CERTIFICATE OF LIABILITY INSURANCE (4)�
'`�`� �� CERTIFICATE OF LIABILITY INSURANCE �a�22�20 6�
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 ceRificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to
the terms and conditions of the policy, ceRain 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 HeIIC1L1Ck3 Office
NAME:
Erwin Insurance PHON o .(904) 396-1440 ,p�C, No1: �906)396-1550
P. O. Box 40826 ,,:.M o����.
Jacksonville FL 32203 iNSi
INSURED � INSI
Intuition Systems, Inc. iNSi
9428 Baymeadows Rd.,#500 iNSi
INSI
Jacksonville FL 32256 iNSi
COVERAGES CERTIFICATE NUMBER:CL1682214436
INSURER(S) AFFORDING COVERAGE
A:The Travelers Indemnity �
B:
c:
of 125666
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 7ypE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS
LTR POLICY NUMBER MMIDDMlYY MMIDD/YYYY
COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $
CLAIMS-MADE � OCCUR DAMAGE TO RENTED
PREMISES Ea occurrence $
MED EXP (Any one person) $
PERSONAL & ADV INJURY $
GEN'L AGGREGATE LIMIT APPLIES PER: I GENERAL AGGREGATE $
PRO- �
POLICY � �ECT � LOC i PRODUCTS - COMP/OP AGG $
OTHER: $
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $
Ea accident
ANY AUTO BODILY INJURY (Per person) $
ALL OWNED SCHEDULED BODILY INJURY (Peraccident) $
AUTOS AUTOS
NON-OWNED PROPERTY DAMAGE $
HIRED AUTOS AUTOS Per accident
$
UMBRELLA LIAB OCCUR EACH OCCURRENCE $
EXCESS LIAB CLAIMS-MADE AGGREGATE $
DED RETENTION $ $
WORKERS COMPENSATION X PER OTH-
AND EMPLOYERS' LIABILITY Y� N STATUTE ER
ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ 1, 000 000
A OFFICER/MEMBER EXCLUDED? N� N� A
(Mandatory in NH) UB-8F43001-6-16 9/1/2016 9/1/2017 E.L. DISEASE - EA EMPLOYE $ 1, 000 000
If yes, describe under
DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1 000 000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Addttional Remarks Schedule, may be attached if more space is required)
gail.rini@myclearwater.com
City of Clearwater
Attn: Customer Service
100 South Myrtle Ave
Clearwater, FL 33756
ACORD 25 (2014/01)
I NS025 no� aai i
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORI2ED REPRESENTATIVE
� ��,/�,���/ �
John Alexander/JALEX3 �� �� <<�"T'��'�`""�
O 1988-2014 ACORD CORPORATION. All rights reserved.
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