPUES PER
i ^
POLICY I I El LOC
$
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED
�
HIRED AUTOS
r
SCHEDULED
pED
p
INE09 NGLE UNIT
BODILY INJURY (Par parson)
$
BODILY INJURY (Per accident)
$
A PEDAMAGE
s
$
$
UMBRELLA LIAR
EXCESS UAB
OCCUR
CLAPAS -MADE
EACH OCCURRENCE
S
AGGREGATE
0
II
CEO I RETENTION S
WORKERS COMPENSATION
AND EMPLOYERS' UABILRY
ANY PROPRIETORMARTNER/EXECUTIVE Y t N
OFFICER/NEWER EXCLUDED? ii
plendstay In NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
NIA
I VACSTATU- I I9nt-
TORY UNITS ER
E.L EACH ACCIDENT
$
EL DISEASE - EA EMPLOYEE
$
EL DISEASE - POUCY LIMIT
I
DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (AUsob ACORD 101, Additional Remarks Schedule, M mere spans N required)
Certificate holder is also an additional insured under general liability coverage.
CERTIFICATE HOLDER
CANCELLATION
Clearwater Gas Systems ,
400 North Myrtle Ave
Clearwater, Fi 33755
SHOULD ANY OF THE ABOVE DESCRIBED POLICES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POUCY PROVISIONS.
ACORD 26 (2010105)
TATNE
01988- 201OACORD CORPO N.--Altrights reserved.
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