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f'►`R 0® CERTIFICATE OF LIABILITY INSURANCE DATE(MMlDDIYYYY)
<br /> 04/30/2020
<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 have ADDITIONAL INSURED provisions or be endorsed.
<br /> If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on
<br /> this certificate does not confer rights to the certificate holder in lieu of such endorsers t(s).
<br /> PRODUCER CONTACT H By Counts
<br /> NAME:
<br /> K&S Insurance Agency PHONE FAX2 4695; c No):ICNo EXt: ( )
<br /> 2255 Ridge Road,Ste.333 E-MAADDRIESS: h unts@kandsins.com
<br /> P.O.BOX 277 INSURER(S)AFFORDING COVERAGE NAIC#
<br /> Rockwall TX 75087 INSURERA: F�CI Insurance Co.
<br /> INSURED INSURERB: B�erfield Insurance Company 10993
<br /> Acree Air Conditioning,Inc INSURER C: Ntional Union Fire Ins Co of Pittsburgh
<br /> 3801 COrporeX Park Dr INSURER D
<br /> #130&150 INSURER E:
<br /> Tampa FL 33619 INSURERF: I
<br /> COVERAGES CERTIFICATE NUMBER: :.j 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 ORO HER DOCUMENT WITH RESPECT TO WHICH THIS
<br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DdS� IBED HEREIN IS SUBJECT TO ALL THE TERMS,
<br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY._PAJD'CIAIMS.
<br /> INSR POLIqY�BFF rd.POLICY EXP
<br /> LTR TYPE OF INSURANCE IN SD WVD POLICY NUMBER MM/Db/YY3'Y s MM/DD LIMITS
<br /> X COMMERCIAL GENERAL LIABILITY S,• •5=~ EACH OCCURRENCE $ 1,000,000
<br /> CLAIMS-MADE ❑X OCCUR ' - PREMISES Ea l 00,000
<br /> . occurrence $
<br /> y'
<br /> - MED EXP(Any,one person S 5,000
<br /> A CPP100045343-01 05/0112020_F 5/01/2021 PERSONAL&ADV INJURY $ 1,000,000
<br /> GEN'L AGGREGATE LIMITAPPLIES PER: t GENERAL AGGREGATE S 2,000,000
<br /> POLICY[g PRO- ❑ 2,000,000
<br /> JECT LOC PRODUCTS-COMP/OPAGG S
<br /> OTHER: $
<br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000
<br /> Ea accident
<br /> ANYAUTO '� BODILY INJURY(Per person) $
<br /> B OWNED X SCHEDULED CA100054173 01/04/2020.
<br /> AUTOS ONLY AUTOS ;Q,1/04/2021 BODILY INJURY(Per accident) $
<br /> -
<br /> HIRED NON-OWNED ! _ PROPERTY DAMAGE $
<br /> IX
<br /> AUTOS ONLY AUTOS ONLY Per accident
<br /> X UMBRELLA LIAR X OCCUR - � i';'; EACH OCCURRENCE S 3,000,000
<br /> C EXCESS LIAR BE015824662 05/01/2020,1-05131/2021 3,000,000
<br /> CLAIMS-MADE t,. AGGREGATE S
<br /> DED RETENTION$ - '.?t-; $
<br /> WORKERS COMPENSATION `'+;.. PER OTH-
<br /> AND EMPLOYERS'LIABILITY Y!N - _ i-. ,j STATUTE ER
<br /> �/� {
<br /> ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ NIA - ] E.L.EACH ACCIDENT $
<br /> OFFICER/MEMBER EXCLUDED?
<br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE S
<br /> If yes,describe under '
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S
<br /> Leased/Rented Equipment
<br /> Limit/Deductible 100,000'/1,000
<br /> A Installation Floater CPP100045343-01 05/04%02Q, '.65/01/2021 Limit/Deductible 10,000/1,000
<br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if inoreyhq,t@,required)
<br /> 'Additional Insured,Waiver of Subrogation and Primary&Non-Contributory forms#CGL088 1/15,CGL08410r/43,CG2001 04/13 apply to the General
<br /> Liability Policy.'Additional Insured,Waiver of Subrogation and Primary&Non-Contributory forms#CAUO,08 6 /gip and CAU082 05/15 apply to the Business
<br /> Auto Policy. iry
<br /> 'ALWAYS REFER TO THE ATTACHED POLICY FORMS FOR SPECIFIC WORDING OF SUCH COV , GE,LIMITS,CONDITIONS&EXCLUSIONS.
<br /> CERTIFICATE HOLDER CANCELLATION E1
<br /> SHOULD At y OF:TtflVABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> THE EXPIRAjIOIJ j}A'{THEREOF,NOTICE WILL BE DELIVERED IN
<br /> City of Zephryhills ACCORDANE.+E WI H-t 'POLICY PROVISIONS.
<br /> 5335 8th Street
<br /> AUTHORIZED REPRESENTATIVE
<br /> Zephryhills FL 35240
<br /> @ 1988-2015 ACORD CORPORATION. All rights reserved.
<br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
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