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CERTIFICATE OF LIABILITY INSURANCE (1042)ACORD CERTIFICATE OF LIABILITY INSURANCE ‘41.....--- DATE (MMIDD/YYYY) 8/14/2019 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 Stahl & Associates Insurance, Inc. 110 Carillon Parkway St. Petersburg FL 33716 CONTACT Sue Russell, CIC NAME: ,n/°. No. Ext): (727)391-9791 FAX (A/C, No): (27)393-5623 ADDRESS:sue.russell@stahlinsurance.com INSURER(S) AFFORDING COVERAGE NAIC # INSURER A : Amerisure Mutual Ins Co 23396 INSURED Jeffry Knight, Inc. dba Knight Enterprises 6056 Ulmerton Rd Clearwater FL 33760 INSURER B:Amerisure Insurance CO 19488 INSURERC:Travelers Property Casualty Co of Ameri 25674 INSURER D: EACH OCCURRENCE INSURERE: DAMAGE PREMISES O( a occurrence) INSURER F: COVERAGES CERTIFICATE NUMBER:cL1981448699 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 WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE NSURANCE 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 INSD SUBR WVD POLICY NUMBER POLICY EFF (MM/DDIYYYY) POLICY EXP (MM/DD/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY Clearwater, FL 34618-4748 1k1k''��"" P GL2012826 j0ECE AUG 1 9 I\\�r^' i ® 1� 2019 D/2019 1/31/2020 EACH OCCURRENCE $ 1,000,000 DAMAGE PREMISES O( a occurrence) $ 100, 000 CLAIMS -MADE X OCCUR MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE POLICY OTHER: x LIMIT APPLIES JEC - x PER: LOC PRODUCTS - COMP/OPAGG $ 2,000,000 $ B AUTOMOBILE X X X LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS Comprehensive X X SCHEDULED AUTOS NON -OWNED AUTOS Collision O I ICIAt �J�, LEGISLATIVE SRV CA2031392 R -,-.S DEFT. 1/31/2019 1/31/2020 (Ea accidentSINGLE LIMIT $ 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ _. PIP -Basic $ 10,000 H X UMBRELLALIAB EXCESS LIAB X OCCUR CLAIMS -MADE CU2031393 1/31/2019 1/31/2020 EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 $ DED X RETENTION $ 0 B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) It yes, describe under DESCRIPTION OF OPERATIONS below Y / N N N / A WC2006779 1/31/2019 1/31/2020 X I r STATUTE I I OERH E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 C Inland Marine Contractors Equipment 660322X3909 8/17/2019 1/31/2021 Leased/Rented $100,000 Deductible $5,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Clearwater is included as Additional Insured as required. A 30 day notice of cancellation applies. CERTIFICATE HOLDER CANCELLATION ACORD 25 (2014/01) INS025 (201401) © 1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Clearwater THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Attention: City Clerk ACCORDANCE WITH THE POLICY PROVISIONS. P.O. Box 4748 AUTHORIZED REPRESENTATIVE Clearwater, FL 34618-4748 Kelly Petzold/RUSS ,j��r.Ld i /, f/1, -(,-(---- I ACORD 25 (2014/01) INS025 (201401) © 1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD