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CLEARWATER HARBOR PROJECTS A & B - 10-0008-UT & 08-0049-UT - CERTIFICATE OF LIABILITY INSURANCE (2)
ACORD CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) TM 07/16/2012 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 Huffstetler Livingston Insurance Agency A,CC,No Ext: 803.791.1120 FAX Livingston 803.796.8957 PO Box 7439 ADMDRESS: shuffstetler @LivingstonInsuranceSC.com West Columbia, SC 29171 INSURER(S)AFFORDING COVERAGE NAIC# INSURER A: Cincinnati Insurance Company 10677 INSURED GREGORY ELECTRIC COMPANY, INC. INSURER B: P. 0. Drawer 1419 INSURER C: Columbia, SC 29202-1419 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 2012-2013 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 POLICY EFF POLICY EXP LIMITS LTR INSR WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) GENERAL LIABILITY CPP0812097 07/01/2012 07/01/2013 EACH OCCURRENCE $ 500,000 X COMMERCIAL GENERAL LIABILITY PREMISES(Ea occurrence) $ 500,000 CLAIMS-MADE FYI 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 $ 500,000 POLICY X PRO LOC $ JECT AUTOMOBILE LIABILITY CAA588806 07/01/2012 07/01/2013 (Ea accident) $ 500,000 X ANY AUTO BODILY INJURY(Per person) $ A ALL OWNED SCHEDULED AUTO S AUTOS BODILY INJURY(Per accident) $ X HIREDAUTOS X NON-OWNED $ AUTOS (Per accident) X Deductibl $ X UMBRELLA LIAB X OCCUR CPP0812097 07/01/2012 07/01/2013 EACH OCCURRENCE $ 10,000,00 A EXCESS LAB CLAIMS-MADE AGGREGATE $ 10,000,000 DED I X I RETENTION$ 0 $ WORKERS COMPENSATION - AND EMPLOYERS'LIABILITY Y/N TORY LIMITS ER ANY PRO PRIETO R/PARTN ER/EXECUTIVP---1 E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ Leased/Rented Equipment CPP081209707/01/2012 07/01/2013 $500,000. Any one Item A $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. CERTIFICATE HOLDER CANCELLATION FAX: 727.562.4755 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN City of Clearwater ACCORDANCE WITH THE POLICY PROVISIONS. Engineering Department alice.eckman@myclearwater.com AUTHORIZED REPRESENTATIVE 100 S. Myrtle Avenue C1 arwater, FL 33756-5520 Joseph Po kowski/SRH ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD