CERTIFICATE OF LIABILITY INSURANCE (1033)Ben Brown Insurance Agency
�'R�® CERTIFICATE OF LIABILITY INSURANCE
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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 have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED, subject to the terms and conditions of the po icy, 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
Ben Brown InsuranceAgency
3731 S Tuttle Ave
Sarasota FL 34239-6410
NANTA CT Jessica Belvltch - Certificates.
PHONE Ext): „No): (941) 365-3143
No.INC
ADDReas: certilcates@bentrovmins.com
MSURER(8) AFFORDING COVERAGE
NM*
BIsuRERA: National Trust Ins Co
20141
INSURED
Irrigation Design Associates, Inc.,
IDA Labor, LLC, Terrence A. Fiddelke
6175 Palmer Blvd.
Sarasota FL 34240-9594
INSURER B: FCCI Insurance Co
10178
Nisu C: Monroe Guaranty Ins Co
32506
INSURER D.
$ 1,000,000
INSURER E:
INSURQtF:
DAMAGE TO RENTED
PREMISES (Es occurrence)
COVERAGES
CERTIFICATE NUMBER: 20/1 AA
REVISION NUMBER -
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE USTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE 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 BY THEPOUC ES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POUCIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR
LTR
TYPE OF INSURANCE
ADDMUEIR
POLICY NUMBER
POLICY EFF
(1 >
KUCY
M4IDDAI�
YYY)
UIST3
A
X
COMMERCULL GENERAL LIABILITYEACH
RECEIVE®
GL100026882O3(�
'U� 0 3
OFFICIAL RECOR
12020
)S AND
08101/2021
OCCURRENCE
$ 1,000,000
E
DAMAGE TO RENTED
PREMISES (Es occurrence)
$ 100oo0
X
ContractUalLiabiity
MED EXP (Any one person)
S 5,(40
X
XCU
PERSONAL anoVw.NRY
$ 1,000.000
GGEENLAGGREGA�TEUMITAPPUES
POLICY
I OTHER:
(�
PER
PECT LOC
GENERAL AGGREGATE
$2,000.000
PRODUCTS -COMP/OPAGG
,. 2.000,000
$
B
_
AUTOMOBILE
X
X
LIABLITY
ANY AUTO
OWNED
AUTOS ONLY
HIED
AUTOS ONLY
—
X
SCHEDULED
AUTOS
NON OWNED
AUTOS:ONLY
LEG 1SU'1 VE cRV"'r
CA100003208-05
�r�T
1 '
08/01/2020
08/01/2021
COMBINED SINGLE MUT
$ 1,000,000
ewer mum( (Per Nilsen)
$
BODILYINJURY (Perso ldent)
S
PROPERTY DAMAGE
(Pa -accident)
_
t
A
X
UMBRBA DAB AR
EXCESS UAB
x
OCCUR
CL.AIMS,MADE
_
UMB100015290-04
08/01/2020
`
08/01/2021
EACH OCCURRENCE
: 5.000.000
AGGREGATE
s 5,000.000
DED 9CI RETENTIONS 10,000
s
B
WORKERS COMPENSATION
AerNI
BUMLMYERS'.UABILITY
ANYPROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
lMsndMery In NH)
WPM. describe under
DESCRIPTION OF OPERATIONS below
Y! N
®
N/A
WC0100059088.01
1)9/01/2020
09/01/2021
PER
I EOR
ND
.L.
EEACH ACCIDENT
s 500,000
E.L DISEASE -EA EMPLOYEE
$ 500.000
EL DISEASE -POLICY LIMIT
1500.000
C
Equipment
CM100028883.03
08/01/2020
08/01/2021
Limit
Deductible
-7
820,000
8500
DESCRIPTION OF OPERATIONS / LOCATIONS/ VEHICLES (ACORD 191, Additional Remarks ScMdule, may be attached If mon space Is required)
Plumbing & Irrigation Services. - Qualifier: Laura Raines, license #SCC131152047
CERTIFICATE HOLDER
INCE
City of Clearwater Administrative Oboes and South Area Service
400 North Myrtle Ave
Clearwater FL 33755
I
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF NOTICE WILL BE DELIVERED Uf
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
‘,".—,
ACORD 25 (2018103)
0018138-2015 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks ofACORD