CERTIFICATE OF LIABILITY INSURANCE (6)��OR°� CERTIFICATE OF LIABILITY INSURANCE DATE�MM/DD/YYYY)
11/1l2016
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
.....a:a....a.. �.���__ :._ �.-•- -` ----'' ---'-- - - -- - ., .
PRODUCER
�dcock-Adcock Insurance Agency
315 W. Fletcher Ave.
�amqa FL 33612-3414
INSURED 43674
Midflorida Armored & ATM Services Inc.
4314 W Dr Martin Luther King
JR Blvd
Tampa FL 33614
INSURER C :
INSURER D :
Trudy Rosencrans
. 813-933-6691
Michigan Comm. Insurance Co.
813-932-6287
10998
COVERAGES CERTIFICATE NUMBER: 1871808511 REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTIMTHSTANDING 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 INSD WVD POLICY NUMBER MM/DDY� MM%DDY� LIMITS
COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $
DAMAGE TO RENTED
CLAIMS-MADE OCCUR PREMISES Ea occurrence $
MED EXP (Any one person) $
PERSONAL & ADV INJURY $
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $
POLICY � PRO- ❑
JECT LOC PRODUCTS - COMP/OP AGG $
OTHER:
$
AUTOMOBILE LIABILITY I $
Ea accident
ANY AUTO BODILY INJURY (Per person) $
ALLOWNED SCHEDULED
AUTOS AUTOS BODILY INJURY (Per accident) $
HIRED AUTOS
AUOTOS�ED PROPERTY DAMAGE $
Per accident
$
UMBRELLA LIAB OCCUR
EACH OCCURRENCE $
EXCESS �IAB CLAIMS-MADE AGGREGATE $
DED RETENTION $ $
q WORKERS COMPENSATION WC100-0016597-2016A 11 /2/2016 11 /2/2017
AND EMPLOYERS' LIABILITY Y� N X SEATUTE E�RH
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBEREXCLUDED? � N�A E.L.EACHACCIDENT $1,000,000
(Mandatory in NH)
E.L.DISEASE-EAEMPLOYE $1,000,000
If yes, describe under
DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $1,000,000
DESCRIPTION OF OPERATIONS / LOCATIONS ! VEHICLES (ACORD 101, Additional Remarks Schedule, may be attachetl if more space is required)
CERTIFICATE HOLDER CANCELLATION
Ciry Of Clearwater
P O Box 4748
Clearvvater FL 33758
ACORD 25 (2014l01)
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUT� ��$�� E
O 1988-2014 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD