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CERTIFICATE OF LIABILITY INSURANCE (1049) DATE(MMIDI IYYYY) AC"R" CERTIFICATE OF LIABILITY INSURANCE 1 /2 /202 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS SIC 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 HOLLER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the pollcy(ies)must hwrre AD ITION'AL 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 Beal of such ondorsoment s). PRODUCER CONTACT -NAME. I�'�IeI'I �llVarlxi. A. k Kilbride Insurance, Inc. (A N�esty. X1.3 'q9§_7467 I� .No):313 949.1324 E-MAIL 2438 Land 0 Lakes Blvd ADDRES& certificate@ak�! ride.com Land C) Lades, Fl. 34639 _ INStIRErtIsrAFF2_RP!Ng9_q P. GE 1 ___.. INSU'RERA.r. U FORSTER Insurance. Co INSURED INSURERS Granada Insurance.-Com any 16870'... CSF Plumbing Service's Inc INSURERC. 12511 Choctaw Trail INSURER Hudson, FL 34669 iNSURER E' INSURER F COVERAGES CE:RTIF'ICATE 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'PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT T17 WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, 7HE 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 PAID CLAIMS.. rAPERSONAL _...__,.....__.. ..0[7L SlfI3R - --f...._... .......CPdEff TEFF POLICY ESP..__. ,...._..._...._. _._...--. -----,_-_., ...._._..._....,_,_ TYPE OP INSURANCE ffia POLICY NUMBER M�MAP MAM IDDIYYYY LIMITS sd [COMMERCIALGENERALLIABILITY EACHOCGURRENCE $ 1,000,000 _ _. _. .._ DAMdIAGE��Ro NT�b� 1OQ 000 CLAIMS-MADE OCCUR PREMISES(Ea occmLnL)ce)...__. $ __ _... MEED EXP(Any one Person) ... ,._ ,000 m_.........m_..._.._--i X X GP564334Q202©i 10/29/20 14,t9/21 ...___� &ADV INJURY $ 1,000,000 GEN,'L.AGGREGATE LIMIT APPLIES PER:w.,..__._ GENER'AL.AC`GREGATE $ 2,000,000 POLICY 17 PE 'LOC PRODUCTS CJI+AIF`1(}'P,4GG $.. 000y0 00 _ _.. OTHER:. I $ AUT OMAOBILEUABILFTY EOMBcNEDlIy INGLE LIMITTmm .$ 100,000' .�. ANY AUTC, BODILY'IKJURY(Per rremon} $ OWNED ONLY SCHEDULED AUTOS X II110FLQfl0436$5 07/27J20 07/27d21 BODILY INJURY(Per accident) HIRED � NON-OWNED PROPERTYDAMAGE $ AUTOS ONLY I........._. AUTOS ONLY Per aeddent} Personal In LI $ 10,000 UMIIBRELLALNAB .00CUR 4 EACHOCCURRENCE, $.. '.EXCESS LIAR CLAIMS-MADE ,,.AGGREGATE .._..._._..,,$:_...�. RED RETENTION6'ER$ OTH $ WORKERS COMPENSATIONNSATION ? ' S A TEAND, RrLQYERW LIABILITY / d PRO EGUTIVE E.L.EACH ACGIpEmN..T., ..ER _..�$ OFICERIMEMBEREXCLUDED (MandatoryIn NH) L. ASEEA EMPLOYEE $E `._..._..._.._.. .._ If es,descnbe under D sCRIPTILIN OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTIONS,OF OPERATIONS 1 LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) Clearwater Gas System is also an additional insured Under General liability, as per written contract, per forms CG2010 0704 & CG2404 0509, 'waiver of subrogation also included Linder General liability coverage. Clearwater Gas System is also an additional regard Auto Liability policy. Certified Plumbing Contractor#CFC1426960 License Qualifier. Craig E, Isabella CERTIFICATE HOLDER CANCELLATION Clearwater Gas System r� SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 400 North Myrtle Ave THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Clearwater, FL 33755 ACCORDANCEWITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE JE @ 1959.2415 ACORD CORPORATION. All rights reserved. ACORD 25(20116103) The ACORD name and logo are registered marks of ACORD 4 SC it. OP' ikAM PER�0 ... ... w a a OW 1"A ,. ! Name o Rrs�tYr � rl �tt : Blanket fr as per written.contract. Information ronuired to comdete this s' ule.It riot shown shove,.will be shown In the Declarations Paye. MW Af- k '.. .. - i. .. , I „ - . _ 0 g w POUCYNUMBEk CP664334020201 COMMERCIAL GENERAL UABILITY CS 20 10 07 04 POLICY.THIS ENDORSEMENT CHANGES THE PLEA.SEL READ IT CAREFUUY. 4ADDITIONAL INSURE '- " CONTRAC SCHEDULED PERSON .pI1 T_ - - ORGANIZATION h Insunum prokied under the_ follow.'. SCHEDUM MdftkmW n r , Ifiamd Person(s) - per ratra.c ���tmr rtd MI6cts � aAs �`Insured. 11 «, Insumd is amwKW to In. B.,:,With mpoct to the humme afforded toOmse ad., . -mod an 11 ) or or- I r I ` e res potto-Wit kw1)od4=1nury�wpmperIqy.dmff1_ baft 101ury or y: 'This Insurance does.not,,aWy to of Ija �® lypur ►- 7 those your n serrWm,,mainte. m1m)-to be perfOrrned by ;ryY 4s r ofgoNftWl opeMkft tie add :J`W toW theIof •. .. ' or nited . re w The . or to ft q : .othw,ftn anokhw conftcW eft.I tsome r 1 I �,I