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CERTIFICATE OF LIABILITY INSURANCE (2)'4 ° CERTIFICATE OF LIABILITY INSURANCE 6/11/2014 ) 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 lalcoNN txtl: (800) 845 -8437 I (A/C,NoI: (888)883 -8680 E-MAIL ADDRESS: Joal1@Ilassiter- ware.com INSURER(S) AFFORDING COVERAGE NAIC # INSURER A:Hudson Specialty Ins. Co. 37079 INSURED The Ash Group, Inc. & Ash Engineering, Inc. 5802 Benjamin Center Drive, Suite 101 Tampa FL 33634 INSURER B : I'! k �..,; INSURER C: INSURERD: $ INSURERE: $ INSURER F: CLAIMS -MADE CERTIFICATE NUMBER:14 -15 AI Cert • 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 WVn POLICY NUMBER POLICY EFF IMM/DOIYYYY) POLICY EXP IMM/DO!YYYYI LIMITS GENERAL IJABILITY COMMERCIAL GENERAL LIABILITY I'! k �..,; F� i ; t / L J, EACH OCCURRENCE $ DAMAGE TO RENTED PREMISES (Ea occurrence) $ CLAIMS -MADE OCCUR MED EXP (Any one person) $ PERSONAL 8 ADV INJURY $ . GENERAL AGGREGATE. $ GEN'L AGGREGATE LIMIT APPLIES PER: —1 POLICY Ti JI T Ti LOC PRODUCTS - COMP /OP AGG $ $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS — _ SCHEDULED _AUTOS NON -OWNED AUTOS E£= - , ,� + °i" "'' , f" `. l'... COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ UMBRELLA UAB EXCESS LIAR _ OCCUR CLAIMS -MADE - EACH OCCURRENCE $ AGGREGATE $ DED I RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER /EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below Y! N N / A T I TORY LIMITS I IOT ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ A PROFESSIONAL & POLLUTION LIABILITY CLAIMS MADE ESB2566151404 6/16/2014 6/16/2015 EACH CLAIM #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. CERTIFICATE HOLDER CANCELLATION City of Clearwater 100 South Myrtle Avenue Clearwater, FL 34616 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 P Schma1tz!JOANR ACORD 25 (2010/05) NS025 (201005).01 © 1988 -2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD