Laserfiche WebLink
A�" CERTIFICATE OF LIABILITY INSURANCE DATi_(MMIDDIYYYY) <br /> OTIOT1202G <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS <br /> CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br /> BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br /> REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. <br /> IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to <br /> the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br /> certificate holder in lieu of such endorsement(s). <br /> PRODUCER CONTACT Rich Saltzman <br /> NAME: <br /> Brightway Insurance PHONE . 813 3815498 Fax No,. B13 375 9626 <br /> AtC <br /> 13909 N Dale Mabry HWY Ste 104 E°"AIL s. rich.saltzman@brightway.com <br /> Tampa FL 33618 INSURER AFFORDING COVERAGE NAIC* <br /> INSURERA: Cypress Property&Casualty 10953 <br /> INSURED INSURERB. Progressive Insurance Company 10193 <br /> Aladdin Electric,Inc. INSURERC: <br /> 2602 Shorewood Ln INSURER D <br /> Land O Lakes FL 34639 INSURERE: <br /> IINSURERF: <br /> COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br /> INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> INSR TYPE OF INSURANCE ADDLSUBR POLICY EFF POLICY EXP <br /> LTR POUCYNUMBER 611DD MIDD LIMITS <br /> GENERAL LIABILITY <br /> EACH OCCURRENCE $ 1000000 <br /> X COMMERCIAL GENERAL LIABILITY 1 OQO00 <br /> PREMISES'Ea occurrence $ <br /> CLAIMS-MADE F OCCUR MED EXP(Any one arson) $ 5000 <br /> A Y Y FGL 502165400 10/17/2019 10/17/2020 PERSONAL&ADV INJURY $ 1000000 <br /> GENERAL AGGREGATE $ 2000000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 1000000 <br /> X POLICY JF <br /> PRo Los $ <br /> AUTOMOBILE UABIUTY COMBINED SINGLE LIMIT <br /> 1000000 <br /> Ea accident <br /> ANY AUTO BODILY INJURY(Per person) $ <br /> B ALL OWNED X SCHEDULED Y Y 05808015-3 01/05/2020 01/05/2021 BODILY INJURY(Fer accident) $ <br /> AUTOS AUTOS <br /> X HREDAUTOS X NON-OWNED PROPERTY DAMAGE $ <br /> AUTOS Peracrdent <br /> $ <br /> UMBRELLA U" OCCUR EACH OCCURRENCE $ <br /> EXCESS UAB CLAIMS-MADE AGGREGATE $ <br /> DED I I RETENTION$ $ <br /> WORKERS COMPENSATION WC STATU OTH- <br /> AND EMPLOYERS'LIABILITY Y/N TORY LIMIT ER <br /> ANY PROPRIETORIPARTNER/ ECUTIVE ❑N 1 A E.L.EACH ACCIDENT $ <br /> OFFICERIMEMBER EXCLUDED? <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below <br /> E.L.DISEASE-POUCYUMIT $ <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks schedule,If more space is required) <br /> Certificate holder below is additional named insured on policies above. <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> City of Zephyrhills-Building Department THE EXPIRATION DATE THEREOF, NOTICE V ALL BE DELIVERED IN <br /> 5335 8th Street ACCORDANCE WITH THE POLICY PROVISIONS. <br /> Zephyrhills FL 33542 <br /> ALIT►+ �� NE�NTAT <br /> 7e, <br /> ACORD 25(2010105) c =2010 ACORD CORPORATION. All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br />