CERTIFICATE OF LIABILITY INSURANCE (737)Client#: 137132
14ENERCONSER
ACORDTM CERTIFICATE OF LIABILITY INSURANCE
DATE(MM /DD/YYYY)
7/01/2016
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
J. Smith Lanier & Co.-Atlanta
11330 Lakefield Drive
Bldg 1, Suite 100
Johns Creek, GA 30097
CONTACT
NAME:
PHONE FAX
(A/C, No, Eat): 770 476 -1770 (A/C, No): 770 476 -3651
E -MAIL
ADDRESS:
INSURER(S) AFFORDING COVERAGE
NAIL p
INSURER A: Allied World Assurance Companie
19489
INSURED
Enercon Services, Inc.
500 Town Park Lane
Kennesaw, GA 30144
INSURER B : Twin City Fire Insurance Co.
29459
INSURER C : Evanston Insurance Company
35378
INSURER D : Hartford Fire Insurance Co
19682
INSURER E :
INSURER F :
X
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
INSR
SUBR
WVD
POLICY NUMBER
POLICY EFF
(MM/DD/YYYY)
POLICY EXP
(MMIDD/YYYY)
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
03102221
mat n ~
6� cre \,1
JUL �+ {l
07/01/2016
"
07/01/2017
$1,000,000
CLAIMS -MADE
X
OCCUR
EEACH�OCCpURRENCE
PREMISES (EaEocccur RENTED
$300,000
X
BI /PD Ded:10,000
MED EXP (Any one person)
$25,000
PERSONAL & ADV INJURY
$1,000,000
GE
X
AGGREGATE
POLICY
OTHER:
LIMIT APPLIES
JECOT
PER:
LOC
GENERAL AGGREGATE
$2,000,000
PRODUCTS- COMP /OPAGG
$2,000,000
$
D
AUTOMOBILE
X
X
LIABILITY
ANY AUTO
ALL OWNED
AUTOS
HIRED AUTOS
X
SCHEDULED
AUTOS
NAON- -OWNED
20UE�R
1� C
LEGISLATIVE SRVCS
/016
D
07/01/2017
COMBINED SINGLE LIMIT
(Ea accident>
X1,000,000
BODILY INJURY (Per person)
$
BODILY INJURY Per accident)
( )
$
PROPERTY DAMAGE
(Per accident)
$
$
A
X
UMBRELLA LIAB
EXCESS LIAB
X
OCCUR
CLAIMS -MADE
03102200
07/01/2016
07/01/2017
EACH OCCURRENCE
$11,000,000
AGGREGATE
$11,000,000
DED
RETENT ON $
$
B
WORKERS COMPENSATION
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
N
N / A
20WEAE9351
07/01/2016
07/01/2017
X STATUTE
ER
E.L. EACH ACCIDENT
$1,000,000
E.L. DISEASE - EA EMPLOYEE
$1,000,000
E.L. DISEASE - POLICY LIMIT
$1,000,000
C
A
Professional Liab
Pollution Liab
16EOSE20001
03102218
07/01/2016
07/01/2016
07/01/2017
07/01/2017
$5,000,000
$1,000,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
Certificate Holder is included as additional insured as per written contract but only with respects to the
general liability insurance and subject to the provisions and limitations of the policy. Waiver of
Subrogation applies to general laiblity as per written contract and subject to the provisions and
limitations of the policy.
CERTIFICATE HOLDER
CANCELLATION
City of Clearwater
Attn: City Clerk
PO Box 4748
Clearwater, FL 33758
ACORD 25 (2014/01) 1 of 1
#S3089464/M3088771
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
9 8- 014 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
KVB