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CERTIFICATE OF LIABILITY INSURANCE'4 °® CERTIFICATE OF LIABILITY INSURANCE 6 /13/ D ) 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 Lassiter -Ware Insurance of Tampa Bay 4401 West Kennedy Blvd Suite 200 Tampa FL 33609 CONTACT Joan Randolph far CT XI II a), (800) 845 -8437 I A/C.No): (888)883 -8680 ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A :H11dSOn Specialty Ins. Co. 37079 INSURED The Ash Group, Inc. & Ash Engineering, Inc. 4902 Eisenhower Blvd., Suite 380 Tampa FL 33634 INSURER B : �� $ INSURER C : INSURER D : $ INSURERE: $ INSURER F: $ COVERAGES CERTIFICATE NUMBER:13 -14 AI Cert 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 LTR TYPE OF INSURANCE ADDL INSR SUBR WV n POLICY NUMBER POLICY EFF M/ (MDD/YYYY) POUCY EXP (MM/DD/YYYY) LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY ICLAIMS -MADE OCCUR �� $ `'r EACH OCCURRENCE $ GE TO RENTED PREMISES Ea occurrence) $ MED EXP (My one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ PRODUCTS - COMP /OP AGG $ GEN'L AGGREGATE LIMIT APPLIES PER: n POLICY n PRO- n LOC JF(T $ AUTOMOBILE _ _ LIABILITY ANY AUTO ALL OWNED AUTOS HIRED - _ SCHEDULED NON -OWNED AUTOS .: -- COMBINED SINGLE LIMIT (Ea accident ) _$- $ BODILY INJURY (Per person) BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ $ DED I I RETENT ON $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY IA ANY PROPRIETOR/PARTNER /EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A I TORY I TU- I I ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ A Professional & Pollution Liability - Claims Made ES62566151303 6/16/2013 6/16/2014 EACHCLAIM $1,000,000 AGGREGATE $2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) The Certificate Holder is an additional insured under the terms and conditions of the Contractors Pollution Liability policy with respect to work performed by the named insured as required by written contract. CANCELLATION City of Clearwater 100 South Myrtle Avenue Clearwater, FL 34616 I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE . t! P Schmaltz /JOANR ACORD 25 (2010/05) INS025 (201005).01 ©1988 -2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD