CERTIFICATE OF LIABILITY INSURANCE (739)i
A R CERTIFICATE OF LIABILITY INSURANCE
-
DATE (MMDD/YYYY)
7/11/2016
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
The Hagar Group
950 W Main St
Inverness FL 34450
CONTACT Barbara Champion
PHONE n, Exr 352- 419 -7577 FAX 352- 726 -2363
( )• (AIC No):
ADORIFAS. bchampion @thehagargroup.com
INSURER(S) AFFORDING COVERAGE
NAIC #
INSURER A :Hudson Specialty Ins Co
37079
INSURED RYANM -2
Ryan Markland Signs, Inc.
3808 S Florida Ave
Inverness FL 34450
INSURER B :Travelers
58501
INSURER C :
7/11/2017
INSURER D :
$1,000,000
INSURER E :
$100,000
INSURER F :
•
•
VVV GINAVG.2 - - - - - - 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
SUER
W VD
POLICY NUMBER
POLICY EFF
(MDDIYYYY)
MI
POLICY EXP
(MMIDDIYYYY)
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
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EACH OCCURRENCE
$1,000,000
DAMAGE TO RENTED
PREMISES (Ea occurrence)
$100,000
CLAIMS -MADE
X
OCCUR
MED EXP (Any one person)
$5,000
PERSONAL & ADV INJURY
$1,000,000
GENERAL AGGREGATE
$2,000,000
GEN'L
AGGREGATE
POLICY
OTHER:
LIMIT APPLIES
JECT
PER:
LOC
PRODUCTS - COMP /OPAGG
$2,000,000
$
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED
AUTOS
HIRED AUTOS
SCHEDULED
NON -OWNED
AUTOS
P-Y t�/���-
UCff�,i IAL RECORDS
LEGISLATIVE SRVCS
p y'
AY
DEPT
D
r
LIMIT
(Ea accident)
$
BODILY INJURY (Per person)
$
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
(Per accident)
$
$
UMBRELLA LIAB
EXCESS LIAB
OCCUR
CLAIMS -MADE
EACH OCCURRENCE
$
AGGREGATE
$
$
DED
RETENTION $
B
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER /EXECUTIVE
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
Y I N
-
NIA
IHUB8C12093116
2/26/2016
2/26/2017
X
STATUTE
ERH
E.L. EACH ACCIDENT
$100,000
E.L. DISEASE - EA EMPLOYEE
$100,000
E.L. DISEASE - POLICY LIMIT
$500,000
DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
City of Clearwater
100 S Myrtle Ave
Clearwater FL 33756
I
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTH IZED REPRESENTATIVE
i li1/4".
ACORD 25 (2014/01)
-2014 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD