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CERTIFICATE OF LIABILITY INSURANCE (985) 1 �• CA 0 m C} C m Q Ln 0m 0 a 0 � "�` -4 o rt z cep a 0 M > a = v_u � p m a -irnZ m G7 . .. •° 00 > "%0 m T r C m Z w (7 r a U mom 0 r) CA) ON rr t �'• o ° `a X a C'1 fD m > > D Z > m Q m r+ Ln m m t7 m m 77, 7U i ' 10128/2019 Licensing Portal-License Search 4:08:16 PM 1012812oig Data Contained In Search Results Is Current As Of 10/28/2019 03:32 PM. Search Results Please see our 9LQ_SSa1Y_of1e_rnLs for an explanation of the license status shown in these search results. For additional information, including any complaints or discipline, click on the name. License License Type Name Name Plumber/umber/ Status/Expires Rank Certified Plumbing CFC1426960 Current, Active Contractor CS—R-P L_YM BI N-G-2S ER ME_S1 N.C� DBA Cert Plumbing 08/31/2020 Main Address*: 12511 CHOCTAW TRAIL HUDSON, FL 34669 Certified Plumbing ISABEL CFC1426960 Current, Active Contractor __LA,qRA1G E Primary Cert Plumbing 08/31/2020 Main Address*: 12511 CHOCTAW TRAIL,HUDSON, FL 34669 dl� 4=0 denotes Main Address-This address is the Primary Address on file. Mailing Address-This is the address where the mail associated with a particular license will be sent(if different from the Main or License Location addresses). License Location Address -This is the address where the place of business is physically located. 0_1.13YAi_r_atone Road,,_Tail allg�2see FL 3239q :: Ernail: Cu �' CUstornerCcntact Center: 8501.487.!395 8_0_nLL1_r9_0_nta�t Center , Thc St�!te of Fkwida iv an AA11EE0 ernployer,90-py_r g!ji 2007 oto Sate_dot rLorida. Under Florida law,emir!addresses are to reccnds. ff w you do not amyour ernad address released in response to a public-records request, do not sen''electronic grail Fa thus entity. insneari,contact the office by phone or by traditional rn onal ai6, if you have any questions,Please contact 8_50,487 1395. Vursuant to Section 55.275(1), Men&Statutes, effective October 1, 20"!2, Nconsees licensed under Chapter 455, F.S. must provide,the Department with an email address if they have one.I-lie.emails provided ropy be used for official communication vjith the licensee. Hoviever ennail addresses are pubiic recwd. If you do not v.,Isii to SUPJD-lY a Pcsonef address, please provide tha Department vvitii an�rnail address wililch can be nnadie available to the public. https://www,myfforidalicense.com/will.asp?modem2&search=LieNbr&SID=&brd=&typ= PASCO COUNTY ;ES,`4_)` TAX RECEIPT_ 2020 Issued pursuant and subject to Florida Statutes and Pasco County Ordinances, issuance dues not certify Expires September 30th compliance with zoning or other laws. This reeelpt must be poster#conspicuously in Place of business, MIKE FASAN ACCOUNT#:: 33073 , , Ca C.. TYPE OF BUSINESS - PLUMBING CONTRACTOR SIC CODE: 1711.03 PASCO CDUTNT'Y FLORIDA STATE LICENSE# cic1426960 OWNER/QUALIFYING AGENT CSP PLUMBING SERVICES INC ISABELLA CRAIG ELLIOT 12511 CHOCTAW TRAIL LOCATION ADDRESS: HUDSON,FIL 34669-2517 12511 CHOCTAW TRAIL HUDSON,FL 34669-2517 MOBILE BUSINESS DATE RECEIPT AMOUNT 10/08/2019 2p 4,1-C10p122 32.38 Clear Business Owner: Your 2020 Pasco County Business Tape Receipt is printed above. Please detach the receipt and display it in a place that is visible to the public and available for inspection. The Masco County Business Tax receipt is in addition to any other license or certificate that may be required by law and does not signify compliance with zoning, health, or regulatory requirements. The Pasco County Business Tax Receipt is neon-regulatory and is not meant to be a certification of the holder's ability to perforin the service for which it is registered. Business Tax Receipts expire September 30th, Annual renewals are nailed in June to the address of record at that time. Please contact our office if there are any changes to your lousiness name, ownership, physical address, or closing of your business. Thank you for allowing us to serve you! MIKE F SANO PISCO COUNTY TAX COLLECTOR EAST PASCO GOVERNMENT CENTER WEST PASCO GOVERNMENT CENTER DADE CITY NEW PORT RICHEY TAX COLLECTOR BUILDING GULF HARBORS CENTRAL PASCO GOVERNMENT CENTER COMPARK 75 BUSINESS PARI LAND[D'LAKI 5 WESLEY CHAPEL CALL CENTER:MONDAY-FRIDAY 830 AM-5:00 ISM (352)521-4338 - (727)847-3032 - (813)235-6076 PINELLAS COUNTY CONSTRUCTION LICENSING BOARD THIS CERTIFIES THAT Craig E Isabella DBA CSP Plumbing Services Inc STATE CERT# I-CF'C1426960 HAS FILED HIS/HER LICENSE AND PROOF OF REQUIRED LIABILITY AND WORKERS'COiv1PFNSATION INSURANCE WITH THIS BOARD. I-CF+C1426960 IN GOOD STANDING UNTIL, SePteMber 30,2020 DATE OF ISSUANCE 06/28/2019 Isabella, Craig E * Please cut out license along lines 12511 Choctaw Trail Hudson, FL 34669 CERTIFICATE I I I. iINSURANCE DATE(MMf D)YYYY) 10/28/2019 1 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ATION 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 have ADDITIONAL INSURED provisions or be endorsed. s If SUBROGATION IS WAITED, 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). C PRODUCER UVNIAUI - NAME_ C.Wen 031lVanti PHONE _ _ __ Kilbride Insurance, Inc. l8Lo �� 813 996-7467 ; �ol:813-949-1324- A. 2438 Land 0 Lakes Blvd I aRlE Ass �ert. i icate(c-takilbride.com Land C} Lakes, Fl. 34638 — _...—{NSURER(S)AFFORDINGCOVERAGE _ NAICft - INSURER RYAN SPECT [f d'k0 P LLC ---- --INSURED INSURERe Granada Ing CO 1687(3 16870 f CSP Plumbing Services Inc INSURERC 12511 Choctaw Trail INSURERD _.. - ._......_. -- Hudson, FL 34669 INSURER E 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 PERIOI3 INDICATED, NOTWITHSTANDING;ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS i CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, E POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCL,D BY PAID CLAIMS- EXCLUSIONS AND CONDITIONS---__.-___._- LTR SUCH �INSR COMMERCIAL OF IGENERAL__ ___.-_.. PDLICY EFF PDLICY EJtf _ . ---__._-_-1.- RANGE At7UL S n8R L'Tfii� TYPEC}FINSU -SIS© t O f'aLICtiNUMBER fMMlppfYYYY1 tMhAlD!)IYYYYI LSA6ILITY EACH OCCURRENCE �w 1,000,0 00 -oAInA T RNT�D- CLAIMS-MADE .: OGGIPR ,....,_PREM1S9Rs1Eacccurrencet $ NPP8561543 1t7j25j1B 1Q'/25/ZCl ,._ LI3txP(An anepersonl_ 5_ PERSONALS ADV INJURY I'Doo,000 i GENT AGGREGATE GATE LP!IT APPLIES RER .GENERAL AGGREGATE $ .. 2.{0—),0_0. ) PR L-YPOECY JECT LOC OP AGLPROaUC7S COMPG 0,000 S _. I AUTOMOBILE LIABILITY COMBINEI?SINGLE LIMIT I � LFaaccdent $ 100,4]00� ANY AUTO BODILY SNJURY(Per person) :S 1 DINNED SCHEDULED _— ,_, -__..,_.__ f AUTOSONL�Y AUTOS Q11flFLQI)03443[l 479 17j19 (1j17/2a BOCELVINlURYjPereccEde t} i HIRED NON-OINNED PROPERTY DAMAGE. -�_. .AUTOS ONLY .,AUTOS ONLY IP�r ac�idenl - UMHRELLALIAB OCCUR ' EACH OCCURRENCE EXCESS LIAS CLAIMS-MADE! ! % ,.AGGREGATE $ DED RETENTION$ I .. _._.. WORKERS COMPENSATION � ... � PER OTH ANP EMPLDYERS L9ABIL6TY YIN -..F L EACN ACCIDENT`.fft ! N PROPRIE ORiPARTNERJEXECUTIVE � �STATU a __..� OF ICER1�MEMBEFEXCLUDED-P .NTA _ —. (Mandatory in NH) E.L,DISEASE FA EMPLOYEE S ...-- I If yes `= under DESCRIPTION OF OPERATIONS 6alpy , E.L.DISEASE POLICY LIMIT I s E I i i DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES IAc4Rc 101,Additional Remarks Schedule,may he attached 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 #CFC146960 I License Qualifier- Craig F. Isabella CERTIFICATE MOLTER CANCELLATION Clearwater y teff t SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 1400 0 North Myrtle Ave THE EXPIRATION DATE. THEREOF, NOTICE WILL BE DELIVERED IN i ACCORDANCE WITH THE POLICY PROVISIONS. Gas S Clearwater, FL 33766 Fax; (727) 5624902 AUTHORIZED REPRESENTATIVE ,JEG 1888-2015 ACORD CORPORATION, All rights reserved.. ACORD 25(201 103) The ACORD name and logo are registered marks of ACORD CERTIFICATELI I I I 70(MMIDDIYYYY)E � iI A=Mtn! TE IT ISSUED AS A rUTATCER CF fNFtOR ATIC)N ONLt° AND CCINFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS C7Ea NtDC AFFIRILIACIVELY f7R NEC;ATIVELY AiI END, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES I CERTIFICATE 7F INSURANCE DOES NCC CI NSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED VE CtR PR{7DUCER,AND THE CERTIFICACE H+DLDEF2.the certificate holder is an AtTDITl SNAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the Policy, certain oficies may require an endorsement. A statefoent d this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). on [PRODUCER CONITA T - - NA6 were Olivantl PHON1..... ..KilbA. ride Insurance,Insurance, Inc. aC r1�.__E� 813-996-7467, k No y 13 -. .. _ ... NI: 9 -. 2438 Land Q Lakes Blvd . ` AD�R��s ce€tlficateakllbrlde c�� Land L_./ Lakes Pl... 34639INSURER(SIA�FORt?iNGCOVERAGE ... NAICEF -r. -- — INSURERA. RYAN P CIA TY R_OT L.LC ._ I INURED ..._ ........ --__.___.. ._ ...—,..._ INSURERS rana a Ins Co 16870 16870 CSP Plumbing Services Inc INSURER C _. 12611 Choctaw `rail INSURER D .INSURERE _. - PNSURER F: ... _-. TIS HIS SCERTIFY THAT THE POLICIES OF IhIASUR Nl1APfBER: REVISION NUMBER: ANCE LISTED BELOW HAVE BEEN ISSUED TO THE fNSURED NAMED ABOVE FOR THE POLICY PERIOD I 'NDICATEDr NOTWITHSTANDING ANY REQUIREMENT TERM CR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OWMAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDIT9ONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. A[tgL SU®R _---_ [ _..-PE7LICV EFF POLICY EXP_...-. _ --_.-- --...,._— -' { LTR TYPE OF INSURANCE ---.,..-. POLICY NUMBER M#r IDWYYYY MMlDDMYYY LIMITS COMMERCIALGENERALLIABILITY -.- .__.. _..... EACH OCCURRENCE S 1,0d0,COd ._ .....,.. � Jf OCCUR ,.. ;.. ISAMAc TZJ 1=ZEtv'i�Clw1 i __.PREMISES(Ea oecurru�ce� S__ ..._. -- .._.— - -- €AED EXP(Array one persc ) $ N NPP85d1S43 1OJ25/19 T.0/25/20 — i _.. PERSCTNA L a ADu INJL RY 1,000,000 GENL AGGREGATE LkhklT APPLIES PER: GENERAL AGGREGATE I S 2,000.000 ,E POLICY .I PRO- i � - _. .,. .._ r OTHER. , JFCT --- LOC PiRODUCTS-COMPlOPAGG _� ... 2,000,000 AUTOMOBILE LIABILITY S COI�ielNED SINGLE LIMIT f ANY AUTO iE accd T.__---- _ .. _.100 0047 € OWNED V1 �d9/7.7%19' i !.„BODILYIN,1JRY(Perpe:sorr) jS OWNED SCHEDULED I _ AUTOS ONLY AUTOS 09/1 /20 BODILY INJURY(Per accident)I S I NON-OWNED - .__ .....__ ... AUTOS ONLY , AL1TrJSONLY '� E�RbPERTYDAMAGE� .� iF? r ccidntl a UMBRELLALIAB i . ...,. OCCUR � _... EXCESS LIAR EACH OCCURRENCE. S - AGGREGATE CLAIMS-MADE. $ DED I RETENTION S S WORKERS COMPENSATION i'ER QTI-I AND EMPLC7YIQR5'LIA8I LITY Y d N ,a._._ STAT`UTF ER _ OFF:CERI E2 G"RdEXC_JE1ED-1 UTNE _ ....._�_. , .. i4F1•=10EF�ildEM8EI3EaCl_Ur,��Ef.7 L�;NIA - E.L EACH ACCIDENT 1 (Mandatory in NH) � � I If}es descnEle under _ ... E L DISEASE EA EIUPLOYEC: --_ I UESC;RIPTICSN OF LfPERATIONS below C.L DISEASE-POLICY LIMIT 3 - { I € DESCRIPTION OF OPERATIONS f LOCATIONS I VEHICLES (ACORD 161,Additional Remarks Schedule,may he attached if more space Is required) f Certificate Fielder is also an additional insured under General liability and Auto coverage, as per written contract. I Certified Plumbing Contractor #CFC1426960 License Qualifier: Craig E, Isabella CERTIFICATE HOLDER CANCELLATION _I City of Clearwater SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Dost Office Box 4748 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. I Clearwater, oath MyrtleAve Clearwater, FL 33756 AUTHORQED REPRESENTATIVE epermit@mycfearwater.com JET O 1588-2015 ACORD CORPORATION. All rights reserved'. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD JIMMY PATRONIS � VVE ` CHIEF.FINANICAL OFFICER STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS'COMPENSATION **CERTIFICATE OF ELECTION TO RE EXEMPT FROM FLORIDA WORKERS'COMPENSATION LAW CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers`Compensation lave. EFFECTIVE DATE: 7116/2018 EXPIRATION DATE: 7/912626 PERSON: CRAIG ISABELLA EMAIL: SABRINACSPINC Y•AHOO.COM FEIN: 825254863 BUSINESS NAME AND ADDRESS: CSP PLUMBING SERVICES INC 12511 CHOCTAW TRAIL HUDSON, FL 34669 SCOPE OF BUSINESS OR TRADE: Plumbing NOG and Drivers IMPORTANT:Pursuant to Chapter 440.05(14) F-&,an officer of a corporation who elects exemption from this chapter by filing a certificate of election under this section may not recover benefits or compensation under this chapter,Pursuant to Chapter 440.05(12),F.S.,Certificates of election to be exempt...apply only within the scope of the business or trade listed on the notice of election to be exempt.Pursuant to Chapter 444.05(13),F-S.,Notices,of election to be exempt and certificates of election to be exempt shall be subject to revocation if,at any time after the filing of the notice or the issuance of the certificate.the Person named on the notice or certificate no longer meets the requirements of this section for issuance of a certificate.The department shall revoke a certificate at any time for failure of the person named on the certificate to meet the requirements of this section. DFS-F2-DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 08-13 QUESTIONS?(850)4. 3-1609