Loading...
CERTIFICATE OF LIABILITY INSURANCE (801)%� CORO® 9 CERTIFICATE OF LIABILITY INSURANCE DATE (MM /DDrfYYY) 9/6/2016 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 Wallace Welch & Willingham, Inc. 300 1st Ave. So., 5th Floor Saint Petersburg FL 33701 CONTACT NAME: PHONE Fxt). 727 - 522 -7777 A • N,), 727 - 521 -2902 E-MAIL certificates w3ins.com ADDRESS: @w3ins.com AFFORDING COVERAGE NAIC # INSURERA:AmeriSUre Ins. Co. 19488 INSURED INTESIG -01 International C &C Corp Sign X- Press; International Sign Company and International Linear Matrix Corp 10831 Canal Street Largo FL 33777 INSURER B : CPP2047Q3296OI,- .. •, - er ^d•, _,,,�,,... •^ •- INSURERC: 4/15/2017 INSURER D: $1,000,000 INSURERE: INSURER F : COVERAGES CERTIFICATE NUMBER: 928597120 • THIS IS TO CERTIFY THAI 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 SUBR WVD POLICY NUMBER POLICY EFF (MM/DD!YYYY) POLICY EXP (MM /DD/YYYY) LIMITS A x COMMERCIAL GENERAL LIABILITY CPP2047Q3296OI,- .. •, - er ^d•, _,,,�,,... •^ •- 4/15/2016 4/15/2017 EACH OCCURRENCE $1,000,000 CLAIMS -MADE OCCUR DAMAGE TO RENTED PREMISES (Ea occurrence) $100,000 GEN'L X MED EXP (Any one person) $5,000 PERSONAL &ADV INJURY $1,000,000 AGGREGATE POLICY OTHER: X LIMIT APPLIES pi PER: LOC GENERAL AGGREGATE $2,000,000 PRODUCTS- COMP /OPAGG $2,000,000 $ A AUTOMOBILE X LIABILITY ANY AUTO AUTOS NED HIRED AUTOS _ SCHEDULED UTOS NON -OWNED AUTOS ` CA2087�3(i$0I 4/15/2016 4/15/2017 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ A X UMBRELLA LIAB EXCESS LIAB _ OCCUR CLAIMS -MADE CU20870350501 4/15/2016 4/15/2017 EACH OCCURRENCE $1,000,000 AGGREGATE $1,000,000 DED RETENT ON $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below �, / N N N / A WC20892830301 9/15/2016 9/15/2017 PER OTH- 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 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is requi ed) CERTIFICATE HOLDER CANCELLATION City of Clearwater 100 S Myrtle Avenue Clearwater FL 33758 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