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``` °RO� CERTIFICATE OF LIABILITY INSURANCE �A�(M�D/YYY1� 06�09�2�„ THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFiCATE HOLDER. THIS CERTIFICATE DOE3 NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF IN3URANCE DOES NOT CONSTITUTE A CONTRACT BETYVEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certHicate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, sub)ect to the terms and conditions of the policy, certain policies may require an endorsemenL A statement on this certiflcate does not confer rights to the certificate holder in lieu of such endorsement(s). PROpUCER MCGRIFF, SEIBELS � WILLIAMS, INC. NAME: P.O. Bwc 10265 PHONE gpp_47��11 FAX Birmingham, AL 35202 C N Ext ; � No : aMAll ADDRES3: INSURER S AFFORDIN6 COVERAGE NAIC 0 INSURED INSUREn q:Associated Eledric 8 Gas Ins. Svcs. Peoples Gas System qrsurtErt s:Libe Insurance Cor . TECO Energy, Inc. P.O. BOX 711 INSURER C: Tampa, FL 33601 iNSURert D: INSURER E . INSURER P : COVERAGES , CERTIFICATE NUMBER:vwG2�8Y� REVISION NUMBER: THIS IS TO CERTIFY THqT THE POLICIES OF INSURANCE LISTED BELOW HAVE gEEN ISSUED TO THE INSURED NAMED ABWE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECTTO 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 POUCIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE Oi INSURANCE PpLICY NUMBER ��r EFF POLICY EXP p` GENERAL LIABILITY M �� M� L1MRS X0521A1A10 07/01/2010 07/01/2011 Self-InsuredRetention EACHOCCURRENCe g 1,000,000 CAMMERCIAL GENERAL LIABILI7Y $1,000,000 X PREMISES Ea occwrrence $ CIAIMS-MADE OCCUR MED EXP (My one person) $ PERSONAL & ADV INJURY $ GENERALqGGREGATE S 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRa LOC PRODUCTS - COMP/OP AGG $ AUTOMOBILE LIABILIIY $ � �� I L L ANY AUTO ALL OWNED SCHEDULED BODILY INJURY (Per parson) $ AUTOS NpN��NED BODILY INJURY (Per aocident) $ HIRED AUTOS AUTOS PROPERTY DAMAGE Per accident $ UMBRELLA LIqB $ OCCUR EXCESS LIAB EACH OCCURRENCE $ CLAIMS-MADE AGGREGATE f DED RETENTION $ WORKERS COMPENSATpN $ AND EMPLOYERS' LIABILITY T C STI T p R ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N OPFICERIMEMBER EXCLUOED7 a N/ A E.L. EACH ACCIDENT $ (Mandatory in NH) �fy� desaibe under E.L. DISEASE - EA EMPLOYEE $ DESCRIPTION OF OpERAT10NS below B EXCESS WC EW764N004913110 E.L. DISEASE - POLICY LIMIT $ Excess Workers' Compensation o8/01/2010 07/01/2011 Each Accident or Each Employee ior Disease S 1,000,000 S $ DESCRIPTION OF OPERATIONS / LOCATIONS ! VEHICLES (pttaeh ACORD 107, AddMionsl Remarks Seheduls, H more s $ Excess liability policy provides insurance in excess of Peoples Gas System's Self-Insured Retention as stat d abov�e. 'WC Statutory Limit is excess of $35,000,000 (i�sured by Liberty Insurance Corporation) CERTIFICATE HOLDER CANCELLATION SHOUID ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DA7ETHEREOF, NOTICE WILL BE DELNERED IN ACCORDANCE WITHTHE POLICY PROVISIONS. Creative Contractors IItC. M1T}iORIZED REPRESENTATIVE 620 Drew Sheet � Clearwater, FL 33755 , ��,p „ a . �, � �J ACORD 25 2010/05 Pase � of � O 1988-2010 ACORD CORPORATION. All rights reserved. � ) The ACORD name and logo are registered marka of ACORD