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MISSOURI AVENUE LANDSCAPE IMPROVEMENTS PROJECT NO 2 - CONTRACT NO G0829 - CERTIFICATE OF LIABILITY INSURANCE Client#: 1791116 69SMITHLAN ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE(M 1/05x2017 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(les)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 CON NAMIACT Sue Morrisseau BB&T Insurance Services,Inc. Fw- 727-803-8176 .................. ,yqjX 888-632-8459 12485-28th Street North E-MAIL ...... ADDRESS: SMorrisseau@bbandt.com Saint Petersburg,FL 33716 .............. ........................ _!N§URER(S)Aff2RD01!G C OE C# 727 327-7070 P'�E .......... ............. INSURER A z American Interstate Insurance C318.95 INSURED INSURER S! Smith Landscape Services Inc 1293 Myers Road INSURER C Brooksville, L 34602 INSURER D INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LIST ED BELOW HAVE BEEN ISSUED To THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR 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. iWS—R SUBR LTR TYPE OF INSURANCE POLICY NUMBER----,—1MW_QP1_y_y_M kWoLICD LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ ..........._—------- ..........----------- ?ttffil ;( ,�ENTED CLAIMS-MADE 0 OCCUR _Lr rrij).oe ..................................... ..MFDfXP _tE I�S AL ADV INJURY $ GEWL AGGREGATE LIMIT APPLIES PER: GENERAL AOGREGATE $ a POLICY i"Ecr RS- LOC -LOMP/qP AqL OTHER.. $ AUTOMOBILE LIABILITY ANY ALTO BODILY INJURY(Per person) ALL OWNED r SCHEDULED AUrO6 AUTOS ................. ............................... HIRED AUTOS NON-OWNED $ AUTOS .................................................................... ......... .......... .......... .............. ........... ................... ...................................................................... UMBRELLA B OCCUR EACH OCCURRENCE $ .......... EXCESS LIAR MADE ETEON$ $......... A WORKERS COMPENSATION AVWCFL2546822016 1110112016 11/01/2017 X, PER V OTH- AND EMPLOYERS'LIABILITY YIN nl -_ ANY PROPRIETORIPARTNERIEXECUTIVE OFFICER/MEMBER EXCLUDED? NIA (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $100000-0— If yes _E ES6 describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE, POLICY LIMIT DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached It more space Is required) Proprietors/Partners/Executive Officers/Members Excluded: Frank Smith,President Missouri Avenue Landscape Improvements Project#2 Contract#GO829 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Clearwater,Attn.Parks THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN &Recreation ACCORDANCE WITH THE POLICY PROVISIONS, PO Box 4748 Clearwater,FL 33758-4748 AUTHORIZED REPRESENTATIVE 0 1988-2014 ACORD CORPORATION.All rights reserved. ACORD 25(2014101) 1 of I The ACORD name and logo are registered marks of ACORD #S17422102/M17090942 KCJ =(;41 14[of-Til I�Ill&�fff--Klj F.A 114 jW 0 10 DQ 141111*s]4�11111 U41111IJ4 J UU,Uf 111TI 4AA," U0 J1114cf.34 I t;I&�Kdq4z4tI;I[4f--'k 1 &ill JXI�f;a 1103 411WIMINT 'jkQ:90i4ail INSURED Smith 4andscape Services Inc. rL4SUR t_ER ................ ........... I'SU, 1293 Myers Road NSURER D, Brooksville,FL 34602 IIN�LUREFLR. 7&ROUIZAR"L INS' TYPE OF INSURANCE COMMERCIAL GENERAL LIABILITY cwm"ADr: OCCUR ....................... GEN'L AGGREGATE UMITAPP.LL WIIEW ::Lpoucy[XI Spea I LOC a ar rHER: AUTOMOBILE LIABILITY AWAUF0 ONIED S RULED AUTOS 0�qLy AROS ASOMM UMBRELLA LIAB ]5UR E C IM _MAOE ION S WICWRS CO P N MPLOYF .%S�NSATION f. A UABILITY y Z Contract#GO829.City of as me for me certcate holder, F THE ABOVE D015CRIBED LICIES BE CANCELLED BEPORE I I ON DATE THEI I�TICE WILL BE DELIVERED IN WITH THE POLICY 3 S' . CERTIFICATE OF LIABILITY INSURANCE F �1107912'00"16" THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON T 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 ISSO ING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMAORT—Akfi-It the certificate holder Is an ADDITIONAL INSURED, the policy(les) must be endorsed. If S—MR—Rod—ATION It WAIVED,'subject to the terms and conditions of the policy,certain policies may require an endorsement A statement on this cerfiftate does not confer rights to the -certificate holder In lieu of such andorsement(s). PRODUCE CNPAO bM CT Ashley Zinke �- Onesou clnsuranc ,I LCI Aams Financial wV . ..... NE (813)759-1044 (877)349-1821 E-UAR ........ 1614 S.AY antler Street,Suite 102 �Ag 44, Aslilay.bnke Qosiflorida.9oi I E AFF RD GE NAIC Plant City FL 33563 INSURER A: Granada Insurance Company_ 16870 .. ......... ...... ................ ........... D INSURER 8..: Smith Landscape Services,Inc. WSURER C 1293 Myers Road INSURER 0 INSURER E Brooksville FL 34602 INSURER F COVERAGES CERTIFICATE NUMBER: REVISIO NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD IN=ATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR TRA ION OF ANY CON' OR OTHER DOCIJMEN NTH RESPECT TO mcH THIS CER,nRCATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY 'MIE POLICffS DESCRIBED HEREIN 1S SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POL.0ES.LIMITS SHOWN MAY HAVIE BEEN REDUCED BY PAID CLMMS. ............ '?AMC.9MA CYCC9Ia I LTR TYPE OF INSURANCE MST) WVQ POLICY NUMBER IMWDDNYVn jMM2gffMj LIMITS COMMERCIAL GENERAL I-MBlUTY EAC 70CCRRENCE $ ............ "r5A9AGCT0-RFRT91Y—- ---------- CLAIMS DE OCCUR 4 -PR!: .1 - Mq�� M!IER EX GEN'L AGGREGATE umrr APPUES PER: GENL PRO- FKA.3cly LOC JECT .?fnQyqTS COMPIOP AGG $ 9T HERc AUTOMOBILE LIABILITY TM-9119IRMT-flN I EUMI JEAM �t)4- ............ ANY AWO EX)DILY INAARY(Per person) $ 0J.1 CVMED SCHEDULED A Alp'US AUTOS x CAOIFL1010265 021115=16 021,1512017 BODILY iNJ*Y(Per accident) $ N004-OMED PROPER—TY-61AM-Au v x HIRED AUTOS 10,000 AUTOS UMBRELLA UAB j C=LJR EXCESS LIAO P H iN -MADE AtG G REGATa $ 'DE'r')I I"RET'EhILLONS $ !WORKERS COMPENSATION YI N AND EMPLOYERS'LIABILITY ................ ANY PROPRIETOWPARTNERIEXECUTIVE E.L.EACH $ OFFiCERIMEMBER EXCWDED? F, NIA --------- .......... (Mandatory In NH) E.L.DSF-A 3E�-EA EMPLOYEE S lyns, D SCRIPTiON OF OPERATION$below E,L.MSEAS- POUCYUMIT $ DESCRIP'nON OF OPERATIONS I LOCA-11ONS I VEHICLES(ACORD 101,Adelfbonal Romarks Schedule,may be abached 9 nwre space Is mqodmdh Missouri Avenue Landscape lirriproveiments Project#2 Contract#G0829 City of Clearwater needs to be named as additional insured Wth respects to the&Automobile Liablfity. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED LICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, 140)CCE WILL BE DELIVERED IN CITY OF CLF-ARA'rEIR-ENGINEERING DEPARTMENT ACCORDANCE WITH THE POLICY PROVISIONS. ATTIC:CONSTRUCTION OFFICE SPECiALIST AUTHORIZED REPRESENTATIVE P 0.BOX 4748 CLEARWATER FL 33752-4748 6 1988-2014 ACORD CORPORATION.All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD