CERTIFICATE OF LIABILITY INSURANCE (403)CC)'RD CERTIFICATE OF LIABILITY IMWDDrYYYYI
02I15!201 6
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE _ OLDE_mm
BELOW.0 THIISDOES
CERTIF CATE AFFIRMATIVELY
OF INSURANCE DOES N NEGATIVELY
CONSTITUgTE A CONTTRACT ALTER
BETWEN O HENZAGE AFFORDED BY FIOLDER THIS
T [ES
ZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HI,�I.DN =I�,
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the pollcy(Nes) 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 todhe
certificate holder in lieu of such endorsement(s).
PRODUCER °NE fAME ai- i " IARI F-1 L 7A LEY', JR,
CHARLES D. TALLI „Y, JR. INSURANCE INC, V"r`5CLvL 813-6859393
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BRANDON, FL 33511 RIS1 A FaRC1lNG COVERAGE NAIL a
INSURER,: ALLIED PROPERTY AND CASUALTY
INSURER a
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LONG AND ASSOCIATES ARCHITECTS ENGINEERS, INC. INSURER C;
4825 S. MANHATTAN AVE, INSURER D
TAMPA, R. 33811 INSURER E ......
wHSURER r:
COVERAGES CERTIFICATE NUMBER. REVISION NUMBER.
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE USTEO 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 T'O WHICH THIS
CPRTIFICATE 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 f IAIMS,
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UMBRELLA
LIAB OCCUR EI EACH OCCURRENCE
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(Mandatory In NH) 4 E L, DISEASE EA EMPFOYF! 0 100,000
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DESCRIPTION OF OPERATIONS r LOCATIONS d VEHICLES (ACORD 101, A&UNnn.&I Remarks Schedule, may Ire errwched if mere space Is requimdl ._.�......_.
i'covii e,A- rcunrryers _.._....... - - - - -_
%) 1988 -2014 ACORD CORPORATION, All frights reserved.
ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
CITY OF CLEARW"1ATER
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS,
100 S. M"'RTLE AVE.
AUTHOIUZED R RESENT E 6 (
CLEAR'wJWA,TER, FL. 33756
%) 1988 -2014 ACORD CORPORATION, All frights reserved.
ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD