CERTIFICATE OF LIABILITY INSURANCE (1107) DATE(MWDDNYM:
CERTIFICATE OF LIABILITY INSUMNCE 1010512022
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
BELCIW. THIS CERTIFICATE OF INStIRANCE DOES NOT CONSTITUTE A.CONTRACT BETWEEN THE ISSUING INSURER($),AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT. If the certificate holder is an ADDITIONAL INSURED, he pci'scy(ies)must have AI3DMONAL.INSURED provisions or 6e.endorsed.
If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certaln policies may require an endorsement. A statement on
this certificate does not confer rights to the certificate holder in lieu of suctl endorsernent sy.
PRODUCER ECT Gwen Oltn.nti
A.Kilbride Insurance PHONE 813.9964467. FAX
A7 'No•
2438 Larid.p Lakes Blvd ADOAI£5S: Gweneakilbrlde com
INSURE AFFORDING COVERAGE NA{C&
Land 0 Lakes FL 34639 INSURER,. RYAN TURNER SPECIALTY
INSURED ---
INSURER B:
CSP.Plumbing Services Inc INsuri c
12511 Choctaw TTI iusutxeii D
H.Udsan FL 34669. rNSURERF:
COVERAGES CERTIFICATE NUMBER. REVISION NUMBER-
THIS 18.TO CERTIFY THAT THE POLICIES❑F INSURANCE LISTED BELOW HAVE BEEN ISSUES]TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDiCAT'Et3. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR M2R DOCUMENT WITH RESPECT TO WHfCH.Tii45
GERTIFICAT! MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED 8Y THE POLICIES.DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDrri0N5.oF.SUCH POLICIES;LIMITS SHOWN MAY HAVE BEEN REDUCEDBY PAID CLAIM&
INSR
LTrR TYPEOFINSURANCE VMnPOLICY NUM NUMBER MOLJCY.I=FF POLO EXP
X COAMWROM GENERAL 1L4E77.A'Y
LIMITS
EACHCMCCURREWE S
CLAEMSfilADE FRI OCCUR PRENSIS o rrrenoe $ 100,400
A MED Exp ono roan $ 5,000
x BAK-861821 09/29/2022 09/29/2023 PERSONAL.&ADV INJURY g.1,000,000
GENI.AGGREGATE UMITAPPLISSPER: GENERALAGGREGATE y 2,000,000.
x PDI�GY JECT 11 LOC PRODUCTS-COMP16P AGG 5.2,000,000
I n7HER; S
AU 0=ff1LECG3f3 n Y
ANY AUTO.
BODILY INJURY(Per person) S
OWNED SCHEDULED
AIITOS.ONLY AUTOS BODILY INJURY(per sr] S
HIRED. NON-OWNED
+ AUTOS ONLY AUTOS ONLY � PROAEIiTY�OAhfIIGE $
I $
UMBRELLALAS OCCUR
Ll EACH OCCURRENCE $
EXCESS.11A6 GLRflti75�dADE AGGREGATE
$
I OED RETENTION 5
YWa ,K.T COMPENSATION $
PER OH
ANreE�6PLAYERS•LdABiLTrS' VIN STATUTE ER
AHYPROPF[EEFORRARTNERIEXECU71VE $
OFRCEFZMOMBERELCLUDED? N 1 A E.L.EACH ACCIDENT
[1AandAWry..rn HF1I der des
If EL: rcAl=lh
DISEASE S
yyeess,, cnkun
u
DESCRIPTION OF OPEIRATIONS below EL,DISEASE,POLICY UMrr $
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACO RE)101,Addi fmml Renmrks SOWUUt may be aHaulted If mole space Is req
ulredl
CITY OF CLEARWATER R.UILU NG DEPT IS LISTED AS ADDITIONAL iNSQRED.IN REGARDS TO GENERAL LIABILITY.
CERTIFICATE HOLDER CANCELLATION
CITY OF CL,EARWATER SHOULD ANY OF THE ABOVE DEsCRi13F13 POLICIES BE CANCELLED BEFORE
100.S Myrtle Ave THE STIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE NnTH THE POLICY PROVISIONS-
Clearwater FL:3.3756 AMOR2EOREPRESENrA11VE.
I
(D 1888-2015ACORD CORPOR 71PN..All rights reserved,