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� � CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDM'YY)
<br /> ACORL�
<br /> 7/18/2013
<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), AUTHORI2ED
<br /> �� REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
<br /> IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to ii
<br /> , the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the i
<br /> ' certiflcate holder in lieu of such endorsement s. '
<br /> PRODUCER T �
<br /> NAME:
<br /> Bowen, Miclette&Britt of Sarasota, LLC PHONE Fnx
<br /> - - A/C No: - -
<br /> 1605 Main Street E-MAIL
<br /> Suite 910 ADDRESS
<br /> Sarasota FL 34236 INSURER S AFFORDING COVERAGE NAIC#
<br /> INSURER A:
<br /> I INSURED CROSSENVIR INSURER B: I
<br /> I C,fOSS EllVlf011171@Ilt8�.5@Il/IC@S, �IIC INSURERC. I
<br /> I P O BOX�Z99 INSURER D:
<br /> 'I Crystal Springs FL 33524
<br /> INSURER E:
<br /> INSURER F: I
<br /> COVERAGES CERTIFICATE NUMBER:709625344 REVISION NUMBER: I
<br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE WSURED NAMED ABOVE FOR THE POLICY PERIOD '
<br /> INDICATED NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH 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 /> INSR 7ypE OF INSURANCE POLICY EFF POLICY EXP LIMITS
<br /> LTR INSR NND POLICY NUMBER MMIDD/YYYY MMlDD/YYYY
<br /> I A GENERALLIABILITY ECPO150718014 11/1/2012 /1/2014 EACHOCCURRENCE $1,000,000
<br /> X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED
<br /> PREMISES Ea occurrence 5100,000
<br /> CLAIMS-MADE �OCCUR MED EXP(Any one person) $5,000
<br /> '� X MaxAgg/POlicy PERSONAL&ADVINJURY $1,000,000
<br /> Limit 10,000,000 GENERAL AGGREGATE $2,000,000
<br /> GEN'LAGGREGATELIMITAPPLIESPER� PRODUCTS-COMPlOPAGG $2,000,000
<br /> POLICY X PRO- LOC $
<br /> B AUTOMOBILE LIABILITY BAP15071791 11l1/2012 /1/2014
<br /> Ea acadent 1 000,000 �
<br /> X ANY AUTO BODILY INJURY(Per person) $
<br /> ALL OWNED SCHEDULED BODILY INJURY(Peraccident) $
<br /> AUTOS AUTOS
<br /> NON-OWNED PROPERTY DAMAGE
<br /> X HIREDAUTOS X AUTOS Peraccident $
<br /> $
<br /> A UMBRE�LA LIAB X OCCUR FFX150718114 11/1/2012 /1/2014 EACH OCCURRENCE $5,000,000
<br /> �', X EXCESS LIAB CLAIMS-MADE AGGREGATE $5,000,000
<br /> � DED RETENTION$ $
<br /> � g WORKERS COMPENSATION CA150903614 (1/2013 /1/2014 X �STATU- OTH-
<br /> AND EMPLOYERS'LIABILITY �,�N
<br /> ANY PROPRIETOR/PARTNER/EXECUTIVE E L.EACH ACCIDENT $1,000,000
<br /> OFFICER/MEMBEREXCLUDED� � N�A
<br /> (Mandatory in NH) E L DISEASE-EA EMPLOYE $1,000,000
<br /> If yes,describe under
<br /> i DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 ,
<br /> '4 Contractors Pollution Liability ECP0150718014 11/1l2012 /1l2014 Each Poll Condition 1,000,000
<br /> Prof �iability(Claims Made) Each Claim 1,000,000
<br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Sehedule,if more space(s required) I�
<br /> Contractors Pollution and Professional serve to reduce the General Aggregate.
<br /> j When required by written contract,those Parties listed in said contract, including the certificate holder, are added as an Additional Insured
<br /> with regard to General Liability as afforded by the policy and/or endorsements.
<br /> CERTIFICATE HOLDER CANCELLATION
<br /> , SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> ' THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> City of Zephyrhills ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> 5335 8th Street
<br /> �' Zephyrhl��S FL 33542 AUTHORIZEDREPRESENTATIVE
<br /> ' �`�����-
<br /> O 1988-2010 ACORD CORPORATION. All rights reserved.
<br /> ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD
<br /> I
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