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CERTIFICATE OF LIABILITY INSURANCE (1031) _ Ben Brown Insurance Agency ACC) CERTIFICATE 4F LIABILITY INSURANCE DATE(M71 �- 07/2 /202YYY) 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 INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: if the certificate holder is an ADDITIONAL INSURED,the policy(les)must have ADDITIONAL INSURED provisions or 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 CONTACT Jessica Belvitch-Certificates NAME: Ben Brown Insurance Agency PHONE (941)457-3502 FAX (941)365-3143 AIC No EtI: AIC,No): 3731 S Tuttle Ave E-MAILADDRESS: certificates@benbrownins.com INSURER(S)AFFORDING COVERAGE NAIC 0 Sarasota FL 34239-6410 INsuRERA: National Trust Ins Co 20141 INSURED INSURER B: FCC[Insurance Co 10178 Irrigation Design Associates,Inc., INSURER C: Monroe Guaranty Ins Co 32506 IDA Labor,LLC,Terrence A.Fiddelke INSURER D: 6175 Palmer Blvd. INSURER E: Sarasota FL 34240-9594 ISURERF: COVERAGES CERTIFICATE NUMBER: 2011 All REVISION NUMBER: THIS IS TO CERTIFYTHATTHE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FORTHE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN,THE INSURANCEAFFORDED BYTHE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSRTYPE OF INSURANCE. POLICY EFF POLICY EXP LIMITS LTR IVSD WVD POLICY NUMBER MMIDO MMIDD X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE ®OCCUR PREMISES E=. $ 100,000 X Contractual Liability MED EXP(Any one person) $ 5'000 A x XCU GLI00026882-03 08/01/2020 08/01/2021 PERSONAL&ADV INJURY $ 1,000,000 GEMLAGGREGATE LIMITAPPLIES PER: GENERALAGGREGATE $ 2,000,000 POLICY�JET EILOC PRODUCTS-COMPIOPAGG $, 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMB $ 1,000,000 Ea accident x ANY AUTO BODILY INJURY(Per person) $ B OWNED SCHEDULED CA100003208-05 08101/2020 08/01/2021 BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS X HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Peraccident x UMBRELLA LUIB x OCCUR EACH OCCURRENCE $ 5,0001000 A EXCESSLUIB CLAIMS-MADE UMBIOOO15290-04 08/01/2020 08/01/2021 AGGREGATE $ 5'000'000 OED I X RETENTION$ 101000 $. WORKERS COMPENSATION X STATUTE ER AND EMPLOYERS'LIABILITY 500,000 ANY PROPRIETORIPARTNERIEXECUTIVE YIN E:L.EACHACCIDENT $ B OFFICERIMEMBEREXCLUDED? Y NIA WCOID0059066-01 09/01/2020 09/01/2021 500,000 IMandatory In NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under 500,000 DESCRIPTION OF OPERATIONS below E1,DISEASE-POLICY LIMIT $ Leased/Rented Equipment Limit $20,000 C CM100026883-03 08/01/2020 08!0112021 Deductible $500 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,.may be attached if morn space is required) Plumbing&Irrigation Services.-Qualifier:Laura Raines,license#SCC131152047 CERTIFICATE HOLDER CANCELLATION SHOULDANYOF THEABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN City of Clearwater Administrative Offices and South Area Service ACCORDANCE WITH THE POLICY PROVISIONS. 400 North Myrtle Ave AUTHORIZED REPRESENTATIVE Clearwater FL 33755 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD