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CERTIFICATE OF LIABILITY INSURANCE (3)
Client#: 134638 BIBLI DATE(MM/DD/YYYY) ACORDTM CERTIFICATE OF LIABILITY INSURANCE 1 8/26/2015 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 Marisa Taylor Elrod Regions Insurance Inc-Athens PHONE Ext: (A/C 678 726-0540 (A/C 770 725-5282 A/C,No, ,No): 1150 Julian Drive E-MAIL Ions.com re Marisa.Elrod ADDRESS: Marisa.Eirod@regions.com 200 INSURER(S)AFFORDING COVERAGE NAIC# Watkinsville, GA 30677 INSURERA:Citizens Insurance Company of A 31534 INSURED INSURER B: Hanover Insurance Company 22292 Bibliotheca, LLC; Bibliotheca ITG, Inc. INSURER C Allmerica Financial Benefit 41840 3169 Holcomb Bridge Rd. INSURER D Ste.200 INSURER E Norcross,GA 30071 INSURER F COVERAGES CERTIFICATE NUMBER: 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 CONTRACTOR 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.ADDLSUBR LTR TYPE OF INSURANCE NSR WVD POLICY NUMBER POLICY EFF POLICY EXP LIMITS (MM/DD/YYYY) (MM/DD/YYYY) A GENERAL LIABILITY ZDAA610503 04/11/2015 04/11/2016 EACH OCCURRENCE $1,000,000 COMMERCIAL GENERAL LIABILITY PREMISESOEa occur'.'c.) $300,000 CLAIMS-MADE Fx_]OCCUR MED EXP(Any one person) $10,000 PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 POLICY M PRO- LOC $ JECT A AUTOMOBILE LIABILITY ZDAA610503 04/11/2015 04/11/201 EeacccidenSINGLELIMIT $1,000,000 ANY AUTO BODILY INJURY(Per person) $ ALLOWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident $ B UMBRELLA LAB HOCCUR UHAA610559 04/11/2015 04/11/2016 EACH OCCURRENCE s5,000,000 EXCESS LAB CLAIMS-MADE AGGREGATE s5,000,000 DED X RETENTION$O $ C WORKERS COMPENSATION W2AA589032 04/11/2015 04/11/201 X TvORY LIMITS EORH AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? N] N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 1$1,000,000 A Commercial Proper ZDAA610503 04/11/2015 04/11/201 As Scheduled B Professional Liab LHAA610537 04/11/2015 04/11/201 $3,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) As required by written contract the City of Clearwater is included as an additional insured with regards to general liability. CERTIFICATE HOLDER CANCELLATION Clearwater Public Libra System SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Library y THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 100 N. Osceola Ave. ACCORDANCE WITH THE POLICY PROVISIONS. Clearwater, FL 33775 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD #S1749037/M1708967 EJOHN