COI Expires 02/21/2021 DATE(MM/DD/YYYY)
AC"RL> CERTIFICATE OF LIABILITY INSURANCE 03/02/2020
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 WAIVED, 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 CONTACT SUSAN TORRES#V\1609667
FLORIDA COMMERCIAL INSURANCE AGENCY LLC NAME:
PHONE FAX 813 283 9039
3014 N US HWY 301, ST E 400 Arc No EXt: A/c No):
TAMPA, FL 33619 a DD MAIL
office@commercial-ins.com
INSURER(S)AFFORDING COVERAGE NAIC#
INSURERA: Security National Insurance Company 19879
INSURED 3RD GENERATION PLUMBING INC INSURERB: Travelers Property Casualty Company of America 25674
3980 OVERSEAS HIGHWAY INSURERC: AGCS Marine Insurance Company 22837
MARATHON, FL 33050
INSURER D
INSURER E
INSURER F:
COVERAGES CERTIFICATE NUMBER: 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 ADDL SUBR POLICY EFF POLICY EXP
TYPE OF INSURANCE
LTR INSD WVD POLICY NUMBER MM/DD/YYYY MWDD/YYYY LIMITS
A COMMERCIAL GENERAL LIABILITY Y Y SES1791224-01 02/21/2020 02/21/2021 EACH OCCURRENCE $ 1,000,000
DA AGE TED
CLAIMS-MADE �OCCUR PREM SESOEa occurrence) $ 100,000
MED EXP(Any one person) $ 5,000
PERSONAL&ADV INJURY $ 1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000
POLICY [\/] jE LOC PRODUCTS-COMP/OP AGG $ 2,000,000
OTHER: $
B AUTOMOBILE LIABILITY Y Y BA-OP688518-20-42-G 02/21/2020 02/21/2021 COMBINED SINGLE LIMIT $ 1,000,000
Ea accident
ANY AUTO BODILY INJURY(Per person) $
OWNED SCHEDULED BODILY INJURY(Per accident) $
AUTOS ONLY AUTOS
/ HIRED L\1
NON-OWNED PROPERTYDAMAGE $
AUTOS ONLY AUTOS ONLY Per accident
UMBRELLA LIAB OCCUR APPROVEU K16K IVIANAULIVILINI I EACH OCCURRENCE $
EXCESS LIAB CLAIMS-MADE AGGREGATE $
DED RETENTION$ $
WORKERS COMPENSATION PER OTH-
AND EMPLOYERS'LIABILITY Y/N MARIA L. SLAVI K 3-11-2020 STATUTE ER
ANY PROPRIETOR/PARTNER/EXECUI VE ❑ E.L.EACH ACCIDENT $
OFFICER/MEMBER EXCLUDED? N/A
(Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $
If yes,describe under
DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $
C EQUIPMENT(COMM INLAND MARIN 12595173RBRC 02/21/2020 02/21/2021 SHECULED EQUIP $31,000
RENTED/LEASED EQ $10,000
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required)
License: CFC055680
Certificate holderis included asan additional insured forongoing and completed operations(CG 2033 0704, CG 2037 0704)where required bywritten contra
A waiver of subrogation appliesin favor of certificate holderwhen required by written contract(CG 2404 0509). Coverage isprimary and non-contributory whe
required by written contract(NXGL009 0809).A per project aggregate limit(5m Cap)applieswhen required by written contract(NXGL093 0809).
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Monroe County BOCC ACCORDANCE WITH THE POLICY PROVISIONS.
1100 Simonton St., Suite 2-256
Key West, FL 33041 AUTHORIZED REPRESENTATIVE
@ 1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD