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CLEARWATER HARBOR PROJECTS A & B - 10-0008-UT & 08-0049-UT - CERTIFICATE OF LIABILITY INSURANCE ACORQ CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 06/22/2011 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS 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 DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. 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). PRODUCER CONTACT NAME: Susan Huffstetl er Livingston Insurance Agency acCC,N Ext: 803.791.1120 AICNO:803.796.8957 PO Box 7439 E-MAIL ADDRESS: West Columbia, SC 29171 PRODUCER CUSTOMER ID#: INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURERA: Cincinnati Insurance Company 10677 GREGORY ELECTRIC COMPANY, INC. INSURERS: P. 0. Drawer 1419 INSURERC: Columbia, SC 29202-1419 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 2011-2012 REVISION NUMBER: THIS IS TO CERTIFY THAT 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.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUER POLICY EFF POLICY EXP LIMITS LTR INSR WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY GENERAL LIABILITY CPP081209 07/0112011 07101/2012 EACH OCCURRENCE $ 500,000 X COMMERCIAL GENERAL LIABILITY DAM a AGE TO RENTED $ 500 000 PREMISES E occurrence s CLAIMS-MADE [X] OCCUR MED EXP(Any one person) $ 10,000 A X Broad Form Cont. PERSONAL&ADV INJURY $ 500,000 X Deductible-$5,000 GENERAL AGGREGATE $ 500,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ S00,000 POLICY X PRO- AUTOMOBILE $ JECT AUTOMOBILE LIABILITY CAA5888064 0710112011 0710112012 COMBINED SINGLE LIMIT $ (Ea accident) 500,000 X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED AUTOS BODILY INJURY(Per accident) $ A SCHEDULED AUTOS PROPERTY DAMAGE $ X HIRED AUTOS (Per accident) X NON-OWNED AUTOS $ X eductible-0 1 1 $ X UMBRELLA LIAB X OCCUR CPPOS1209 07/0112011 07/01/2012 EACH OCCURRENCE $ 109000,000 A EXCESS LIAB CLAIMS-MADE AGGREGATE $ 10,000,000 DEDUCTIBLE $ X RETENTION $ 0 $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS'LIABILITY YIN TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE❑ E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS below A Leased/Rented Equipmen CPP081209 07/01/2011 07101/2012 $500,000. Any one Item $5,000. Deductible. DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,If more space is required) HE $10 MILLION DOLLAR UMBRELLA FOLLOWS FORM AND IS EXCESS OVER ABOVE UNDERLYING POLICIES. ertificate holder is reflected as additional insured in regards to the General Liability per GA233 (02/07) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Clearwater AUTHORIZED REPRESENTATIVE 100 S. Myrtle Avenue Cl arwater, FL 33756-5520 lRobert Livingston ©1988-2009 ACORD CORPORAT I rights reserved. ACORD 25(2009/09) The ACORD name and logo are registered marks of ACORD U c Q pp Q o yyy U O va v�> �ca1�C_tp oO m y •o ' 0 O° s } Yrom.=oU c m C y !dam dv bN N m m p> SU0. O m 0te . O >,0. 'O L`O L. t C Oj L ° 0 W O C O OO o---- y a' O 0 N O d 3'0' 0 V OC Ly C G 'O'O `' 3N e=f tl aCN] . . 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