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A�� CERTIFICATE OF LIABILITY INSURANCE �4/04 2017rn 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 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 lieu of such endorsement(s). PRODUCER CONTAC A.KILBRIDE INSURANCE INC. NaMe: EfIC M8 12S 1401 W.Busch Blvd. a�c°NN e�c: 813-931-7467 ac N,: 813-932-7336 Tampa,FI 33612 a oREss: certificate akilbride.com 813.931.7467 Phone 813.932.7336 Fax INSURER S AFFORDING COVERAGE NAIC# �r,su�Ra:'Ma fre Insurance Co of Florida 34932 INSURED INSURERB:Ma fl"e Insurance Co of Florida 34932 Henderson Irrigation Inc 4511 Bethlehem Road INSURER C: Plant City,FL 33566 INSURERD: F�OC'l CId Ci trus Busi ness & IndS U11d �r,suReRe: Ameri can Zuri ch Insurance Co INSURER F: COVERAGES CERTIFICATE 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 TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, 'i EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. �� TYPE OF INSURANCE ADDL SUBR pOIICY NUMBER MMIDDY EFF M�DpY EXP LIMITS GENERALLIABILITY EACHOCCURRENCE $ 'I,OOO,OOO ✓ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED 'I OO,OOO PREMISES Ea occurrence $ A CLAIMS-MADE � OCCUR 4250170025113 Q2�1Q�1] QZ�1Q�],$ MED IXP(Any ane person). $ 5,00� �/ ContractualLiability PERSONALBADVINJURY $ 1,000,000 GENERALAGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 ✓ POLICY PR�� LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT �,OOO,OOO Ea acddent $ ANY AUTO BODILY INJURY(Per person) $ ALL OWNED � SCHEDULED 4150170013651 02/14/17 �2��.4�1$ gODILY INJURY(Peracadent) $ B AUTOS AUTOS ✓ HIRED AUTOS � NON-OWNED PROPERTY DAMAGE $ AUTOS Per acadent Personallnjury $ 10,000 UMBRELLA LIAB OCCUR � EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION � WC STATU- OTH- AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y�N E.L.EACH ACCIDENT $ 'I,OOO,OOO � OFFICER/MEMBEREXCLUDED7 � N�A 10654109 - Florida 02�14�1� �2�14�18 1,0��,000 I (Mandatory In NH) E.L.DISEASE-EA EMPLOYE $ If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ � Inland Marine/Contractor's Equipment coverage limit: $ 84,393 E Equipment Policy Equipment Coverage deductible: $ 1,000 EC05650793 06/05/16 06/05/17 DESCRIPTION OF OPERATIONS/LOCATIONS 1 VEHICLES(Attach ACORD 101,Addltlonal Remarks Schedule,if more space Is requlred) Russie E. Henderson Jr Contractor#25527 Irrigation contractor License SP13989 CERTIFICATE HOLDER CANCELLATION City of Zephryhills-Building Department 5335 8th Street SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Z@ Il Il1IIS, FL 33542 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN P rY ACCORDANCE WITH THE POLICY PROVISIONS. 813-780-0021 Fax AUTHORIZED REPRESENTATIVE O - 010 ACORD CORPORATION. All rig s reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD