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CERTIFICATE OF LIABILITY INSURANCE (4)ACORO1 CERTIFICATE OF LIABILITY INSURANCE ■• DATE(MM/DD/YYYY) 6/27/2016 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 Independent Insurance Center 19465 Deerfield Ave. Suite 210 Lansdowne VA 20176 CONTACT Karen Everhart PHONE . Extl: (703) 777 -7774 FA/C. No): (707) 777 -7156 EMAIL keverhart @iicfiremark.com ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURERA:Travelers Ins CO COMMERCIAL GENERAL LIABILITY INSURED Van Scoyoc Associates, Inc. 101 Constitution Ave NW # 600 Washington DC 20001 INSURER B : ttpp�ppp 6308B399167 REC�ar laa r, JUL i) 5 d Z INSURER C : 7/1/2017 INSURER D : $ 1,000,000 INSURER E : INSURER F : X GES CERTIFICATE NUMBER:CL1662701573 • 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 INSf1 SUBR WVD POLICY NUMBER POLICY EFF IMM /DD/YYYYL POLICY EXP (MM/DD/YYYY1 LIMITS A X COMMERCIAL GENERAL LIABILITY ttpp�ppp 6308B399167 REC�ar laa r, JUL i) 5 d Z 16 201b 7/1/2017 EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE X OCCUR DAMAGE TO RENTED PREMISES (Ea occurrence) $ 300,000 MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 GE X 'L AGGREGATE POLICY OTHER: LIMIT APPLIES PRO- JECT PER: LOC GENERAL AGGREGATE 2,000,000 $ PRODUCTS- COMP /OPAGG $ 2,000,000 Employee Benefits $ 1,000,000 A AUTOMOBILE X LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS SCHEDULED AUTOS NON -OWNED AUTOS [ Aw, r1L�"'��UJ F1I�� V� 'w Cr��+� 7 5I.K JRV W DE BABB399167 7/1/2016 T 7/1/2017 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per er accident) $ PROPERTY DAMAGE (Per accident) $ Uninsured motorist combined $ 1,000,000 A X UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE CUP8B399167 7/1/2016 7/1/2017 EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 DED RETENTION$ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR /PARTNER /EXECUTIVE 1 I OFFICEP./MEMBER EXCLUDED? (Mandatory In NH) J If yes, describe under DESCRIPTION OF OPERATIONS below N / A UB8B399167 7/1/2016 7/1/2017 I STATUTE I I ER E.L. EACH ACCIDENT $ 500 , 000 E.L. DISEASE - EA EMPLOYEE $ 500, 000 E.L. DISEASE - POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) ERTIFICATE HOLDER CANCELLATION City of Clearwater, Florida PO Box 4748 Clearwater, FL 34618 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 Richard Simmons /KEE © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD I NS025 (201401) ACORO® CERTIFICATE OF LIABILITY INSURANCE `■--. DATE(MM /DD/YYYY) 6/28/2016 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 Independent Insurance Center 19465 Deerfield Ave. Suite 210 Lansdowne VA 20176 NAME: CONTACT Karen Everhart (A/C PHONE (703)777-7774 (703)777 -7774 (n/c, No): (707)777 -7156 E -MAIL keverhart @iicfiremark.com ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURERA:RPS - Chubb Insurance Group COMMERCIAL GENERAL LIABILITY INSURED Van Scoyoc Associates, Inc. 101 Constitution Ave NW # 600 Washington DC 20001 INSURER B : RECEIVEDPERSONALS L �� 11 5 201b INSURERC: INSURERD: $ INSURER E : INSURERF: COVERAGES CERTIFICATE NUMBER:CL1662801583 V 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 INSD SUBR WVD POLICY NUMBER POLICY EFF (MM /DD/YYYY) POLICY EXP (MM /DD/YYYY) LIMITS COMMERCIAL GENERAL LIABILITY , RECEIVEDPERSONALS L �� 11 5 201b V EACH OCCURRENCE $ CLAIMS -MADE OCCUR DAMAGE TO RENTED PREMISES (Ea occurrence) $ MED EXP (Any one person) $ ADV INJURY $ GE 'L AGGREGATE POLICY OTHER LIMIT APPLIES PRO- JECT PER: LOC GENERAL AGGREGATE $ PRODUCTS - COMP /OP AGG $ $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS SCHEDULED AUTOS NON -OWNED AUTOS O�F�C�� R svc RDS s AND RE M7 iJ (Ea accident) SINGLE LIMIT $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENT ON $ $ 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 PER STATUTE OTH- ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ A Errors & Omissions 68026778 7/1/2016 7/1/2017 $50,000ded $2,000,000 Aggregate $2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) CERTIFICATE HOLDER CANCELLATION City of Clearwater, Florida PO Box 4748 Clearwater, FL 34618 ACORD 25 (2014/01) INS025 (201401) 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 Richard Simmons /KEEL ©1988 -2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD