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CERTIFICATE OF LIABILITY INSURANCE (901) r 7DATE(MMIDDIYYYY) Q CERTIFICATE OF LIABILITY INSURANCE 4/24/2018 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 holler in lieu of such endorsement(s). PRODUCER 'NAM'E: Gwen A.Kilbride Insurance,Inc. _^lAm : —.._.. �..._. 2438 Land O Lakes Blvd PHaNe 8'13-996-7467 � �,�.No): 813-949-7'✓24 -- Land O Lakes,Fl.34639 E-MAIL SS: certificate@akilbride.com _ INSURERIS)AFFORDING COVERAGE NA€C# INSURERA: Granada Ins CO 1.6870 16870 INSURED INSURERS: Progressive Insurance CO. 10193 CSP Plumbing Services Inc 12511 Choctaw Trail INSURER C: Hudson, FL 34669 INSURER D: INSURER E: Frank W Crum Insurance Co. INSURER F COVERAGES CERTIFICATE NUMBER: 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. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHfCH 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 SEEN REDUCED BY PAID CLAIMS. €NSR ADDTYPE OF INSURANCE INA&SUBR POLICY EFF POLICY EXP LTR POL€CY NUMBER MM DD!YYYY MM DDfYYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,004.004 AGE f C .OMMERCIAL GENERAL LIABILITY PREM* TO RENTED noe $ 100,460 CLAIMS-MADE [z]OCCURx OIBSFL00069778-3 4/22/18 04/22/19 MED EXP An one person) $ 5,000 A PERSONAL&ADV INJURY $ 1,000.000 GENERALAGGREGATTE $ 2,000,000 GEITL AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG $ 2,000.004 f POLICY F PRO LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 10D,4Q4 Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED x 07556831-4 4/24/18 04/24/19 BODILY INJURY(Per accident) $ B AUTOS AUTOS HIRED AUTOS NON-OWNED PRflF0fY—DAMAGE $ AUTOS Per accident Personal Injury $ 10,000 UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE S DEC I I REETENTION$ $ WORKERS COMPENSATION VJC 5TATI1- 2- AND EMPLOYERS'LIABILITY TORY LIMITS ANY PROPRIETORIPARTNERIEXECUTIVE YINE.L.EACH ACCIDENT $ 1,000,000 E OFFICERIMEMSEREXCLUDED? © NIA FCWC10422600 4/23/18 04/23/19 (Mandatory In NH) E.L.DISEASE=-EA EMPLOYE $ 1,Ot30,4Q0 If yes,describe under 1,000.000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLESAttach ACORD 101,Additional Remarks Schedule,if more space Is required) Certificate holder is also an additional insured under General liability and Auto coverage, as per written contract. Certified Plumbing Contractor#CFC1426960 License Qualifier: Craig E. Isabella CERTIFICATE HOLDER CANCELLATION City of Clearwater Post Office 13Ox 4748 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 10[] South Myrtle Ave T14E EXPIRATION DATE THEREOF, NOTICE WELL BE DELIVERED IN Y ACCORDANCE WITH THE POLICY PROVISIONS. Clearwater, Ft_33756 Fax#727-5624576 AUTHORIZED REPRESENTATIVE JEG ©+998--f010 ACORD CORPORATION. All ri-g'Fits reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD A�hP CERTIFICATE OF LIABILITY INSURANCE °4/24/2018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE HOES 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 he 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 endorsernent(s). PRODUCER CONTACT A.Kilbride Insurance,Inc. NAME` GWen — — - 2438 Land O Lakes Blvd A&"N.E�): 813-996-7457 TL4, 2438 No,; 813-949-1324 Land O Lakes,FI.34639 E-MAIL CertIYiCate f akilbride.CQiTIm INSURER S AFFORDING COVERAGE_ MAIC If INsuRERA:Granada Ins Co 16870 16870 INSURED INSURERS: Progressive Insurance Co. 10193 CSP Plumbing Services Inc 12511 Choctaw Trail INSURER C: Hudson, FL 34669 INSURER D: ,NSURER6: Frank W Crum Insurance CO. INSURER F COVERAGES CERTIFICATE NUMBER: 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. NOTNTHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT W{TH 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 TYPE OF INSURANCE ADDL UBR POLICY EFF POLICY EXP LIMITS LTR POLICY NUMBER MMIDD *INVLIDIYYY GENERAL.LIABILITY EACH OCCURRENCE 3 1,040,000 V" COMMERCIAL GENERAL LIABILrrY PREM SES rGE TO occurrence 3 140,000 CLAIMS-MADE Z OCCUR X X 0185FL00069773-3 4/22/1$ 04/22/19 MED EXP(Any one person $ 5,000 A PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GENT_AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG 3 2,000,000 1F' POLICY 7 PRO LOG $ AUTOMOBILE LIABILnY CEa acciOMBINEderDd SINtt E LIMIT 140,000 ANY AUTO BODILY INJURY(Per person) $ ALL OWNEDSCHEDULED X 0.7556831-4 4/24/1.8 04/24/19 BODILY iNJURY(Peraccident) $ B AUTOS AUTOS HIRED AUTOS NON-O NEO PROPERTY DAMAGE $ AUTOS Par ICC dant Personal Injury 10,000 UMBRELLALIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION f WC STATU- OTN- AN D EM PLOYERS'LIABI LITYI-DRY L11 ANY PROPRIETORIPARTNERIEXECUTIVE YIN E.L.EACH ACCIDENT $ 1,40.0,000 E OFFICEtIMEMBER EXCLUDED? © NIA FCWC10422600 4/23/18 04/23/19 (Mandatory In NH) E.L.DISEASE-EA EMPLOYE $ 1,000,000 H yes,descr be under DESCRIPTION OF OPERATIONS taelaw E.L.DISEASE-POLICY LIMrr $ 1,400,000 DESCRIPTION OF OPERATIONS I LOCATIONS f VEHICLES(Attach ACORD IDf,Additional Remarks Schedule,if more space Is required) Certificate holder is also an additional insured under General liability and Auto coverage, as per written contract. Waiver of subrogation also included under General liability coverage, as per written contract. Certified Plumbing Contractor#CFC1426960 License Qualifier: Craig E. Isabella CERTIFICATE HOLDER CANCELLATION Clearwater Gas System 400 North Myrtle Ave SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Clearwater, FL 33755 THE EXPIRATION DATE THEREOF, NOTICE WILL. BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Fax; (727)562-4902 AUTHORIZED REPRESENTATIVE JEG ® - 410 ACORD CORPORATION. All ri—gliits reserved. ACORD 25(2090105) The ACORD name and logo are registered marks of ACORD