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CERTIFICATE OF LIABILITY INSURANCE (71) ACORD CERTIFICATE OF LIABILITY INSURANCE TM 1DATE2/0055/DDI/2008 08 PRODUCER ME Insurance Associates Inc. 18514 US Hwy 19 N, Suite D2 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Clearwater, Florida 33764 Phone 727 531-9369 Fax 727 531-9379 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURERA: Endurance American S eciailit Ins Co 13033 UNIVERSAL Solutions Inc. INSURERS: Maryland Casualty Company 16535 405 N Reo Street Suite 160 INSURERc: New Hampshire Indemnity Insurance 23833 Tampa, Florida 33609 INSURER D: Phone 813 639-1241 Fax(813)639-1622 INSURER E: rnVFRAnFA 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR L DD' POLICY NUMBER POLICY EFFECTIVE DATE (MMIDD/YYI POLICY EXPIRATION DATE (MWDDfYYI LIMITS ? GENERAL LIABILITY EACH OCCURRENCE $ 2000000 !4-,- - --- - -CQ,MMERCIALGENERALLIABIIJTL' 5ghd1W.S Ge _ $-50000 ----- - CLAIMS MADE 771 OCCUR . MED EXP (Any one person) $ 5000 ECC101004392-00 12/12/08 12/12/09 PERSONAL &ADV INJURY $ 2000000 GENERAL AGGREGATE $ 3000000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP/OP AGG $3000000 RO LOC POLICY P JECT C ? AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT AIG2716776 09/12/08 09/12/09 $ 1000000 ANY AUTO (Ea accident) ALLOWNEDAUTOS 1 BODILY INJURY SCHEDULEDAUTOS F` 5 h? ,' -- (Per person) $ HIREDAUTOS _ BODILY INJURY $ NON-OWNEDAUTOS L (Per accident) 1 1.1 - ( PROPERTYDAMAGE $ (Peraccident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EAACC $ AUTOONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND WTORY C LIMIT ER ?_.. EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE-_.-- .. .__ --- - --E.L_EAGHACCIDENT_.__ $-100-0000-._---_. OFFICER/MEMBEREXCLUDED? WCO326145201 12/12/08 12/12/09 E.L. DISEASE - EA EMPLOYEE $ 1000000 If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ 1000000 OTHER A Professional/Pollution Liability ECC101004392-00 12/12/08 12/12/09 Each Occ $2,000,000 Each Aggregate $3,000,000 DESCRIPTION OF OPERATIONS /LOCATIONS / VEHICLES/ EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS Project #5319 (;tK I IMt;A I t HULUtK 16ANL;tLLA I IUN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION City of Clearwater r { )? i YJ 1' r j DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN Solid Waste Fuel Site a NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL 1701 N Hercules Avenue 11 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Clearwater, Florida 33765 REPRESENTATIVES. RISK MA NAGEM AUT RIZED REPR TATIVE 4 LN ACORD 25 (2001/081 © ACORD CORPORATION 1988 z IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). 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). MSCL.AIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25 (2001108)