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CERTIFICATE OF LIABILITY INSURANCE (705)ACORO" CERTIFICATE OF LIABILITY INSURANCE AIRCMEC -02 JFAVA DATE (MM/DD/YYYY) 6/17/2016 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. 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 ASSOCIATES AGENCY, INC. 11470 N 53rd St Temple Terrace, FL 33617 INSURED Airco Mechanical Contractors Inc 14100 Honeywell Rd Largo, FL 33771 CONTACT NAME: (A/C. r o. Ext): (813) 988 -1234 (/C, No). (813) 988 -0989 E-MAIL ADDRESS: certs@associatesins.com INSURER(S) AFFORDING COVERAGE NAIC # INSURER A : Southern Owners Insurance Co 10190 INSURER B : Mercury Insurance Co 27553 INSURER C : Commerce and Industry Insurance Co. 09410 INSURER D : Florida Citrus, Business & Industries Fund INSURER E : INSURER F : 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 ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF (MM /DD/YYYY) POLICY EXP (MM /DD/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY OFFICIAL 20 E1V1'D I!+'•' JUN 23 2016 RECORDS AND 02/10/2016 02/10/2017 EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE X OCCUR PREM SES ( s occur ence) $ 300 +000 X Contractual Liab. MED EXP (Any one person) $ 10,000 GEN - -- PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 3000,000 - - ---- - — - - - PRODUCTS COMP /OP AGG $ 3,000,000 - -- - -_$ L AGGREGATE POLICY X OTHER. LIMIT APPLIES PER 11 PRO- JECT LOC B AUTOMOBILE X X LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS — — X SCHEDULED AUTOS la-OWNED UUTO WNED ss 8 0rCS DEPT 4 02/10/2016 02/10/2017 COMBINED SINGLE LIMIT $ 1,000,000 lEa accident/ BODILY INJURY (Per person) $ BODILY INJURY (Per r accident) $ )_PROPEcRtlT n DAMAGE $ $ C X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE 018257754 02/10/2016 02/10/2017 EACH OCCURRENCE $ 1,000,000 AGGREGATE $ 1,000,000 DED X RETENTION $ 10,000 $ D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/ N ANY PROPRIETOR /PARTNER /EXECUTIVE OFFICER /MEMBER EXCLUDED? L I (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A 16 -301 06/27/2016 06/27/2017 X PER STATUTE ` OTH- ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEEI $ 1 000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION City of Clearwater ty 100 South Myrtle Avenue Clearwater, FL 33756 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 1D —'.0 ACORD 25 (2014/01) © 1988 -2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD