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ADEPA-1 OP ID:TT DATE(MM/DD/YYYY) '`�C�R� CERTIFICATE OF LIABILITY INSURANCE �i 11@1/2018 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 have ADDITIONAL 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 lieu of such endorsement(s). PRODUCER 813-681-4893 NAME?CT Fairchild,Addison&McKone Fairchild,Addison&McKone PHONE 813-681-4893 (FAX 813-685-8610 P.O.Box 1030 A/C,No,Ext): (A/c,No): Brandon,FL 33509-1030 E-MAIL C0101FAMIns.corn Fairchild,Addison&McKone ADDRESS: INSURERS AFFORDING COVERAGE NAIC# INSURER A:Southern-Owners Ins 10190 INSURED Adept AC Service Corp INSURER B:Auto-Owners Insurance 18988 Tim Sherman 18402 Turning PI INSURER CAssociated Industries Ins Co 23140 Lutz,FL 33549 INSURER D: INSURER E: 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, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE DDL UBR ID POLICY NUMBER POLICY EFF POLICY EXPLTR LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE OCCUR 20093464 03/01/2018 03/01/2019 DA AGET Ea NTED $ 300,000 MED EXP(Any oneperson) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY JEST LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ B AUTOMOBILE LIABILITY CO MBII tlED SINGLE LIMIT $ 300,000 (Ea a= ent)ANY AUTO 5109346400 06/12/2018 06/12/2019 BODILY INJURY Perperson) $ OWNED SCHEDULED AUTOS ONLY Ix AUUTNOOS BODILY INJURY Per accident $ XAUTOS ONLY AUTOS ONL� Pe�aden DAMAGE $ PIP 10,000 UMBRELLA UAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ C WORKERS COMPENSATION AND EMPLOYERS'LIABILITY Y/N X STT E EORTH ANY PROPRIETOR/PARTNER/EXECUTIVE WC1107551 O6/20/2018 06/20/2019 E.L.EACH ACCIDENT $ 100,000 ❑ OFFICER/MEMBEREXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 100,000 If yes,describe under 600,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE---POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) CERTIFICATE HOLDER CANCELLATION CITYZ-1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Zephyrhills ACCORDANCE WITH THE POLICY PROVISIONS. 6335 8th Street Zephyrhills, FL 33542 AUTHORIZED REPRESENTATIVE Fairchild,Addison&McKone ,\v\ ACORD 25(2016/03) ©1988-2015 ACORD CORPO ON. All rights reserved. The ACORD name and logo are registered marks of ACORD