The URL can be used to link to this page

CERTIFICATE OF LIABILITY INSURANCE (757)P526002NIN12 ACORD® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYY) 07/25/2016 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 1 -813- 229 -8021 M. E. Wilson Co., Inc. 300 W. Platt St. Ste 200 Tampa, FL 33606 INSURED Cox Fire Protection, Inc. 7910 Professional Place Tampa, FL 33637 -6746 CONTACT Kelly Sutton NAME: y PHONE (A/C, E><1): 813 - 349 -2233 FAX (A/C, No): 813 - 229 -2795 No, E-MAIL ksutton@mewilson.com ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC B INSURER A: AmTrust International Underwriters Ltd INSURERB: WESCO INS CO 25011 INSURERC: NAVIGATORS INS CO ..42307 INSURER D: BRIDGEFIELD EMPLOYERS INS CO 10701 INSURERE: TRAVELERS PROP CAS CO OF AMER '.25674 INSURER E: CRUM & FORSTER SPECIALTY INS CO 44520 COVERAGES CERTIFICATE NUMBER: 47427234 REVISION NUMBER: THIS INDICATED. CERTIFICATE EXCLUSIONS INSR LTR IS 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. 'ADDL SUER. POLICY EFF POLICY EXP TYPE OF INSURANCE WVD POLICY NUMBER (MMIDDIYYYY)y (MMIDD/YYYY) LIMITS A riNSD'' X COMMERCIAL GENERAL LIABILITY PAL104203503 - f 01/7,2/16 • I. 'd1/21/17 EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE X I OCCUR -- - DAMAGE TO RENTED 100, 000 PREMISES (Ea occurrence) $ X ! Contract. liab & XCU MED EXP (Any one person) , 5,000 X ' $5,000 PD ded '� ! PERSONAL BADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER '.. GENERAL AGGREGATE $ 2,000,000 POLICY '�, X' J a II, LOC PRODUCTS - COMP /OP AGG $ 2,000,000 'I OTHER: - ..Design E & 0 $ 1,000,000 B AUTOMOBILE LIABILITY WPP1151420 --''' — -' 1'01/21/16- ■'01421117 :COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 X ANY AUTO '. BODILY INJURY (Per person) $ i ALL OWNED SCHEDULED BODILY INJURY (Per accident)'., $ AUTOS ' AUTOS NON-OWNED PROPERTY DAMAGE X HIRED AUTOS X AUTOS (Per accident) $ PIP !$ 10,000 C UMBRELLA LIAB X OCCUR 'GA16EXC807123IC 101/21/16 01/21/17 EACH OCCURRENCE $ 5,000,000 ii X'. EXCESS LIAB CLAIMS -MADE ' ! AGGREGATE I. $ 5,000,000 DED I RETENTION $ None $ D WORKERS COMPENSATION 83034862 108/01/16 08/01/17 ' X H_ STATUTE ER . AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER /EXECUTIVE E . EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? N N I (Mandatory in NH)''. E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under I DESCRIPTION OF OPERATIONS below i' '�, E.L. DISEASE - POLICY LIMIT ' $ 1,000,000 E A F Equipment Floater 1QT- 660- 9D915002- TIL -16 01/21/16 01/21/17 Leased/Rented 75,000 Design Professional E &O 'PAL104203503 01/21/16 01/21/17 Ea. Wrong. Act 1,000,000 Poll /mold /fungus 1CPL- 104900 01/21/16 01/21/17 5,000 deductible 2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) *Florida Operations Only" Excess Liability policy follows over General Liab, Auto Liab, Employer's Liab, and Contractor•s Design Prof. Liab. CERTIFICATE HOLDER CANCELLATION City of Clearwater P.O. Box 4748 Clearwater, FL 34618 USA 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) kbanks 47427234 © 1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ENV 22376 IP526002111202 M. E.-.Wilson Co., Inc. 300 W. Platt St. Ste 200 Tampa, FL 33606 2016072733119 Electronic Service Requested MIXED AADC 342 22376 0.5234 MB 0.416 ll" II11'I'II'IIII'IIu1IIn1IiIu" I1'IIIlele1111"e' City of Clearwater 275 PO BOX 4748 CLEARWATER, FL 33758 -4748 This document was brought to you by CertificatesNow. - EBIX BP0 If you have questions regarding the content of this document, please contact - the Producer /Agent listed on the certificate of insurance or the Insured listed on the notice of cancellation /reinstatement. - To find out how you can send and receive all of your certificates of insurance - either by email, high speed fax or standard mail, - email customercare@confirmnet.com, or visit our website at www.confirmnet.com- cc: The data included in this notice and in the attached document is confidential to Ebix BPO and the party responsible for bringing you this information. Certificate Delivery by CertificatesNow - www.ConfirmNet.corn - 877.669.8600 ENV 22376