CERTIFICATE OF LIABILITY INSURANCE (3)Client#: 987776 INTUISYS
ACORD� CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDMIYY)
12/30/2015
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 ADDITIONA� 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 dces not confer rights to the
certificate holder in lieu of such endorsement(s).
PRODUCER NTA T
NAME: S�CI RlCflt@I'
USI Insurance Services LLC P"o"E 904-450-4777 aC, No: 877-775-0285
4601 Touchton Road, Ste. 3210 ac n,o Ext :
Jacksonville, FL 32246
aooR�ESS: staci.richter@usi.biz
INSURED
Intuition Systems, Inc.; Intuition LLC;
Bi112Pay, LLC; Intuition College Savings
Solutions LLC; Veritec Solutions, LLC
INSURER(S) AFFORDING COVERAGE NAIC #
iNSUReR a: Sentinel Insurance Co. 11000
iNSUReR e: Federal Insurance Company 20281
iNSUReRC: Gemini Insurance Company 10833
iNSUaeR o: HartFord Accident and Idemnity 22357
INSURER E :
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. NOTIMTHSTANDING 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 ADDL SUBR POLICY EFF POLICY EXP
LTR TYPE OF INSURANCE INSR VWD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS
A GENERALLIABILITY 21SBABW9581 12/31/2015 12/31/201 EACHOCCURRENCE $7 000000
X COMMERCIAL GENERAL LIABILITY PREMISES Ea oNcurrence $1,000,000
CLAIMS-MADE � OCCUR MED EXP (Any one person) $ � Q,���
X BlanketAdd�� �I7S. PERSONAL&ADVINJURY $��000����
X Blanket Waiver GENERALAGGREGATE $2,���,00�
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ Z,OOO,OOO
X POLICY jE�T LOC g
p AUTOMOBILE LIABILITY 21 UECZP2380 12/31/2015 12/31/201 Ea accideDtSINGLE LIMIT $1 �000�000
X ANY AUTO BODILY INJURY (Per person) $
ALL OWNED SCHEDULED
AUTOS AUTOS BODILY INJURY (Per accident) $
X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE
AUTOS Per accident $
X lanket AI X Blanket WOS g
q X UMBRELLA LIAB X occuR 21SBABW9581 12/31/2015 12/31/201 EACH OCCURRENCE s5 000 000
EXCESS LIAB CLAIMS-MADE AGGREGATE $S OOO OOO
DED X RETENTION $� O OOO $
WORKERS COMPENSATION WC STATU- OTH-
AND EMPLOYERS' LIABILITY Y� N IT R
ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $
OFFICER/MEMBER EXCLUDED? ❑ N / A
(Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $
If yes, describe under
DESCRIPTION OF OPERATIONS below E.�. DISEASE - POLICY LIMIT $
B Crime 82092987 12/31/201512/31/201 5,000,000
C E�O Liability VPPL009935 12/31/2015 12/31/201 5,000,000
C C ber Liabili VPPL009935 12/31/2075 12/31/201 2,000,000
DESCRIPTION OF OPERATIONS / LOCATONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) �
CERTIFICATE HOLDER CANCELLATION
City of Clearwater SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Attn: Customer Service ACCORDANCE WITH THE POLICY PROVISIONS.
100 South Myrtle Avenue
Clearwater, FL 33756 AUTHORIZED REPRESENTATIVE
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O 1988-2010 ACORD CORPORATION. All rights reserved.
ACORD 25 (2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD
#S16982710/M16973998 �pZp