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CERTIFICATE OF LIABILITY INSURANCE (706)ACGRO® CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD/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 Vermost & Associates, LLC 1120 Belcher Rd S Suite 1 Largo FL 33771 CONTACT NAME: Sue Lockett PHONE (727)748 -2886 (NC, No, Ext): E -MAIL ADDRESS: slockett @vermost.com FAX (727)577 -4991 (A/c,, No): - INSURER(S) AFFORDING COVERAGE T NAIC # INSURED A T Communications Inc 2561 Sweetgum Way W Clearwater FL 33761 -3923 INSURERA:Owners Insurance Company 32700 INSURERB:Southern Owners Insurance Company 10190 INSURER C :Retailfirst Insurance Company INSURER D: INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER:CL1661704811 REVISION NUMBER: THIS IS INDICATED. CERTIFICATE EXCLUSIONS INSR LTR TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TYPE OF INSURANCE ADDL 1NSD SUBR WVD POLICY NUMBER POLICY EFF (MM /DD/YYYY) POLICY EXP (MM /DD/YYYY) LIMITS X A '!�- _f_ GEN'L X� COMMERCIAL GENERAL LIABILITY _ I 1 CLAIMS -MADE I- X1 OCCUR 20589182 7/6/2016 7/6/2017 EACH OCCURRENCE $ 1,000,000 DAMAGE RENTED l PREMISES ( (Ea occurrencel 300 000 MED EXP (Any one person) $ 10,000 • PERSONAL & ADV INJURY $ 1,000,000 AGGREGATE LIMIT POLICY PRO- O OTHER: APPLIES PER: , LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP /OP AGG $ 2,000,000 Premises /Operations $ AUTOMOBILE _ LIABILITY ANY AUTO ALI_ OWNED -1, SCHEDULED AUTOS _i AUTOS NON -OWNED HIRED AUTOS '�, AUTOS z .. n COMBINED SINGLE LIMIT 1 (Ea accident) -_ -- -- -- BODILY INJURY (Per person) $ --_... $ $ $ -. $ BODILY INJURY (Per accident) 1-PROPERTY DAMAGE (Per accidentL : X B UMBRELLA LIAB EXCESS LIAB OCCUR L I CLAIMS -MADE1 9237998700 7/6/2016 7/6/2017 EACH OCCURRENCE AGGREGATE $ 5,000,000 $ 5,000,000 $ DED i RETENTION$ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR /PARTNER /EXECUTIVE f OFFICER /MEMBER EXCLUDED? C (Mandatory in NH) - If yes, descr.be under DESCRIPTION OF OPERATIONS below N / A 052035702 4/17/2016 4/17/2017 STATUTE L LOERH $ 500,000 E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYE $ 500,000 E.L. DISEASE - POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Renarks Schedule, may be attached if more space is requ red) Electrical Work STEPHEN J LOCKARD LIC # C -9803 (PINELLAS) STATE REGISTRATION # ET11000781 CERTIFICATE HOLDER CANCELLATION CITY OF CLEARWATER FL PO BOX 4748 Clearwater, FL 33718 -4748 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 Sue Lockett /ROBENA LL_*. ACORD 25 (2014/01) INS025 (201401) © 1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD