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AL/+ �j ® DATE(120/20 YYYY} �4.I/�lsl.� CERTIFICATE OF LIABILITY INSURANCE 05/20/2020 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 WANED,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 co TACT Certificates Department NAME: Single Source Insurance PHONE (727)29$-0302 FAX (727)29$-0029 A/C No.Ex! A/C No: 2189 Cleveland Street E-MAIL S: certificates@singlesourceins.com ADDRE Unit 235 INSURER(S)AFFORDING COVERAGE NAIC 0 Clearwater FL 33765 INSURERA: United Specialty Ins Cc 12537 INSURED INSURER B: AmGUARD Insurance Company 42390 Greentek Property Solutions,LLC INSURERC. American Interstate Insurance Company 31895 10220 Hamey Rd INSURER D: INSURER E: 7honotosassa FL 33592 INSURERF: COVERAGES CERTIFICATE NUMBER: CL2052010891 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 INSURANCEAOOLBUBK POLICY EFF POLICY EXP LIMITS LTR I SD WVD POUCYNUMBER MMIDp MM1DD X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 CLAIMS-MADE ®OCCUR PREMISES Ea occurDrenoe $ 100,0 DANIAGE TO 00 MED EXP(Any one person) S 5.000 A Y Y VGGPOO4156 05/22/2020 05112212021 PERSONAL&ADVINJURY $ 1,000,000 GEN'LAGGREGATE LIMITAPPLIES PER: GENERALAGGREGATE $ 2,000,000 PiPOLICY❑JEG Q LOC PRODUCTS-COMPIOPAGG S 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT s 1,000,000 Ea accident ANYAUT4 BODILY INJURY(Per person) $ B OWNED x SCHEDULED GRAU146756 05/22/2020 05/22/2021 BODILY INJURY(Per accident) s AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE S X AUTOS ONLY M — $ AUTOS ONLY Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE S DEC) I I RETENTION$ s WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER ANY PROPRIETORIPARTNER/EXECUTIVE YIN E.L.EACH ACCIDENT $ 0 -... - C OFFICERIMEMBEREXCLUDED? NIA AVWCFL2868$62020 02/13/2020 02/13/2021 1,000, 0 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 00 It yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMITS DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached tf more space Is required) Certificate Holder is listed as Additional Insured with regards to General Liability.Primary&Non-Contributory Wording included.Certificate Holder listed in favor of Waiver of Subrogation with regards to General Liability.30 day written notice in the event of cancellation. CERTIFICATE HOLDER CANCELLATION 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. 5335 8TH ST AUTHORIZED REPRESENTATIVE ZEPHYRHILLS FL 33542 @ 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD