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CERTIFICATE OF LIABILITY INSURANCE (1004) ACO CERTIFICATE OF LIABILITY INSURANCEDATEMM'°°'YY,,, �-� 2/20/2020 THIS CERTIFICATE IS ISSUED ASA 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 INSURERS),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,subjeet 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 Iieu'of such endorsement(s). PRODUCER NAME.- Maryann Fekete Lancaster insurance Inc PHONE {727}451 -3704 FA( No): [727).-0.1-3298 . C. AIC Nu: 510 Druid Rd Suite C ADDRESS.Maryann@ laneins..com P O Bt77L 2856 INSURER(S)AFFORDING COVERAGE. NAIC 4 Clearwater FL3375.7 INSUREIRA:O.wners .Insurance 32700 INSURED INsuRER e:Southern-Owners Insurance. 10190 Jim Kenney Electric Inc INSURER C:Houston Casualty 42374 James Robert Kenney Lic#ECO003101 INSURERD: 12800 .Sophia Circle INSURER F: Largo FL 33774-2428 INSURFRF: COVERAGES CERTIFICATE NUMBER-CL134304647 REVISION NUMBER: THIS IS.TO CERTIFY THATTHE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED- NO-nMTHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT.OR:OTHER DOCUMENT VUfTH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED.BY THE POLICIES DESCRIBED HEREIN IS SUBJECT 1-0 ALL THE TERMS, EXCLU.SIONSAND.CON DITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, INOLICY EXP TR TYPE OF INSURANCE t SR WVQ SUBIR POLICYNUMBER MMIDPOLIDYtYYYY MM? 4DfYYYY LIMfTS GENERAL LIABILITY EACH OCCURRENCE S 1,.000,000 .X COMMERCIAL GENERAL LIABILITY DAMAGE.T PREMISES FaENTED occurrence 5 50;.000 �L C 0.!M$-MAGE OCCIIft 0514046 /12/2014 /12/2020 MED_EXP{Ar)y orl®parson) 3 5 r 000 0514046 6/12/2018 /12/2019 PERSONAL B ADV INJURY $ 1,00010" 0514.046 6/12/2017 112/2015. :GENERALAGGREGATE 5 2,:000,:000 .GE 1. GREGATEUMIT APPLEES,FER: PRODUCTS-COMPIOPAGG 5 2,000,000 7C POLICY PRO- 7LOC $ JECT- A AUTOMOBILELiABILITY 'COMBINED SINGLE LIMIT Ea accident S 1,000,000 Jt ANYAUTO BODILY INJURY{Per person) $ ALL OWNED SCHEDULED 5433339800 1/21/2019 3/21/2020 BODILY INJURY{Pcracedwitj 5 AUTOS AUTOS FiIREDALTOS NON-OWNED FROAERTYDAMAGE AUTOS S Per accident 5 UMBRELLALIAB OCCUR EACH'OCCURRENCE S EXCESS LIA[3 HCLAIMS-MADE AGGREGATE S CED RETENTION S g' B WORKERS COMPENSATION X WC STATU-. bTH- AND EMPLOYERS'UABILITY YINTORY LIMITS ANYPROPRiETOWP.ARTNEMEXECUTIVE 0331705 /112020 11/2021 OFFICERIMEFABEREXCF.11OED? 1�1NIA E.L.EACH ACCIDENT 5 500 000 [MandataryIll NHl 9331705 /112019 11/2018 E.L-DISEASE-EA EMPLOYEE $ 500,000 if yes;descnbe under 0331765 /112016 /1/261.7 DESCRIn.ONOFOPERATIONS belo�4 r.L.DISEASE-POUCYLIMIT S 500'.000 C .Prof.essional Liability FICC1967146 1/21/2019 1/21/2020 per claim 11000,000 par aggregale 1,D 0 O,.ODD DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101,Additianal Remarks Schedufa,If.mor'e space is required) CERTIFICATE HOLDER CANCELLATION Bryn.berg@ cleaswa-tergas..Com' SHOULD ANY OF THE ABOVEDESCRIBED POLICIES BE CANCELLED BEFORE THE EXPOATION DATE THEREOF,NOTICE.WILL BE DELIVERED IN Clearwater Gas System ACCORDANCE WITH THE POLICY PROVISIONS. City of Clearwater 711 Maple Street AUTHORIZEOREPRESENTATNE Clearwater, FL .33755: Maryann E'akata/Nth ACORD 25:{2070145} ©1988-2010 ACORD CORPORATION All rights reserved. INS025 fzomoay:oj The ACORD name and logo are registered marks of ACORD