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- TOGBORN DIXISIG 01. DATE(MMIDDIY.YYY) AaRD`.. CERTIFICATE OF LIABILITY INSURANCE �.��.-✓ 12/23/2019 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 CONTACT :. Snellings"Walters Insurance Agency PHONE 77 Fax 1117.Perimeter Center West (AIC,.No,.Ext:{ 0)396-960Q.: Arc;No:(770)399-9886 E-MAIL— Suite W101 ADDRESS: Atlanta,GA..30338 INSURERS AFFORDING COVERAGE - NAtC# INSURERA:The Charter Oak Fire Insurance Co. 25615 wsuRE6:' INSURER B:The Phoenix Insurance Company 25623 INSURER c:Travelers Property Casualty Company of Afnerica 25674 Dixie Signs,Inc. INSURER D:Brid efield Em to e'rs Insurance Companv 1070- INSURER E: " - .. INSURERF: "' 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 ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR _ INSD WVD M /DD/YYY MM/D /YYY A X COMMERCIAL EACH OCCURRENCE $GENERAL LIABILITY -1,000,000 . RENc ED $nce CLAIMS-MADE a'OCCUR 630-9M767560 1/1/2020 1/1/2021' 'DAMAGE REMI .S TOEa o T 300,000 � MED EXP(Any one p erson $ 6J',000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER:: :..' GENERAL AGGREGATE $ X POLICYI X JE O X LOC PRODUCTS-COMP/OP AGG. $ 2,000,000 OTHER: $ B AUTOMOBILE LIABILITY COMBINED SINGLE OBINEDSINGLE LIMIT $ 1,000,000 accident), X ANY-AUTO 810-9M763597-20 1/112020, 1/1/2021 BODILY INJURY PerPerson) $ OWNED SCHEDULED AUTOS ONLY AUTOS - -BODILY INJURY Per accident $ X HIRED X NON-OWNED PPe°aca I)IAMAGE :- $ AUTOS ONLY - AUTOS ONLY $ C X, UMBREL_A UAB X ,OCCUR EACH OCCURRENCE $ 5,000,000 EXCESS LIAB CLAIMS-MADE CUP-9M768913-20 1/1/2020 1/1/2021 AGGREGATE $ 5,000,000 . ..DED. X RETENTION$ 10,000 $ D WORKERS COMPENSATION X PER OTH- AND EMPLOYERS'LIABILITY - " T T TE ER t N 83022687- 1/1/2020' 1/112021 600,000 ANY PROPRIETOR/PARTNER/EXECUTIVE .Y E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? a NIA (Mandatory in NH) 'E.L.DISEASE-EA EMPLOYEE $ 600,000 If yes,describe under 500,000 DESCRIPTION OF OPERATIONS below E.C.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES'(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF.THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City ofZe h rhilis Attn:Building Department THE EXPIRATION -DATE THEREOF, NOTICE WILL BE DELIVERED.IN tY P Y 9 P ACCORDANCE WITH-THE POLICY PROVISIONS. 5335 8th Street Zephyrhills;FL 33542-4312 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2016 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD