CERTIFICATE OF LIABILITY INSURANCE (1115) PRECMET-01 BJONES
'4 120 CERTIFICATE OF LIABILITY INSURANCE D 1 21'I12 211202222022 Y)
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 INSURERS),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 1S 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.endorsements),
PRODUCER CONrACr
ASSOCIATES AGENCY;INC. aic°,Ho,Ext,{873j 988-1234 No:{813j.9$$-0989
11470 N 53rd St
Temple Terrace,FL 33617 E-MA'L certs associatesins.com
{NSURERt S AFFORDING COVERAGE NAIC#
_ INSURER A:Southern Owners insurance CO 10190
INSURED INSURER s-Auto Owners Insurance Co 18988
Precision Meter Repair,Inc.&:Ronald.E$wllley INSURER C:RetailFirst Insurance 0:1mpgriv 14700
4741 Reece Rd INSURER D
Pladt:City,FL 33566
INSURERIE:
INSURER F
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES.OF INSURANCE LISTED BELOW.HAV.E BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY.PERIOD
INDICATED- NOTWITHSTANDING ANY. REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECTTO WHICHTHIS.
CERTIFICATE MAY BE ISSUED OR.MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBES] HEREIN ISSUBJECT ALL THE TERMS.
EXCLUSIONS AND CONDITIONS OF SUCH POLtIES..LIMITS.SHOWN MAY HAVE BEEN REDUCED$Y PAID CLAIMS.
INT R TYPE OFINSURANOE ADDL SUBR POLICY NUMBER POLICY EFF.MMIDDry_yXn POLICY EXP LIMIT'S
A .X COMMERCAL GENERAL LIARILIFY
EACH OCCURRENCE S 11400;040
CLAIMS-MADE. F—y7 OCCUR. 20745479 121812422 121812023 DAMAGE TO RENTED 5 300,040
MED EXP(Any one erson 5 10,000
PERSONAL&ADV INJURY S 1'400'004
GEML AGGREGATE LI MIT AP PLIES PER GENERAL AGGREGATE 5 000,004
5Eu�T 0 2,400,000
POLICY LOC .PRODUCTS-COMPIOP AGG 5
OTHER S
E3 AUTOMOBILEUABILITY C0M8INEa5'NGLELIMIT S 1,400,000
X ANY AUTO .4374149001 1218/2022 1218/2023 B60I1-YINJURY Per.person) S
OWNED SCHEDULED
AUTOS ONLY AUT�r��OppSyy��NN BODILY INJURY Peraccidenl� �
X AVTOS ONLY x AUOTOS.ONLY K-12
RODAMAGE
Per accident S
PIP 10,000
A X UMBRELLA UAB X OCCUR EACH OCCURRENCE 5 5,000'400
EXCESS L1AB CLAIMS-MADE 437014940.2.. 1218/2022 121812023 AGGREGATE g 5,000'000
DEO X. RETENTION$ 1.0'000 $
C WORKERS.COMPENSATION x PER ORH'
AND EMPLOYERS'LIABILITY
YIN 520.61638 1218,2022 121812423 � 1;000,000
ANY PROPA'ETORIPXCLU RIE7[ECUTEVE E.L..EACH ACCIDENT S
gqFFICERIMEMBEFI EXCLUDED? N I A
`Mandatory in. EL E L DISEASE-EA EMPLOYEE $ 1,040,400
If yes,.desCnbe:under 1;040,000
DESCRIPTION 0F.0PERATION S below E,L,DISEASE.POLICY LIMIT S
DESCRIPTION OF.OPERATIONS I LOCATIONS!VEHICLES (ACO RD 101,Additional Remarks Sr.had ula,may be attached If more space's req u'red
l
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE.
THE EXPIRATION . DATE THEREOF, NOTICE WILL BE DELIVERED IN
Clearwater Gas:Systems ACCORDANCE WITH THE POLICY PROVISIONS.
777 Maple Street.
Clearwater,FL 33755
AUTHORIZED REPRESENTATIVE
AGORD.25(2076103) (.nm-2016 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are-registered marks of ACORD