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� � NEWTE-1 OP ID:SP ACOR� CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYY) �� 04/13/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICAT�DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. TH S CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED : REPRESENT�TIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT� If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED,subject to the terms an conditions of the policy,certain,policies may require an endorsement. A statement on this certificate does not confer rights to the certificate hol,der in lieu of such endorsement(s). PRODUCER CONTACT ' Gifford-Heiden I s-NGNG NnMe: Victor L.Garraus 111 E Venice Adenue ac°NN e:r:941-484-0681 ac,No: 941-485-3835 Venice,FL 3428� AonR�ess:victorgarraus giffordheidenins.com Victor L.Garraus INSURER(S)AFFORDING COVERAGE NAIC# iNsuReRA:Auto-Owners Insurance Co 18988 � INSURED N w-Tech Construction Corp INSURER B:SOUtII@�I7-OWII@I'S If1S CO 10190 15 9 Barber Road iNsuReR c:Lloyds' London S rasota, FL 34240 , INSURER D: INSURER E: INSURER F• � COVERAGES I CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO C RTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. OTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE IMAY 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 PAID CLAIMS. INSR 7�ypE OF INSURANCE ADDL 5 B POLICY EFF POUCY EXP LIMITS LTR N D WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY B X COMME CIAL GENERAL LIABILITY EACH OCCURRENCE $ 'I,OOO,OOO CLAIMS-MADE � OCCUR 20587219 04/27/20�6 04/27/2017 pREMISES Ea cwEence $ 300,00� X XCU/dontract MED EXP(My one person) $ 10,000 PERSONAL 8 ADV INJURY $ 'I,OOO,OOO GEN'L AGGR GATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 3,000,000 POLICY� PRO- ❑ JECT LOC PRODUCTS-COMP/OP AGG $ 3,000,000 OTHER: BI(II'RISIC $ 5��,00� AUTOMOBIL�LIABIUTY COMBINED SINGLE LIMR Eaaccident $ �,��,00� A X ANY AUTO 4230376900-SEE AUTO �4/2��2��6 04/27/2017 BODILY INJURY(Per person) $ ALLO�ED SCHEDULED AUTOS X AUTOS BODILY INJURY(Per accident) $ X HIRED UTOS X NON-OWNED PROPERTY DAMAGE $ TOS Per accident X Comp�$500 X �o i$soo $ UMBRE LA LIAB X OCCUR EACH OCCURRENCE $ S,OOO,OOO A EXCES LIAB CLAIMS-MADE 4230376901 04/27/2016 04/27/2017 AGGREGATE $ 5,000,000 DED � RETENTION$ �O,OOO g � WORKERS C MPENSATION PER OTH- AND EMPLO ERS'LIABILITY STATUTE ER ANY PROPRI TOR/PARTNER/EXECUTIVE Y�N E.L.EACH ACCIDENT $ OFFICER/ME BER EXCLUDED? � N/A (Mandatory ir�NH) E.L.DISEASE-EA EMPLOYEE $ If yes,descr�b under DESCRIPTIO�OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ C PROFESSyIONAL LIAB 60621PNEWT000215 03/07/2016 04/27/2017 PROF LIAB 1,000,000 C POLLUT/iNVIRO LIAB B0621PNEWT000215 03/O7/2016 04/27/2017 POLUENVI 1,000,000 DESCRIPTION OF PERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedute,may be attached if more space Is requlred) COSPER L. ULLOS JR., LIC#EC0001689 IS COVERED UNDER GENERAL LIABILITY FAX 1-813-7 0-0021 CERTIFICATE HOLDER CANCELLATION ZEPH001 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Clt of Ze h I'hIIIS THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Y P Y ACCORDANCE WITH THE POLICY PROVISIONS. Building Dept. 5335 8th Street AUTHORIZED REPRESENTATIVE �ephyrhills, FL 33542 ' / �� (/�C�O"r'U �4/?/1.r.t.ccG/ I O 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD