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CERTIFICATE OF LIABILITY INSURANCE (88) ACORL?. . CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 7/27/-200%-- PRODUCER WHITEHORN FINANCIAL GROUP, INC 44 Main Street, Suite 3 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. Millburn, NJ 07041 (973)564-9330 INSURERS AFFORDING COVERAGE NAIC# INSURED Sam Schwartz Engineering, PLLC INSURER A: C. N. A. INSURER B: 611 Broadway, Suite 415 INSURER C: New York, NY 10012 INSURER D: INSURER E: C_nVFRAGFR 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 LTR DD INSRD TYPE 0 AN E POLICY NUMBER POLICY EFFECTIVE DATE MM/DD/YY POLICY EXPIRATION DATE MM/DD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY TF- PREMISES Ea occurenca $ CLAIMSMADE ? OCCUR MED EXP (Any one person) $ PERSONAL &ADVINJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGG $ PRO- LOC POLICY JECT AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT ANYAUTO (Ea accident) $ ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ HIRED AUTOS BODILY INJURY NON-OWNED AUTOS (Peraocident) $ PROPERTY DAMAGE (Peraccident) $ GAR AGE LIABILITY AUTO ONLY- EAACCIDENT $ ANYAUTO OTHERTHAN EAACC $ AUTOONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CI CLAIMSMADE AGGREGATE $ DEDUCTIBLE $ 2001 RETENTION $ $ OT - WORKERS COMPENSATIONAND TORYLIMITS ER EMPLOYERS' LIABILITY OFFICIA RECORDS A D ROPRI TORIPARTNERIEXECUTIVE L E.L. EACH ACCIDENT $ ANY P E S DE T OFFICERIMEMBER EXCLUDED? LEG&A IVE SRVC E.L. DISEASE - EA EMPLOYE $ If yes mdescribe under . S IALPROVISIONS below E.L. DISEASE - POLICY LIMIT $ OTHER Professional AEH 11-404-42-63 09-30-08 09-30-09 $1,000,000 Per Claim Liability $3,000,000 Per Aggregate DESCRIPTION OF OPERATIONS / LOCATIONS /VEHICLES/ EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION City of Clearwater DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN Attn : City Clerk NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL P. O. Box 4748 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Clearwater, FL 33758-4748 EPRESENTATIVES. A RIZED REPRESENTATIVE ACORD25 (2001 /08) ©ACORD CORPORATION 1988