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CERTIFICATE OF LIABILITY INSURANCE (285)I® CERTIFICATE OF LIABILITY INSURANCE DATE 12/10/2013) 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: Odell Studner Group (A/cC.. No. Ext1:610- 995 -0948 FAX No):610- 995 -0105 100 Matsonford Road; Ste. 100 E -MAIL Radnor PA 19087 ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A :Zurich American Insurance Co 16535 INSURED NXUTI -1 INSURER B :American Guarantee & Liab Ins. 26247 NX Utilities, LLC INSURERc:Hartford Fire Insurance Co. 19682 NX Utilities, LLC dba NXU Services INSURER D: Steadfast Insurance Company 26387 2587 Industry Lane Norriton PA 19403 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 1538882047 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 A TYPE OF INSURANCE I ADDL S SUBR P POLICY NUMBER ( POLICY EFF P POLICY EXP LIMITS A G GENERAL L LIABILITY G GL0588253200 1 12/14/2013 1 12/14/2014 E EACH OCCURRENCE $ $2,000,000 PR S (RENTED PREEMIMI E SES (Ea occurrence) $ $50,000 COVERAGES CERTIFICATE NUMBER: 1538882047 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 A TYPE OF INSURANCE I ADDL S SUBR P POLICY NUMBER ( POLICY EFF P POLICY EXP LIMITS A G GENERAL L LIABILITY G GL0588253200 1 12/14/2013 1 12/14/2014 E EACH OCCURRENCE $ $2,000,000 PR S (RENTED PREEMIMI E SES (Ea occurrence) $ $50,000 CLAIMS -MADE X X O OCCUR M MED EXP (Any one person) $ $Excluded PERSONAL & ADV INJURY $ $1,000,000 GENERAL AGGREGATE $ $4,000,000 GEN'L AGGREGATE L LIMIT APPLIES P PER: P PRODUCTS - COMP /OP AGG $ $4,000,000 Employee Benefits $ $1,000,000 A A AUTOMOBILE L LIABILITY C SCHEDULED B BAP588253300 1 12/14/2013 1 12/14/2014 ( COMBINED SINGLE LIMIT $1,000,000 BODILY INJURY (Per person) $ $ BODILY INJURY (Per accident) $ $ PROPERTY DAMAGE $ $ Comp /Collision Ded $ $5,000 B X X U UMBRELLA LIAB X X O OCCUR A AUC588256900 1 12/14/2013 1 12/14/2014 E EACH OCCURRENCE $ $10,000,000 AGGREGATE $ $10,000,000 DED X X R RETENT ON $10,000 $ $ A W WORKERS COMPENSATION W Y / N T N / A WC588275700 1 12/14/2013 1 12/14/2014 X X W WC STATU- O OTH- E . EACH ACCIDENT $ $1,000,000 E.L. DISEASE - EA EMPLOYEE $ $1,000,000 E.L. DISEASE - POLICY LIMIT $ $1,000,000 C P Property 3 39UUMVN3251 9 9/1/2013 9 9/1/2014 B BPP Limit/Deductible $4,375,000/$5K DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Pollution Liability - Steadfast Insurance Company - (12/14/2013 - 12/14/2014) - Policy#E0C5542899 - Limit: Occurrence /Aggregate - $5MM /$10MM Certificate Holder is included as Additional Insured with regard to General Liability when required by written contract. CERTIFICATE HOLDER CANCELLATION City of Clearwater 100 South Myrtle Avenue Clearwater, FL 33756 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 ACORD 25 (2010/05) © 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD