CERTIFICATE OF LIABILITY INSURANCE (686)Apr 22 16 10:05a
ACA. L/
CSP PLUMBING SERVICES 727 -857 -2595
CERTIFICATE OF i IARI±-_ITV !NISI IQAN( F
DATE (YIR D D'Y YYY )
4/22/2016
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.
1"tn FOR 3'ANT: If the certificate holder is an ADDITIONAL INSURED, the poficy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to
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
A. KILBRIDE INSURANCE INC.
1401 W. Busca Blvd.
Tampa, F' 33612
813.931.7467 Phone
813.932.7336 Fax
CONTACT Salina
NAME/
_PHONE F.4), 813- 931 -7467
E-MAIL S: certiticatela'1cifbride.com
INSURERS) AFFORDING COVERAGE
FAX Nei: 813 -932 -7336
NAIC d
INSURED
CSP Pl;imbing Services inc
125' 1 Choctaw Trail
HUOSO -i, FL 34669
COVERAGES
INSURER A: Granada Insurance Co
INSURER a :
INSURER C = -
16870
INSURER D _
INSURER E
INSURER F :
CERTIFICATE NUMBER;
REVISION NUMBER:
THIS IS -0 CERTIFY THA- THE PO-IC:ES
IND CA; ED. NOTWITHSTANDING AN" RECUIRENIENT.
CERTIFICA E MAY BE ISSUED OR MAY
EXCLUSIONS AND CONDITIONS OF SUCH
0= INSURANCE
PERTAIN,
POLIC:ES.
INSR
wvo
LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLIO" PERIOD
-ERM OR CONDITION CF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO i4rH CF THIS
THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED - iEREIN IS SUBJECT TO AL_ THE TERMS.
IMITS SHOWN MAY HAVE BEEN RECLCEC BY PAID CLAIMS.
iLTR TYPE CF INSURANCE �
POLICY NUMBER
! IM d /DDY/YYYY} iJMM POLICY ,
LIMITS
A
I
GENERAL LIABILITY
✓ COMMERCIAL GENERAL _IABILITY
x
i
0185 FL00069778
a3w
04/22/16 04/2 Zi'7
EA I OCULtRRENCE
3
1,0CQ,'JCfl
r 000
1.0,
DAMAGE-T-0 RENTED
'EM.SES (Ea oc.ur-erce)
$
C'a1MS -MAD= ✓ 1 OCCUR
\t_C EX? (Ary one person:
S
5,0'U0
__
PERSONAL &AOV INJURY
S
I ODO•c30
GENERAL AGGREGATE
S
2,000,030
GEN'LAGGREGaTELIM.TAPPLIES?ER
✓
-� LOG
PRODUCTS - DOE POP AGE
5
2.00'C,000
POLICY PET
I
AUTOMOBILE
`1
LIABILITY
ANY AUTO
ALL OWNED _ SC-IECU -EC
AL'TCS AUTOS
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O s 1'ti.r'°, >'.,
p !� -Slf
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. -.
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1'�J
..,.I ' -
COMBINED SINGLE LIMIT
i (Ea accident>
_.
I BJCILY INJLRY (Per persoa)
$
bCOILY 1N,;42Y 'Pe °aceder!;
S
_�
NON- OWNED
I RED AUTOS ALTOS
PROPERTY UPVAGE
accicer :;
$
,'er
UMBRELLA LIAR
EXCESS LIAB
OCCUR
1
i EACH OCCURRENCE
S
CLAIua -MADE
AGGREGATE
I_..
WORKERS
AND
ANY
O FiCER,N'EIABBREXCLUDED?
(Mandatory
If yes,
DESCRI°T.ON
' DED I i RETENT CN S
$
COMPENSATION
EMPLOYERS' LIABILITY
PROPRETOR,FART`:ERJEX=CUTIVE
In NtI)
aeSa'.Je Under
O' OPERATIONS
Y l N
N1A
I
i
-
' WC STATJ- IOTH-
�ORY I.2 .11T5 ER
E.L. EACH ACC :D_NT
S
E. ?.. DISEASE- EA EMPLOYEE
£
odovw
EL DISEASE - POLICY LI.1."
S
DESCRIPTION OF OPERATIONS /LOCATIONS; VEHICLES (Attac', ACORD 101, Additional Remarks Schedule, if more space is required)
Certificate holder is also an additional insured under general liability coverage.
CERTIFICATE HOLDER
CANCELLATION
Clearwater Gas System
400 North Myrtle Ave
Clearwater, FL 33755
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BL-FORE
THE EXPIRATION DATE THEREOF. NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATI\E
Cr: ' 8.- 010 ACORO CORPORATION. All rig s reserved.
ACORD 25 2010J05) The ACORD name and logo are reg'stered marks of ACORD