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From:Sylvia A.Johnson CIC,CPIW FaxID� Page 2 of 2 Date:1I23/2013 10:12 AM Page2 of 2 <br /> �'�+1 OP ID:SJ <br /> '`�`...�.°ROW CERTIFICATE OF LIABILITY INSURANCE DATE(MMlDOlYYW) <br /> 0112312013 <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMA710N 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 CER7IFICATE 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 poHcies may require an endorsement. A statement on this certiflcate does not confer rights to the <br /> certiflcate holder in lieu of such endorsement s. <br /> PRODUCER Phone:407-830-7827 �E: <br /> HIG Insurance Commercial Fax:407-260-0216 PHOrE Fax <br /> 880 East SR 434 rc No Ext: A1C No: <br /> Longwood,FL 32750 E-Mai� <br /> Chase Herbig '4D��ss� <br /> CUSTOMERID i:W�NST-� <br /> INSURE 3 AFFORDING COVERAGE NAIC/ <br /> INSURED Winston Clarke LLC INSURERA Allied P 8�C Insurance Company 42579 <br /> DBA Clarke Electric <br /> 3106 Lauressa Lane INSURERB <br /> Orlando,FL 32805 INSURER C <br /> INSURER D <br /> INSURER E <br /> INSURER F. <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 PER�OD <br /> INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WffH 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 /> �7R TYPE OF INSURANCE POLICY NUMBER MMlDDlYYYY MM1DD/`/YYY LIMRS <br /> GENERALLIABILITY EACHOCCURRENCE $ 'I,OOO,OO <br /> 14 X COMMERCIALGENERALLIABILITY ACPGLZ05904953630 �6��6120�2 06/06l2013 pREMISES Eeotturrence $ �ODr00� <br /> CLAIMSMADE �OCCUR MED EXP(Any one person) $ 3,00 <br /> PERSONAL&ADV INJURY $ ��OOO�OOO <br /> GENERAL AGGREGATE $ Z�OOO�OO <br /> GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/0P AGG $ ��OOO�OOO <br /> POLICY PR� LOC $ <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> ANY AUTO (Ea acaden[) $ <br /> BODILY INJURY(Per person) $ <br /> ALL OWNED AUTOS BODILY INJURY(Per acadent) $ <br /> SCHEDULED AUTOS PROPERTY DAMAGE <br /> HIRED AUTOS (Per accidenq $ <br /> NON-OWNED AUTOS $ <br /> $ <br /> UMBRELLA LIAB OCCUR EACH OCCURRENCE $ <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $ <br /> DEDUCTIBLE $ <br /> RETENTION $ g <br /> WORKERS COMPENSATION W C STATU- OTH- <br /> ArD EMPLOVERS'LIABILITY Y�N TORY LIMITS ER <br /> ANY PROPRIETORIPARTNERlEXECUTNE E L EACH ACCIDENT $ <br /> OFFICERIMEMBER EXCLUDED� � N�A <br /> (Mandatory in NH) E L.DISEASE-EA EMPLOYEE $ <br /> If yes,destribe under <br /> DESCRIPTION OF OPERATIONS below E L DISEASE-POLICY LIMIT $ <br /> �ESCRIPTION OF OPERATIONS 1 LOCATIONS!VEFACLES (Altach ACORD 101,Additfonal Rsmarks Schedule,if more space is required) <br /> Electric Work - within Bldgs <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF TNE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> City of Zephyrhills ACCORDANCE WITH TNE POLICY PROVI810NS. <br /> 5335 8th Street q�{►p{�ZED REPRESENTATNE <br /> Zephyrhills, FL 33542 �� <br /> O 1888-2008 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2009l09) The ACORD name and logo are registered marks of ACORD <br />