Loading...
CERTIFICATE OF LIABILITY INSURANCE (823)H`,� `' CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 9/6/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. HOLDER. THIS BY THE POLICIES AUTHORIZED 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 White—Hoskins—Cook Agency, Inc. 6821 Central Avenue P 0 Box 40160 St. Petersburg FL 33743 INSURED Prime Air Conditioning & Refrigeration, Inc. 4595 118Th Ave N Clearwater FL 33762 -4406 CONTACT Emma Everhart NAME____ PHONE (727) 381 -4000 FAX 72 381 5050 (A /C No, EXt) -__ (A /C, No). ! E-MAIL emma @whitehoskinscook.com : ADDRESS_ INSURER(S) AFFORDING COVERAGE NAIC S INSURERA:Owners Insurance 32700 INSURER B : INSURER C: INSURER D INSURER E : INSURERF: - --. - -... - - - — - - - IN, V 1.71 J11 I IJIVIOCR. 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 I INSD UBR' POLICY EFF POLICY EXP I INSD town ' POLICY NUMBER ; (MM /DD/YYYY) ' IMM /DD/YYYY! LIMITS X COMMERCIAL GENERAL LIABILITY L X OCCUR � EACH OCCURRBNCL $ 1,000,000 . ; DAMAGE. 10 RINIL P -I PREMISES (Ea occurrence) $ 300,000 1 20738141 . 2`/6/2016 2/6/2017 MEID EXP (Any one parson) $ 10,000 '.... PERSONAL 8 ADV INJURY $ 1,000,000 2,000,000 E GNFRALAGOREGATF $ 'I PRODUC TS - COMP /OP ACG $ .2,000,000 , i ... 1 A 1 , - CLAIMS -MADE - ---- - ----- AGGREGATE LIMIT PRO- POLICY JECT OTHER: -- -_ -__- _ APPLIES PER'. ';' ,! I_ _, LOC .._ —_I 1 GEN'L X AUTOMOBILE X '' LIABILITY ANY AUTO ALL OWNED W AUTOS HIRED AUTOS , - ;SCHEDULED AUTOS '- _ I - COMBINED SINGLE l IMI I (Ea accdent) $ 500,000 BODILY INJURY (Per person) $ ', 9690513501 � I 2/13/2016 2/13/2017 BODII-Y INJURY (Per accident) $ PROI'E:RIY DAMAGE. - $ (Per accident) BF'CCI $ !T ICI NON -OWNED ! AUTOS - - UMBRELLA LIAB EXCESS LIAB OCCUR E -ACH OCCLIRRI:NCf AGGRE CALF $ $ i DED � RETENTION $ I WORKERS COMPENSATION Pf R OW E AND EMPLOYERS' LIABILITY Y / N S 1 ATUl f ER ANY PROPRICTOR /PARTNER /FXECUTIVF -- - -- - F.. I 'ACIl AC(I'S ,GI OFFICER /MEMBER EXCLUDED? N / A (Mandatory in NH) -__ - Fl DISFASI k I MCI OYtI $ If yes, describe under ' !DESCRIPTION OF OPERATIONS below I I F I DISE ASE. POI iC Y I IPA! $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) AIR CONDITIONING /REFRIGERATION. PINELLAS COUNTY FLORIDA AND ELSEWHERE IN THE STATE OF FLORIDA AS BUSINESS REQUIRES. RTIFICATE HOLDER CANCELLATION CITY OF CLEARWATER 100 SOUTH 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 © 1988 -2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD INS025 (201401)