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CERTIFICATE OF LIABILITY INSURANCE (186)Glient#: 292011 80MCKIMCRE AC�RDTM CERTIFICATE �F LIABILITY INSURANCE DATE�MM/�p/YYYY) 9101/2011 THIS GERTIFICATE 15 ISSUED AS A MATTER OF INFORMATIpN QNLY AND CpNFERS NO RIGH7S 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 DOE5 NOT CONSTITUTE A CONTRACT BE7WEEN THE ISSUING INSURER(S), AUTWORIZED REPRESENTATIVE QR PRODUCER, AND THE CERTIFICATE HOLDER. IMPOt2TANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATIQN IS WAIVED, subject to the terms and conditions of the palicy, 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 NAME: C Cyndy Cagle BB&T Insurance Services, Enc. ac No, EM): 336 547-2137 ac, No�: 88$8318409 3318 West Friendly Ave., e�na� �'�"'�""`� Ste. 400 nno Ess; �cagle@bbandt.com INSURER(S) AFFORDING COVERAGE NAIC # Greensboro, NC 27410 iNSUReRa: XL $pecialty Insurance Company 37885 IN5URED INSl1RER 8 : McKim � Greed PA INSURER C : 243 North Front Street Wilmington, NC 284D1 INSURERD: INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: TMIS IS TO CERTIFY THAT THE P�LICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSUREO NAMED A90VE FOR THE POLICY PERIQp INDICATED. NOTWITHSTANDING ANY REQUIREMEN7, TERM OR CONDITION OF ANY CONTRACT OR pTHER pQCUMENT WITFi RESPECT TO WHICH THIS CEFt71FICATE MAY 8E ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY tHE POLICIES DESCRIBED HEREIN I$ SU6JECT TO ALL 7HE TERMS, EXCLUSIONS. AN� CONDITIONS OF SUCM POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTRR TYPE OF INSl1RANCE � Y��NgR�s� pR pOLICY NUMBER _ LM D�v� MMlDO/YYYY LJMITS GENERAL 4�AB�LITr ^ EAGH pCGURRENCE S COMMERCIAL GENER4L LIABILITY CLAIMS-MADE � OCCl1R GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- � JECT � LOC AUTOMOBILE LIABILI7Y ANY AUTO ALL dWNEO B SCHEDULED AUTOS AUTOS NONAWNED HIRED AUTOS AUTOS UMBRELLA LIAB EJ(CESS LIAB WORKERS COMPENSATION AN� EMPLOYERS' LIA8ILITY OCCUR CLAIMS-MADE (Mandatory In NH) If yas, describe under DESCRIPTION OF OPERATIONS below A Professianal Liability �]�:�I��ZF��a MED EXP (Any one person) PER30NAL & ADV INJURY pENERALAGGREGATE PROpUCTS-COMP/OPAGG $ BOoILY INJURY (Per person) $ BODILY INJURY (Per accidant) $ PROPERTY �AMAGE $ (Per accident,�� $ EACH OCCURRENCE $ AGGREGATE $ $ E.L. EACH ACCIDENT I $ E.L �IBEASE - POLICY LIMIT $ 11 091Q5/201 $5,000,000 Per Claim $7,000,000 Aggregate DESCRIPTION OF OPERATIONS / LOCATION5/ VEHICLES (Attach ACpRp 101, Addidonal Ramarka Schedule, If more spaca Is requlred) �� City of Clearwater p SMOULD ANY OF TNE AeOVE DESCRIBED PqLICIES BE CANCELLEU BEFORE Attn: City Clerk �� r��/� R�W�� + ACCORDANCE' WITHATHE PQLICYF,PROVIS ONS, �LL BE DELIVERED IN P.O. Box 4748 ��7�5�./�1��: .�ri�V'�� Clearwater, FL 33758-4748 AUThIORIZED R SEN7A71VE �lc.c_R_� p 19$8-2070 ACORD CORPORATION. All rights reserved. ACORD 25 (2p1D/05) 1 pf 1 The ACORD name and logo are reglstered marks of ACORD #57404760/M7404046 CC1 Cllent#: 292011 SOMCKIMCRE ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/VYYY) 09/07/2011 TWIS CERTIFICATE IS ISSUED AS A MAITER OF INFpRMATION ONLY AND CONFEI2S N� RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVEI.Y AMEND, EXTEND OR ALTER TME CQVEF2AGE AFFORDED BY TWE POLICIES BELQW. 7HIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A GONTRACT BETWEEN THE ISSUING INSURER(S�, AUTHORIZED REPR�SENTATIVE OR PRODUCER, ANq THE CERTIFICATE HOLDER. IMPORI'ANT: If the certificate holder is an ADDITIONAL INSURED, the poliry(ies) must be endorsed. If SUBRQGATIQN IS WAIVED, subject to the terms and conditians of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate hplder in lieu of such endorsement(s). PRODUCER ��" Cyndy Cagle BB&T Insurance Services, Inc. P,�"�°NN �; 33G 547•213T 3318 West Friendly Ave., E�u� _ ac Ne: $$$$37$409 aooRess: ccagle�6bandt.com Ste. �100 �— Greensboro, NC Z%4�O INSURER�B►AFFORDINGCOVERAGE NAIC# iNauRERn: XL Specialty Insurance Gompany 37885 INSURED McKim & Creed, Inc. 243 North Front Street Wilmington, NC 28401 INSURER B : INSURER C : INSURER D : INSURER � : COVERAGES CERTIFICATE PIUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUEp 70 THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, 7ERM OR CONDITION OF ANY GONTRACT OR OTHER DOCUMEN7 WITIi RESPECT TQ WHICH THIS CERTIFICATE MAY eE ISSUED pR MAY PERTAIN, THE INSURANCE AFFOR�ED eY THE POLICIES �ESCRIBED HEREIN IS SUBJEC7 TO ALL TH� TERMS, EXCLUSIONS AN� CONDITIONS OF SUCH PQLICIES. L.IMITS SHOWN MAY WAVE BEEN REDl10ED BY PAID CIJ�IMS. LTRR TYPE OF IN5URANCE A gR� NND PQ41CY NUMBER MM/OD/YYYY MMfDDY �p LIMI7S GEN�RAL 41A81LITY EACH OCCURRENCH $ COMMERCIAL GENER.4L LIABILITY PREMISES Ee�oNccurrence $ CLAIMS-MAOE � OCCUR MED EXP (Any one person) $ PERSONAL 8 ADV INJURY $ � � � GENER.4L AGGREQA7E $ GEN'L AGGREGATE LIMIT APPL.IE$ PER: PRODUCTS - COMP/OP AGO $ POLICY j�a LOC 8 AUTOMOBILE LIA8ILITY -...' ,� y� p�. �0 a91N�BDt IN(3LE LIMIT ANY AUTO.. 80�ILY INJURY (Per person) $ ALL OWNED SCHEOULED SEP 1 40�� OILY INJURY (Peraccident) $ AUTOS AUTOS NONAWNE� PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident _ $ LIMBRELLALIpB pCCUR ^� �.i��r�� EACHOCCURRENCE $ EXCESS LIAB CLAIMS-MADE �Ci's�,{-1,11 � L. ��CV'� �� u AGGREGATE $ bED RETENTION $ M $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS' LIA8ILITY Y/ N ANY PROPRIETORlPARTNER/EXECUTIVE E.L. EACH ACCIDENT $ QFFICERIMEMBER EXC W�ED7 � N/ A (Mandatory In NH) E.L. �ISEASE - EA EMPLOYE� $ Ifyes,describe.under _. ._�. �..._— — • �----�— �° "v' ^""–^---' N., b w�u� rvN E.L. 013EASE • POLICY LIMIT y� A Prof�ssional DPR9697132 9I05/2011 09/05/201 $5,000,000 Per Claim Liability $7,000,000 Aggregate D�SCRIPTION OF OPERATIONS ! LOCATIONS / VEHICLES (Attach ACORD 101, Addltional Remarka 5chedule, if more space Is rcqulrod) City of CIB�rwater SWOU4P ANY OF THE ABOVE bESCCtIBED POLICIES BE CANCEL�Ep BEFORE iHE EXPIRATION DATE THEREQF, NOTICE WILL 8E DELIVERED IN Attn: City Clerk ACCORDANCE WITM tNE POLICY PROVISIQNS. P.O. Box 4748 Clearwat�r, FL 33758-4748 Al1TNORIZEp EsENrtnr/w/e `f'�t� � 198$-2010 ACOR� CORPQRATION. All rights reserved. ACORD 25 (2010I05) 1 4f 1 The ACORD name and logo are registered marks of ACORD #S74163$4/M7416268 GG1