The URL can be used to link to this page

CERTIFICATE OF LIABILITY INSURANCE (645)Client#: 1156666 79EQUIPCOM ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 7/31/2015 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(les) 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 BB&T - Reese insurance %) 741 West Lanier Avenue Suite 100 CYO Yj) RE Fayetteville, GA 30214 770 471 -7100 19 TV S CONTACT COI Team PHONE FAX Ext): (A/C, No): 877-657 -1559 ME AIL ADDRESS: CertificatesGA @bbandt.com INSURER(S) AFFORDING COVERAGE NAIC M INSURER A: American States Insurance Compa 19704 INSURED NU Equipment- Controls Company PO Box 728 °W ill Norcross, GA 30091 EIS INSURER B: American Economy Insurance Comp 19690 INSURER C 07/30/2016 INSURER D : $1,000,000 $1,000,000 $10 000 INSURER E : INSURER F : CLAIMS -MADE 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 LTR TYPE OF INSURANCE ADDLSUBR INSR WVD POLICY NUMBER POLICY EFF (MMIDDIYYYY) POLICY EXP (MMIDDIYYYY) LIMITS A GENERAL X LIABILITY COMMERCIAL GENERAL LIABILITY 02CE2301733 ECE AUG 07/30/2015 pe�R NE A i 2015 07/30/2016 EACH OCCURRENCE $1,000,000 $1,000,000 $10 000 Da FEEj ?E)iENTED PREMI 11 a occurrence) CLAIMS -MADE X OCCUR MED EXP (Any one person) PERSONAL & ADV INJURY $1,000,000 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: 1( POLICY n JECT n LOC PRODUCTS - COMP /OP AGG $ 2,000,000 $ A AUTOMOBILE X X LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS X SCHEDULED AUTOS NON -OWNED AUTOS 02CE23017 RIF7ICIAL NE (� —"� b .J 1 ` �1' 1 RVCS �p 7/30/2016 r COMBINED SINGLE LIMIT (Esacddent) X1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ A x UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE 01 SU43043430 07/30/2015 07/30/2016 EACH OCCURRENCE $4,000,000 $4,000,000 AGGREGATE 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 I N Y N I A 02WC55352990 07/30/2015 07/30/2016 X TORY I IIMITS EERTH E.L. EACH ACCIDENT $500,000 E.L. DISEASE - EA EMPLOYEE $500,000 E.L. DISEASE - POLICY LIMIT $500,000 DESCRIPTION OF OPERATIONS I LOCATIONS /VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more apace a required) -- Work Comp Information -- Executive Officers Excluded: James Bell & James Bell Jr City of Clearwater is Included as additional insured with respects to General Liability and Auto Liability when required by written contract. Umbrella follows form. CERTIFICATE HOLDER CANCELLATION City of Clearwater Attn: Purchasing Department, ITB #53 -15 P 0 Box 4748 Clearwater, FL 33758 -4748 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 j414.4.Ic, ' ta,`,N. N` e�r6. ACORD 25 (2010/05) 1 of 1 #S145881281M14587628 © 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD CALA