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CERTIFICATE OF LIABILITY INSURANCE (713)TOTABUI -01 JFAVA H�v, Ku CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YVYY) 6/21/2016 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 - -- - -- CONTACT NAME: (813) 988 -0989 NAIC # 1A/"c °NN Exl (813) 988 -1234 1 jvc, Not; E-MAIL ADDRESS: Certs @associatesins.COm INSURER(S) AFFORDING COVERAGE INSURER A : Southern Owners Insurance Co 10190 INSURED Total Building Solutions Inc P O Box 959 Mango, FL 33550 INSURER B: AUTO OWNERS INSURANCE CO. 18988 INSURER C : 06/30/2017 INSURER D : $ 1,000,000 $ 300'000 $ 10,000 INSURER E : - - -- INSURER F : X 1 OCCUR - IFIC • 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 20205925 l�"ECEIVtom`) �r:-*.�, R I �� , d. `il• la � 06/30/2016 06/30/2017 EACH OCCURRENCE $ 1,000,000 $ 300'000 $ 10,000 --- - - - - -- CLAIMS -MADE X 1 OCCUR - DAMAGE TO RENTED PREMISES (Ea occurrence) MED EXP (Any one person) PERSONAL & ADV INJURY $ 1,000,000 GE N1 AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2,000,000 PE POLICY LX] Fin _j LOC PRODUCTS - COMP /OP AGG $ 2,000,000 B AUTOMOBILE LIABILITY OFFICIAL RECORDS ��y 4920541 astATIVE SRV AND /2016 06/30/2017 COMBINED SINGLE LIMIT ga accidentZ $ 1,000,000 $ $ $ X X ANY AUTO ALL OWNED AUTOS HIRED AUTOS X SCHEDULED AUTOS NON -OWNED AUTOS BODILY INJURY (Per person) - -r BODILY INJURY (Per accident) ( ) PROPERTY DAMAGE _Per accidentU t_ A X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE 4920592501 06/30/2016 06/30/2017 EACH OCCURRENCE AGGREGATE $ 2,000,000 $ 2,000,000 $ DED RETENTION $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR /PARTNER /EXECUTIVE OFFICER /MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below Y/ N N / A 20161170 06/30/2016 06/30/2017 I PER _ X 1 STATUTE EL EACH ACCIDENT 0TH - 1 ER $ 1,000,000 E.L. DISEASE EA EMPLOYEE E.L. DISEASE - POLICY LIMIT $ 1,000,000 $ 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) License holder Jerald E. Curtis CMC057094 CERTIFICATE HOLDER CANCELLATION City of Clearwater 100 S Myrtle Ave 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 ACORD 25 (2014/01) © 1988 -2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD