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CERTIFICATE OF LIABILITY INSURANCE (1037) CERTIFICATE F LIABILITY I Sly A CE 78125/2020 (MMIDDNYYY) 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 policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lied of such endorsement(s). PRODUCER CONTACT Morrow Insurance Group PHONE THERE SA JENI4YNS €AX 18936 NORTH DALE MABRY Aare,No,_E q:813-5 3-1669 _ _ (AIG N h 3 9 1-3743 E-MAIL LUTZ FL 33648 ADDRESS: certificates( s9rrc9v insuranee.nel -- INSURER( AFFOROING COVERAGE _ ( NAIL a u.-- INSURER A;FOCI INSURANCE COMPANY 10178 ._. INSURED PREC107 INSURER B PRECISION METER REPAIR, INC . 4410 AIRPORT RG INSURER C; PLANT CITY FL 33 563 INSURER D! INSURER E., INSURER F i ? COVERAGES CERTIFICATE NUMBER:1373685146 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 DITHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE 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 PAIR CLAIMS.. INSR T ------- 1&Y[9LI5UBRi _._....®.. POLICY-EFT-7 POLICY EXIT�—__._ --. .—._.... LTR TYPE OF INSURANCE INSC3 I WVD I'OLICYNUMBER �... MM16pTYYYY t MMIDDfYYS'Y)i LIMITS A ( X -'COMMERCIAL GENERAL LIABILITY G11100044434 �. 517/2020 5171202/ EACH OCCURRENCE $i Ot10 04L OCCUR CUMMS•MADE Iia —.. �..,...-.... Pf�EN49NSE5'Ee oecursenoe $_3_00 000 ....._�... I MED EXP(Any onepersn $15 000 I r� ........,..�Y.. PLIAS©NAL 8.ADV INJURY $1,000.000� .�.,.P.,W�'...— .....— _.. GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2.000,000 PRO- X POLICY i. JECT L. L{}C - i,PRODUCTS-CC1°MWOPAGG $2,000.000 I OTHER_ A AUTOMOBILE LIABILITY CA100044437 4120/2020 412012021 COMBINED SINGLE LIMIT $1 000,000 _ .w. i��ce��er�tl X ANY AUTO —- --. - BOf7NLY INJURY(Per person) �S C7WBNEI] SCWECYt3LEf} BODILY INJURY Per a=dent AUTOS ONLY I AUTOS E )� X AUTO FY` LO 7AOTUTORY I WNED 'PROPERTY[7a't,YvlAfrE ,$ _'�.,............ AUTOS ONLY AL9Tr:]�ONLY � �6'er�r�,de�ti] ------ li Pfl' _ $EO.OdY A ' }{1 UMBRELLA LI AB X OCCUR UMS10005290700 1102020 EACH OCCURRENCE $5,000,001) EXCESS LIAR CLRNMS-MADE AGGREGATE $5,000 000 DEO RETENTICIN A YWORKEIRS COMPENSATION WC010006i018001 813112020 8131121721 ?( STpgU=rEJ OIH_ N? ANEMPLOYERS°LIABILITY YIN 1 AYPROPRNETORtlPARTNE 4:XECUTIVEP�-��s � E.L EACH ACCIDENT OFFICFRIMEMBEREXCLUDEa? 71 NIA: ((Mandatory in NH} I E.L.DISEASE-EA EMPLOYEE!$1,000 Q00... _..---- I If yes,describe under I DESCRIPTION OF OPERATION'S below E.L.DISEASE•POLICY LIMIT 1$1,000,000 I I I DESCRIPTION OF OPERATIONS I LOCATIONS r VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) CERTIFICATE HOLDER CANCELLATION RECEIVED SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE? THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE SMITH THE POLICY PROVISIONS. CLEARWATER GAS SYSTEMS 100 S MYRTLE AVE CLEARWVATER FL 33756 AUTHORIZED REPRESENTATIVE GAS MIN 1988-2018 ACORD CORPORATION. All rights reserved. ACORD 2 (2016103) The ACORD name and logo are registered marks of ACORD