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aCo CERTIFICATE OF LIABILITY-INSURANCE DATE(MM/DD/YYYY) 04128/2020 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 NAME CT Gary McLean JAMERSON MCLEAN CORP q/C"N 407 366-3482 aC No): (407)366-8508 PO Box 621149 n DRESS: Gmclean@_jmcleaninsurance.com Oviedo,FL 32762 INSURERS AFFORDING COVERAGE NAIC q INSURERA: Charter Oak Fire Insurance Co. 25615 INSURED INSURER B: Travelers Indemnity Company of America 25666 BAHRS PROPANE GAS&AIR CONDITIONING,INC. INSURER c: Insurance Company of The West 27847 INSURER D: 4441 Allen Road INSURER E: Ze h rhills FL 33541 FL 33541 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. I�7R TYPE OF INSURANCE ADDL SUER POLICY EFF POLICY EXP POLICY NUMBER MM/DD/YYYY MM/DDIYYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED CLAIMS-MADE 7X]OCCUR PREMISES Ea occurrence) $ 100,000 MED EXP(Any one person) $ 6.000 A Y-660-0P136306-COF-19 09101/2019 0910112020 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2000000 X POLICY ECOT- LOG PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY0 INGLE LIMIT (CEO,a'deS $ 1,000,000 X ANY AUTO BODILY INJURY(Per person) $ B AUTOS ONLY AUTOS OWNED SCHEDULED BA-OP138999-19-14-G 09/01/2019 09/0112020 BODILY INJURY(Per accident) $ X HIRED Ix NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAR HCLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION X STATUTE ERH AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y/" E.L.EACH ACCIDENT $ 1.000.000 C OFFICER/MEMBER EXCLUDED? FY] N/A WFL503659703 05/11/2020 05111/2021 (Mandatory In NH) E.L.DISEASE-EA EMPLOYE $ 11000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space Is required) Fax#813-780-0021 CERTIFICATE HOLDER CANCELLATION City of Zephyrhills SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Building Department THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 5335 8th Street ACCORDANCE WITH THE POLICY PROVISIONS. Zephyrhills,FL 33542 AUTHORIZED REPRESENTA ©198 2015 C R CO RATIO II rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD