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CERTIFICATE OF LIABILITY INSURANCE (693)f.�v�KLJ CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) 12/14/2015 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 Andrew Atsaves do Artex Risk Solutions, Inc. 8840 E. Chaparral Rd.; Suite 275 Scottsdale, AZ 85250 CONTACT NAME: FAX Tat, Ext): (480) 951 -4177 (Nc, No): (480) 951 -4266 AIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: American Zurich Insurance Company 40142 INSURED A -1 HR a division of Oasis Outsourcing, Inc Alt. Emp: Scotto Plumbing Service Inc. 3829 Coconut Palm Drive Tampa, FL 33619 - - - - - INSURER B CLAIMS -MADE INSURER C OCCUR INSURER D: $ INSURER E INSURER F : $ "IMFRAC:Pc PERSONAL & ADV INJURY - -- ��R n ���, rvumat t[: tort creoaytstsa 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 RFnI tr�n gY PAID INSR _LTR _ _ TYPE OF INSURANCE COMMERCIAL GENERAL LIABILITY ADDL LNSD SUBR WVD POLICY NUMBER sls POLICY EFF (MM /DD /YYYY) �I d: CLAIMS. POLICY EXP (MM /DD/YYYY) - LIMITS EACH OCCURRENCE $ CLAIMS -MADE OCCUR DAMAGE TO RENTED PREMISES (Ea occurrence) $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GEN'L AGGREGATE POLICY LIMIT APPLIES PRO- l JECT PER: LOC GENERAL AGGREGATE $ PRODUCTS - COMP /OP AGG $ OTHER: $ A AUTOMOBILE LIABILITY i t rl/.h ` t . �y P `�i I.' //�, COMBINED SINGLE LIMIT __(Ea accident) $ ANY AUTO ALL OWNED AUTOS HIRED AUTOS SCHEDULED AUTOS NON -OWNED AUTOS ` i C.a _C , t BODILY INJURY (Per person) $ f ;;; s i BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/ N N / A WC 02 -79 -166 -00 12/11/2015 06/01/2016 X STATUTE _ EERH OFFICER/MEMBER EXCLUDED? PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ 1,000,000 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 1FSCRIPTION OF OPERATIONS / Location Coverage Period: 12/11/2015 06/01/2016 Client# 40- 1218 -FL LOCATIONS / VEHICLES (ACORD 101, Addrcional Remarks Schedule, may be attached if more space is required) Coverage is provided for Scotto Plumbing Service Inc. only those co- employees 1761 Carnegie Avenue of, but not subcontractors Clearwater, FL 33756 to: CERTIFICATE HOLDER CANCELLATION City of Clearwater 400 N Myrtle Avenue Clearwater, FL 33755 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 ACORD 25 (2014/01) © 1988 -2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD