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A dr CERTIFICATE OF LIABILITY INSURANCE 111 <br />DTE(MMT.1/YYYY) <br />1/13/2020 <br />THIS CERTIFICATE IS ISSUED ASA 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 BELOW. <br />THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder! a an ADDITIONAL INSURED, the policy (i es) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS <br />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 <br />certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />FrankCrum Insurance Agency, Inc. <br />100 South Missouri Avenue <br />Clearwater. FL 33756 <br />CONTACT NAME' <br />PHONE A/C, No, EXt : 800 277-1620 X 4800 IFAX A/C. No): 727 797-0704 <br />E-MAILADDRESS: <br />INSURERS AFFORDING COVERAGE NAIC# <br />INSURERA: Frank Winston Crum Insurance Company 11600 <br />INSURED <br />FrankCrum UC/F Continental Construction USA, LLC <br />100 South Missouri Avenue <br />Clearwater, FL 33756 <br />INSURER B: <br />INSURER C: <br />INSURER D: <br />INSURER E <br />1 INSURER F: <br />COVERAGES CERTIFICATE NUMBER: 680052 <br />REVISION NIIMRFR- <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMEDABOVE FORTHE POLICY PERIOD INDICATED. <br />NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY <br />PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN <br />MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INBR <br />LTR <br />TYPE OF INSURANCE <br />ADOL <br />INSRD <br />SUBR <br />WD <br />POUCYNUMBER <br />POLICY EFF <br />(POLICY <br />POLICY EXPDI <br />(.MID YYYY) <br />LIMITS <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE S <br />DAMAGE TO RENTED 4 <br />PREMISES Ea occunenae <br />CLAIMS WOE OCCUR <br />MED EXP (Any one person) 4 <br />PERSONAL & ADV INJURY $ <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />GENERALAGGREOATE $ <br />POLICY OPROJECT OLOC <br />PRODUCTSCOMP/OPAGG S <br />OTHER: <br />AUTOMOBILE LIABILITY <br />COMBINED SINGLE LIMIT S <br />IE. ecodent) <br />BODILY INJURY Mnenei,onl5 <br />OWNED AUTOS SCHEDULED <br />BODILY INJURY (PeracoMent) a <br />JANYAUTO <br />ONLY AUTOS <br />HIREDAUTOS NO&OWNED <br />ONLY AUTOSONLY(PeraodI <br />PROPERTYDAMAGE 4 <br />UMBRELLA LIAB <br />OCCUR <br />EACHOCURRENCE <br />AGGREGATE $ <br />EXCqPS UAB <br />CLAIMS -MADE <br />OED I RETENTION $ <br />$ <br />A <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY Y/N <br />WC202000000 <br />01/01/2020 <br />01/01/2021 <br />X PERSTATUTE OTH- <br />ER <br />E., EACH ACCIDENT $1. <br />ANY PROPW ETORIPARTNEWEXECUTIVE <br />OFFICERIMEMBER EXCLUDE% <br />N/A <br />(Mendalary in NH) <br />Iryes,tlooiBeun4er <br />EL. DREASE-EA EMPLOYEE sTma000 <br />DESCRIPTION OF OPERATIONS be. <br />EL DISEASE -POLICY LIMIT sl.MI <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule. may be attached if more space is required) <br />Effective 06/01/2016, coverage is for 100% of the employees of FrankCrum leased to Continental Construction USA, LLC (Client) for whom the client is <br />reporting hours to FrankCrum. Coverage is not extended to statutory employees. <br />CERTIFICATE HOLDER CANCELLATION <br />O 1988-2016 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE <br />POLICY PROVISIONS. <br />AUTHORIZED REP ESEWATIVE <br />Miami -Dade County <br />11805 SW 26th Street, Suite 207 <br />Miami, FL 33175-2474 <br />O 1988-2016 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />