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ACORQ : :. DATE(MMIDD/YYYY) CERTIFICATE OF LIABILITY INSURANCE: 12/07/2020 THIS.CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLYAND CONFERS NO RIGHTS.UPON THE CERTIFICATE HOLDER:THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND-ORALTERTHE 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.4e endorsed. If SUBROGATION IS WAIVED;subject to the terms and conditions of the. olic J p y,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 Mia Bush .. ... NAME: Brown,&Brown of Florida,Inc. PHONE (813)226-1337 (FAXAIC No -(813)226-1313• P.O.Boz:1.73086 .. A RIESS: mbush@bbtampa:com .. INSURERS)AFFORDING COVERAGE NAIC# Tampa FL 33672. :. rNsuRERA: Amerisure Insurance Company .19488 INSURED INSURER B: Amerisure Mutual Insurance Company :" 23396 ' APG Electric,Inc. INSURER c 4825:140th Ave N INSURER D: INSURER E Clearwater a FL 33762 INsuRERF: .. . COVERAGES CERTIFICATE NUMBER: 2021 Contractor Licensing 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 MAYBE 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 ADOL5UBK POLICY EFF POLICY EXP LTR TYPE OF INSURANCE" INSD WVD POLICY NUMBER- MM/DD MM/DD - - LIMITS' COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ X 1,000,000 G o 1,000,000 CLAIMS-MADE .�OCCUR PREMISES Ea occurrence $ MED EXP(Anyone person) 1.: $ 10,000 A GL20662281101 01/01/2021 01/01/2022 :PERSONAL SADVINJURY $.1,000,000 GEN'LAGGREGATE LIMITAPPLIES PER: - GENERAL AGGREGATE $ 2,000,000 POLICY ❑X ECT 7 LOC PRODUCTS-COMP/OPAGG $ 2,000,000 OTHER: .. .. .. $ AUTOMOBILE LUIBILITY COMBINED SINGLE LIMIT. $,1,000,000. - Ea accident X ANYAUTO BODILY INJURY(Per person) $ A OWNED SCHEDULED CA20662261101 01/01/2021 "01/01/2022. .BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE X AUTOS ONLY X AUTOS ONLY Per accident $ Personal Injury Protection $ 10,000 - X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 10,000,000" A EXCESS LIAB CLAIMS-MADE CU20662291101 01/01/2021 01/01/2022 AGGREGATE $ 10,000,000 DED I X1 RETENTION$ O $ WORKERS COMPENSATION PER OTH- X STATUTE ER AND EMPLOYERS',LWBILITY Y/N' ANY PROPRIETOR/PARTNER/EXECUTIVE 1 000,000: A OFFICER/MEMBEREXCLUDED?. '� N/A WC2066230-12 01/01/2021 01/01/2022 E:L.EACHACCIDENT $: � (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes;describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT .$ Installation : Jobsite 2,000,000.- B CPP2066227.1302 0.1/01/2021 . 01/01/2022 Occurrence -10,000,000: DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space is required) License Number.EC0000486 Certificate holder is a General Liability additional insured when required by written contract 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. Building Department 5335 8th Street AUTHORIZED REPRESENTATIVE Zephy'rhills FL 35540 = ©1988-2016 ACORD CORPORATION: All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD