CERTIFICATE OF LIABILITY INSURANCE (943) A164.�CC> g CERTIFICATE I IL.I I U C ATE
(14/20
18
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,ARID 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,.curtain poIiclas may require an on dorsonment. A statement on this cartifIcate does not confer rights to the
certificate holder In lieu of such endorsement{s).
PRODUCER CONTACT DebbieOUileS
NAME:
Stahl & Associates Insurance Inc. PHONEra;Excl: (813)818-5300 FAX ta13lsx®-s3 9 6
3939 Tampa Road ADDR�ESS:d bie.quiles@stahlinsurance.com
INSURER(S)AFFORDING COVERAGE '- NAIC#
Oldsmar PL 3677 1
INSURED iG�l
1NSURERA.Evansn Insurance Company.._
INSURER S;
Paws for Friendship Inc INSURER C:
Pb Box 341378 INSURER D:
INSURER E
Tampa, FL 33694 INSURER F:
COVERAGES CERTIFICATE NUMBER:18/19 REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED A84VE FOR THE POLICY PERIOD
INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT NTH 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 ADDL WBR POLICY EFF POLICY EXP
LTR. _-. TYPE OF INSURANCE POLICY NUMBER_ IAINUt7DPY
_. 'YY IYYYY. :. LIMITS
$ COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE. $ 1,000,000
A CLAIMS-MADE DAMAGE TO RENTED ODOUR PREMISES(Ea occurrence) S 10R r 040
3AA3161.77 12/20/2018 12/20/2019 MED EXP(Any one person) S 5,000
PERSONAL&ADV INJURY S 1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S 2,000,000..
POLICY ARO• PRODUCTS-COM PIOP AGG. $
JEl,T Loc PRODUCTS
OTHER: Animal Covarage Endt $ 100,000
AUTOMOBILE LIABILITY_... _. MBINED SINGLE LIMIT
(Ea aerydent)
ANY AUTO BODILY INJURY(Per person) $
ALL OWNED SCHEDULED BODILY INJURY Pararcid®n! $
--,_-.AUTOS ...__...._AUTOS { )
HIRED AUTOS NON-OWNED : PROPERTY DAMAGE
AUTOS (Per accident) $
UMBRELLA LIAR _. {OCCUR_. EACH OCCURRENCE $
EXCESS LIAB CLAIMS-MADE'.. : AGGREGATE
OEO RETENTIONS $
WORKERS COMPENSATION '.. PER DTH.
AND EMPLOYERS'LIABILITY YIN STATUTE ER
ANY PROPRIETORfPARTNERIEXECUTIVE E„L EACH ACCIDENT .'..S
OFFIICERIMEMBER EXCLUDED'? N I A
(Mandatory in NH) E.L.DISEASE-EA EMPLOYEE$
Ifes,descnhe under
f7l�SCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT
DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if mere space Is required)
CERTIFICATE HOLDER CANCELLATION _
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
FOR INFORMATIONAL PURPOSES ONLY THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS..
AUTHORIZED REPRESENTATIVE -...
Robert Stahl/QUTIIES
a 1988-2014 ACORD CORPORATION. All rights reserved,
ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD
INS025(201401)