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CERTIFICATE OF LIABILITY INSURANCE (133) .aco?zo® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 05/04/2010 PRODUCER Aon Ri sk services south, Inc. Aon THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY Franklin TN office AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS 501 Corporate Centre Drive CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE Suite 300 COVERAGE AFFORDED BY THE POLICIES BELOW. F kli TN 37067 USA ran n INSURERS AFFORDING COVERAGE NAIC# PHONE-(866) 283-7122 FAX-(847) 953-5390 INSURED INSURERA: Lexington Insurance Company 19437 •• Malcolm Pirnie, Inc. u 104 Corporate Park Drive INSURER B: y white Plains NY 10602 USA INSURERC INSURER D: i, INSURER E: p COVF.RAC.F.S SIR applies Der terms and conditions of the DOlicv x 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. LIMITS SHOWN ARE AS REQUESTED INSR ADD' LTR INSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS DATE(MM/DD/YYYY DATE(MM/DD/YYYY) GENERAL LIABILITY EACH OCCURRENCE COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED - PREMISES (Ea occurrence) CLAIMS MADE F 1 OCCUR MED EXP Any one person) PERSONAL &ADV INJURY ? GENERAL AGGREGATE ' GEN L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGG ? POLICY ? PRO- ? LOC JECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS ( Per person) HIRED AUTOS BODILY INJURY NON OWNED AUTOS (Per accident) PROPERTY DAMAGE P id t ( er acc en ) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT H ANY AUTO OTHER THAN EA ACC AUTO ONLY AGG EXCESS / UMBRELLA LIABILITY EACH OCCURRENCE OCCUR r-1 CLAIMS MADE AGGREGATE DEDUCTIBLE RETENTION WC STATU- OTH- WORKERS COMPENSATION AND TORY LIMITS ER EMPLOYERS' LIABILITY Y/N E.L. EACH ACCIDENT ANY PROPRIETOR/ PARTNER/ EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandator in NH) E.L. DISEASE-EA EMPLOYEE y E.L. DISEASE-POLICY LIMIT Ifyes, describe under SPECIAL PROVISIONS below A 015448957 06/01/2009 06/01/2010 Each claim $1 000 000 OTHER Prof & Poll Liab , , Annual Aggregate $1,000,000 Archit&Eng Prof DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Re: All operations of the Named Insured. For Professional Liability coverage, the Aggregate Limit is the total insurance available for claims presented within the policy period for all operations of the insured. The Limit will be reduced by payments of indemnity and expense. CERTIFICATE HOLDER CANCELLATION city of Clearwater SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Attn : City clerk DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL P.O. BOX 5748 30 DAYS NbRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Clearwater FL 337 58 USA BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE canO?c ?s6ureeD ?t???zzo. ACORD 25 (2009/01) ©1988-2009 ACORD CORPORATION. All rights reserve The ACORD name and logo are registered marks of ACORD 00 n 00 m O O n Z u w a+ i, W Attachment to ACORD Certificate for Malcolm Pi rni e , Inc. The terms, conditions and provisions noted below are hereby attached to the captioned certificate as additional description of the coverage afforded by the insurer(s). This attachment does not contain all terms, conditions, coverages or exclusions contained in the policy. INSURED Malcolm Pirnie, Inc. 104 corporate Park Drive white Plains NY 10602 USA INSURER INSURER INSURER INSURER INSURER ADDITIONAL POLICIES If a policy below does not include limit information, refer to the corresponding policy on the ACORD certificate form for policy limits. INSR LTR ADD'L INSRD TYPE OF INSURANCE POLICY NUMBER POLICY DESCRIPTION POLICY EFFECTIVE DATE POLICY EXPIRATION DATE LIMITS OTHER El claims-Made El Professional Liabil F1 and contractors El Pollution Liability DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Cancellation Provision shown herein is sub7'ect to shorter or longer time periods depending on the jurisdiction of, and reason for, the cancellation. Certificate No : 570038738594