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CERTIFICATE OF LIABILITY INSURANCE (781)SUPECOM -01 BUSTAI ,4c- CERTIFICATE OF LIABILITY INSURANCE 4..----- �--- � DATE (MM /DD/YYYY) 8/17/2016 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 Mulling Insurance Agency, Inc. 9 9 Y� P.O. Box 308 Auburndale, FL 33823 CONTACT NAME: PHONE FAX (A/c. No, Ext): (863) 967 -4454 (A/c, No): (863) 967 -7592 EMAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A:Southern Owners Insurance Co. 10190 INSURED Superior Communications & Security Inc. Maria Garcia 2351 Raden Drive Land 0 Lakes, FL 34639 INSURER B:AUto- Owners Ins. Co. 18988 INSURER C : Bridgefield Employers Ins. Co. 10701 INSURER D : $ 1,000,000 INSURER E : INSURER F : X ..l■. w,v,. ,.vn,■Gn• 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 POLIC ES 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 72663159 ECE 2 AUG ✓ 2 OFFICIAL RECORDS Efi 92016 !!�� 20(j Th AND 06/15/2017 EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE X OCCUR PREM SES EaEoccu ence) $ 300,000 X H &NOA 1,000,000 MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'LAGGREGATE X POLICY OTHER: LIMIT APPLIES PRO JECT PER: LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 $ B AUTOMOBILE X LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS _ SCHEDULED AUTOS NON -OWNED AUTOS SR LEGISLATIVE SRVCS 4866315901 VCS DEPT 06/15/2016 06/15/2017 COMBINED SINGLE LIMIT (Ea accident) $ 500,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ A X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE 4866315902 06/15/2016 06/15/2017 EACH OCCURRENCE $ 2,000,000 AGGREGATE $ DED X RETENT ON $ 10,000 $ 2,000,000 C 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 0830 -53979 10/01/2016 10/01/2017 X PER STATUTE X _ ERH E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more apace Is required) Communication Equip Installation CANCELLATION City of Clearwater 100 S. Myrtle Ave, Suite 210 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