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CERTIFICATE OF LIABILITY INSURANCE (585)ACS ® CERTIFICATE OF LIABILITY INSURANCE DAT (MM/D0 5YYY) 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 Aon Risk Services Northeast, Inc. Stamford CT Office 1600 Summer Street Stamford CT 06907 -4907 USA CONTACT NAME: (AIC N . Ext): 0866) 283 7122 I FAX No ): (800) 363 -0105 E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC U INSURED Hagemeyer North America, Inc. 11680 Great Oaks Way Alpharetta GA 30022 USA INSURER A: National Union Fire Ins Co of Pittsburgh 19445 INSURER B: New Hampshire Ins Co 23841 INSURER C: Illinois National Insurance Co 23817 INSURER D: $2,000,000 INSURER E: CLAIMS -MADE X INSURER F: DAMAGE 1-0-RN ED PREMISES (Ea occurrence) COVERAGES CERTIFICATE NUMBER: 570056612839 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. Limits shown are as requested INSR LTR TYPE OF INSURANCE ADDL INSD SUER MD POLICY NUMBER POLICY EFF (MMIDD/YYYY POUCY EXP MMIDDPNYY) LIMITS A X COMMERCIAL GENERAL LIABILITY GL4267822 39 _ - 01 /01 /2015 h ` -� 01/01/2016 EACH OCCURRENCE $2,000,000 CLAIMS -MADE X OCCUR DAMAGE 1-0-RN ED PREMISES (Ea occurrence) $1,000,000 MED EXP (Any one person) $10,000 PERSONAL BADV INJURY $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 X POLICY ❑ JECT LOC OTHER: PRODUCTS - COMP /OP AGG $2,000,000 AUTOMOBILE LIABILITY JAN 26 i 2015 - , r �' -')af ,. EO eBI EDfSINGLE LIMIT — _ ANY AUTO BODILY INJURY ( Per person) ALL OWNED AUTOS HIRED AUTOS — _ SCHEDULED AUTOS NON -OWNED AUTOS BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident) UMBRELLA LIAB EXCESS LIAB — OCCUR CLAIMS -MADE EACH OCCURRENCE AGGREGATE DED I 'RETENTION B B WORKERS COMPENSATION AND EMPLOYERS' UABILITY NIA WC011953119 WC- AOS WC011953120 WC- CA 01/01/2015 01/01/2015 01/01/2016 01/01/2016 X PER STATUTE OTH- FR ANY PROPRIETOR / PARTNER / EXECUTIVE Y 1 N OFFICER/MEMBEREXCLUDED? N (Mandatory in NH) E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE -EA EMPLOYEE $1,000,000 If DESCRIPTION IPTION under DESCRIPTION OF OPERATIONS below E.L. DISEASE- POLICY LIMIT $1,000,000 RECEIVED DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) (' ITY ^ F C I CAR, ^, ^ TCR RE: County Fire Equipment Company. City of Clearwater is included as additional insured. "' r YY 1 L FEB 1 3 2015 RISK MANAGEMENT 917'2 CERTIFICATE HOLDER CANCELLATION City of Clearwater 100 5 Myrtle Avenue, 2nd Floor Clearwater FL 33756 USA 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 SZ. e'% :�G VLLfAfAAfl c./ /OLGfaIIrJ�4 s/ 7141 Holder Identifier : 570056612839 Certificate No ACORD 25 (2014101) 101988 -2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ACaRD® ". AGENCY CUSTOMER ID: 570000030428 LOC #: ADDITIONAL REMARKS SCHEDULE • Page _ of _ AGENCY Aon Risk Services Northeast, Inc. NAMED INSURED Hagemeyer North America, Inc. POLICY NUMBER See certificate Number: 570056612839 CARRIER See Certificate Number: 570056612839 NAIC CODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance INSURER(S) AFFORDING COVERAGE NAIC # INSURER INSURER INSURER INSURER ADDITIONAL POLICIES If a policy below does not include limit information, refer to the corresponding policy on the ACORD certificate form for policy limits. INSR LTA TYPE OF INSURANCE ADDL INSD SUER W VD POLICY NUMBER POLICY EFFECTIVE DATE (MM/DD/YYYY) POLICY EXPIRATION DATE (MM/DD /YYYY) LIMITS WORKERS COMPENSATION C N/A WC011953121 WC - FL 01/01/2015 01/01/2016 B N/A WC011953122 WC - AZ, VA 01/01/2015 01/01/2016 B N/A WCO11953123 WC - NJ, PA 01/01/2015 01/01/2016 B N/A WC011953124 WC - IL, NC, NH, UT, VT 01/01/2015 01/01/2016 B N/A wc011953125 WC - KY, MA, ND, OH, WA SIR applies per policy terms 01/01/2015 & conditions 01/01/2016 ACORD 101 (2008/01) The ACORD name and logo are registered marks of ACORD © 2008 ACORD CORPORATION. All rights reserved. A °?°1° CERTIFICATE OF LIABILITY INSURANCE DATE( 01M 4/20 5Y) 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 Aon Risk Services Northeast, Inc. Stamford CT Office 1600 Summer Street Stamford CT 06907 -4907 USA CONTACT NAME: (NCNNo. Ext): (866) 283 -7122 I FAX (800) 363 -0105 (,vc. No.): E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURED Hagemeyer North America. Inc. 11680 Great Oaks way Alpharetta GA 30022 USA INSURER A: National Union Fire Ins CO Of Pittsburgh 19445 INSURER B: New Hampshire Ins Co 23841 INSURER C: Illinois National Insurance Co 23817 INSURER D: INSURER E: INSURER F: R: 570056612840 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. Limits shown are as requested INSR LTR A TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE © OCCUR GGEEN'L AGGREGAATTE LIMIT APPLIES PER: POLICY I 1 I PRO- n LOC JECT I I OTHER: GL4267822 POLICY EFF MWDD/YYYY) 01/01/2015 POLICY EXP IMWDD/YYYY) 01/01/2016 LIMITS EACH OCCURRENCE $2,000,000 DAMAGETO- RENTLD PREMISES (Ea occurrence) MED EXP (Any one person) $1,000,000 $10,000 PERSONAL 8 ADV INJURY GENERAL AGGREGATE $2,000,000 $2,000,006 PRODUCTS - COMP/OP AGG $2,000,000 A A A AUTOMOBILE LIABILITY X X X ANY AUTO ALL OWNED AUTOS HIRED AUTOS SCHEDULED AUTOS X NON -OWNED AUTOS CA 3814989 CA (A05) Sonepar CA 3814990 CA (MA) Sonepar CA 3814992 CA (VA) Sonepar 01/01/2015 01/01/2015 01/01/2015 01/01/2016 01/01/2016 01/01/2016 COMBINED SINGLE LIMIT (Ea accident) $2,000,000 BODILY INJURY ( Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident) A X UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE DED I X (RETENTION 525 000 19961722 01/01/2015 01/01/2016 EACH OCCURRENCE $3,000,000 AGGREGATE $3,000,000 B B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR / PARTNER / EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below YIN NIA WC011953119 WC- AOS WC011953120 WC- CA 01/01/2015 01/01/2015 01/01/2016 01/01/2016 X PER OTH- ER E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE -EA EMPLOYEE $1,000,000 E.L. DISEASE- POLICY LIMIT $1,000,000 Holder Identifier : Certificate No : 570056612840 DESCRIPTION OF OPERATIONS /LOCATIONS VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION City of Clearwater Attn: Purchasing Dept. P 0 Box 4748 Clearwater FL 34618 -4748 USA 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 (2014101) ©1988 -2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: 570000030428 LOC #: ADDITIONAL REMARKS SCHEDULE Page _ of _ AGENCY Aon Risk Services Northeast, Inc. NAMED INSURED Hagemeyer North America, Inc. POLICY NUMBER See Certificate Number: 570056612840 CARRIER - see Certificate Number: 570056612840 NAIC CODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance INSURER(S) AFFORDING COVERAGE NAIC # INSURER INSURER INSURER INSURER ADDITIONAL POLICIES If a policy below does not include limit information, refer to the corresponding policy on the ACORD certificate form for policy limits. INSR LTR TYPE OF INSURANCE ADDL IISD SUER wVD POLICY NUMBER POLICY EFFECTIVE DATE (MM/DD/VYYY) POLICY EXPIRATION DATE (MM/DD /YYYY) LIMITS WORKERS COMPENSATION C N/A wc011953121 WC - FL 01/01/2015 01/01/2016 B N/A ,WC wC011953122 - AZ, VA 01/01/2015 01/01/2016 B N/A wc011953123 WC - NJ, PA 01/01/2015 01/01/2016 B N/A wCO11953124 WC - IL, NC, NH, UT, VT 01/01/2015 01/01/2016 B N/A wc011953125 WC - KY, MA, ND, OH, WA SIR applies per policy terms 01/01/2015 & conditions 01/01/2016 ACORD 101 (2008/01) The ACORD name and logo are registered marks of ACORD © 2008 ACORD CORPORATION. All rights reserved. A`coRO® CERTIFICATE OF LIABILITY INSURANCE DATE12 /1 /DOD 3YYY) 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 Aon Risk Services Northeast, Inc. Stamford CT Office 1600 Summer Street Stamford CT 06907 -4907 USA CONTACT NAME: PHONE (g66) 283 -7122 (F 800- 363 -0105 (ac. No. Eat): (ac. No.): E •MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURED HaoemeVer North America. Inc. 11680 Great Oaks way Alpharetta GA 30022 USA INSURER A: National Union Fire Ins Co of Pittsburgh 19445 INSURER B: New Hampshire Ins Co 23841 INSURER C: Illinois National Insurance Co 23817 INSURER D: X X INSURER E: DAMAGE TO RENTED PREMISES (Ea occurrence) INSURER F: MED EXP (Any one person) CERTIFICATE NUMBER: 57 • 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. Limits shown are as requested INSR LTR TYPE OF INSURANCE ADDL INSR SUBR MD POLICY NUMBER POLICY EFF (MM /DD/YYYY( POLICY EXP JMMIDDIYYYY) LIMITS A GENERALLIABILITY GL5361687 01/01/2014 01/01/2015 EACH OCCURRENCE $2,000,000 X X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE n OCCUR Per Project Aggregate DAMAGE TO RENTED PREMISES (Ea occurrence) $1,000,000 MED EXP (Any one person) $10,000 PERSONAL & ADV INJURY $2,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY n JECT LOC PRODUCTS - COMP /OP AGG $2,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) -- ANY AUTO BODILY INJURY ( Per person) ALL OWNED AUTOS HIRED AUTOS — — _ SCHEDULED AUTOS NON -OWNED AUTOS BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident) UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE AGGREGATE DEDI RETENTION B B COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR I PARTNER / EXECUTIVE YIN OFFICER/MEMBER EXCLUDED? N (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A WC038330482 AOS wC038330483 CA 01/01/2014 01/01/2014 01/01/2015 01/01/201$ X TORY LIMITS I IERH E.L. EACH ACCIDENT $1, 000, 000 E.L. DISEASE -EA EMPLOYEE $1,000,000 E.L. DISEASE - POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, K more space is required) RE: County Fire Equipment Company. City of Clearwater is included as additional insured. CERTIFICATE HOLDER CANCELLATION City of Clearwater 100 S Myrtle Avenue, 2nd Floor Clearwater FL 33756 USA 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>SFO>i'OB M0,4 :,t-ti e c/ raZzr �f>A4t ACORD 25 (2010/05) ©1988 -2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Holder Identifier : Certificate No : 570052249202 AGENCY CUSTOMER ID: 570000030428 LOC #: ITIONAL REMARKS SCHEDULE Page _ of _ AGENCY Aon Risk Services Northeast, Inc. NAMED INSURED Hagemeyer North America, Inc. POLICY NUMBER see Certificate Number: 570052249202 CARRIER See Certificate Number: 570052249202 NAIC CODE EFFECTIVE DATE. ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance INSURER(S) AFFORDING COVERAGE NAIC # INSURER INSURER INSURER INSURER ADDITIONAL POLICIES If a policy below does not include limit information, refer to the corresponding policy on the ACORD certificate form for policy limits. LNSR LTR TYPE OF INSURANCE ADDL INSR SUER W VD POLICY NUMBER POLICY EFFECTIVE DATE (MM/DD/YYYY) POLICY EXPIRATION DATE (MM/DD/YYYY) LIMITS WORKERS COMPENSATION C N/A WC038330484 FL 01/01/2014 01/01/2015 B N/A WC038330485 AZ, GA, VA 01/01/2014 01/01/2015 B N/A WC038330486 NJ, PA 01/01/2014 01/01/2015 B N/A WC038330487 MA, ND, OH, WA, WI, WY SIR applies per policy terms 01/01/2014 & conditi.ns 01/01/2015 B N/A WC038330488 IL, KY, NC, NJ, UT, VT 01/01/2014 01/01/2015 ACORD 101 (2008/01) The ACORD name and logo are registered marks of ACORD © 2008 ACORD CORPORATION. All rights reserved.