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CERTIFICATE OF LIABILITY INSURANCE (416) AC"R P ATE(MMIDD/YYYY) CERTIFICATE OF LIABILITY INSURANCE �y_ 08/24/2016 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 CONTACT NAM! PHONE CHARLES D TALLEY JR INS INC E-MAIL ADDRESS: 1335 OAKFIELD DR INSURER(S)AFFORDING COVERAGE NAIC# ,BRANDON– FL 33511-4823 wsURERA; ALLIED PROPERTY AND CASUALTY INS COMPAI 42579 —...... INSURED _.. ......... .____ .-.-... _.........----- _. INSURER B_: INSURERC: - LONG&ASSOCIATES ARCHITECTS ENGINEERS INC I INSURER D: _._._._._ -------- 4525 S MANHATTAN AVE INSURER E: -------_._._. ....------------------------ - TAMPA FL 33611-2305 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 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 ......... ....... ._.._'AOOL'SaBf3 RT -._-_ ....__.__..... .......... ...._..... ..--- LTR TYPE OF INSURANCE -POLICY EFF POLICY EXP ._...... INCn"1M/n) POLICY NUMBER IMMIDD/VVWI IMM/f1r1NWV1 LIMITS COMMERCIAL GENERAL LIABILITY f EACH OCCURRENCE $ . . CLAIMS-MADE .I OCCUR ..DAWkGFTORE�RTEfD_._ _... _..... ___.....- -. PRE S S Fs fEa occunre,neel $ __ _... MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ RCr ........ POLICY lEi.1 LOC PRODUCTS-COMP/OPAGG $ OTHFR, $ AUTOMOBILE LIABILITY I t ONIHINFD SINGLE 3 IMI1 -$ 1,000,000 A ALL OWNED - SCHEDULED BODILY a sec de 1 ( ANY AUTO BODILY INJURY(Per person) $ _ _ AUTOS X AUTOS ACP BAPC 3026738228 07/08/2016 07/08/2017 INJURY(Per accident) $ - _... HIRED AUTOS X NON-OWNED PROPERTY DA,AGE.... .. AUTOS (Per ec,gMj._._._._._.. $ UMBRELLA LIAB OCCUR EACH OCCURRENCE ($. EXCESS LIAB _ CLAIMS-MADE AGGREGATE $.... DED ( RETENTION$ $ 1 WORKERS COMPENSATION - _X STATUTE 0111 , _ AND EMPLOYERS'LIABILITY YIN _ER IANYPROPRIETORtPARTNER(EXECUTIVE EL EACH ACCIDENT $ 500,000,. A OFFICERIMEMBEREXCLUDED? N NIA ACP WCP 5954978651 06/24/2016 06/24/2017 --- -- --- ----- :.(Mandatory in NH) E L DISEASE EA EMPLOYEE $ 500,000 If yes,describe under I .................. .._._._._ ................ DESCRIPTION OF OPERATIONS below E L DISEASE POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. CITY OF CLEARWATER AUTHORIZED REPRESENTATIVE 100 S.MYRTLE AVE CHARLES D.TALLEY,JR. CLEARWATER FL 33756 ©1988-2014 ACORD CORPORATION. A I rights reserved, ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD