REVERSE OSMOSIS PLANT NO 1 - PLANT EXPANSION - 09-0018-UT - CERTIFICATE OF LIABILITY INSURANCE (5)PRODUCER
Bowen, Miclette & Britt of Florida, LLC
1020 N. Orlando Avenue
Suite #200
Maitland FL 32751
. . .. . .......................................... . . . . . . . . . . . . . . . . . ..................................... . . . . ....
INSURED BRANDESIDES
Brander Design-Build, Inc,
2151 NE Coachman Road
Clearwater FL 33765-2616
rnV9:PAr_r_Q r;:PTl1:Ir AT Pj I I utar-o - 40801868A
Pam Medley
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PHONE AX
WC.Se. .0 F
.7) 647-1616 L(A1C.N_q)j X407
E-MAIL
AD.D.RF-S.S...certificates@bmbinc,com
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IN SU RER(S) AFFOR DI N G C OVERAG E A"1'C..#
INSURER A:Amerisure Insurance Company ......... ............................................ . . . - . . ... .... . ...... ...
INSURER B:Amerisure Mutual Insurance Company
. . .... .. ... ....... . ............. _23396
. .... . .. .........
INSURER C
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INSURER D:
... . . ..... . ......... . . . . ....... ...... .... . ........
INSURER E:
INSURER F � I
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,
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1NSR.. . suaw .......... ........ P .. 0 .. L .. I .. C Y E .. F .. F P .. 0 U C .. Y E .. X .. P .... . - ..... .. ... ... ... ......
LTR I TYPE OF INSURANCE POLICY NUMBER MMJDDfYYYY MMJDDfYYYY. LIMITS
A
X
COMMERCIAL GENERAL LIABILITY Y
Y CPP2086517
3113/2016 311312017 EACH OCCURRENCE $1,000,000
CLAIMS-MADE IX OCCUR
P -S..(Ea.oxtjrreqgej_ $1,000,000
REMISL
ME D EXP .... (Any ..one person} $10,000
. ... ..... ....... . . ............ ............
PERSONAL & ADV INJURY $1.0�00.000
GEN'L AGGREGATE LIMIT APPLES PER
GENERAL AGGREGATE_ $2000000
O-
POLICY L_� PR CT
_j �E t�oc
PRODUCTS - COMPIOPAGG $2.000.000
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07HER:
$
A
AUTOMOBILE
LIABILITY Y
Y
CA2086512
3113/2016 311312017 KnD,) N?;L L! Ike n ............... !1,000.000
X
ANY AUTO
BODILY INJURY (Per person) $
ALL OWNED SCHEDULED
AU7OS A70S
. .......... . ....... ...... . .................. . . . . ......................... ...... . . . . . ..
BODILY INJURY (Perawa e nt) $
X.
NON -6'J NED
HIRED AUTOS x
I . .. ......... . . . ........................... .....
$
AUTOS
$
B
X
UMBRELLA LIAR X
OCCUR Y
Y
CU2086518
3/13/2016
3/1=017 EACH OCCURRENCE $5,000,000
. . . .. ........... . .........
EXCESS LIAB
CLAIMS-MADE
AGGREGATE $5,0010,000
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DED IX RETENTION$O
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S
WORKERS COMPENSATION
j7ER
AND EMPLOYERS" YfN
�.j j �!�... JIH
�A .... . . . ............................
ANY PROPRIET'MPARTNEWEXECUTIVE
NIA
OFFtiCERIMEMBER EXCLUDEW E I
. ........... . ..
(Mandatory In NH�
��JEMPLOYEE $
H , descri be under
._
6es
D SCRIPTION OF OPERATIONS below
E.L. DISEASE -POLICY LIMIT S
DESCRIPTION OF OPERATIONS f LOCATIONS f VEHICLES JACORD 101, Additional Remarks Schedule, may be attached It more spaen Is r*4ulmd)
The following policy provisions and/or endorsements form part of the policies of insurance represented by this certificate of insurance. The
terms contained in the policies and/or endorsements supersede the representations made herein. Electronic copies of the policy provisions
and/or endorsements Nsted below are available by emailing: certificates@bmbinc.corn
When required by written contract, those parties listed in said contract, including the CeCti -.'4T'a6d4'd' 4sured
with respect to the General Liability, Auto Llabikty, and Umbrella Uabihty as afforded by the pohcy arid/or endorsement's.
See Attached
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SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
City of Clearwater THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED
1 00 S, Myrtle Avenue
ACCORDANCE WITH THE POLICY PROVIVPft§,__�_____
Clearwater FL 33756
AUTHORVED PEPRESENTA 111E
V 1988-2014 ACORD CORPORATION. All rights reserved.
ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD