CERTIFICATE OF LIABILITY INSURANCE (2)A�o o°� CERTIFICATE OF LIABILITY INSURANCE �osisozo���'
l �
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(tes) must be endorsed. if SUBROGATION IS WAIVED, subject to
the terms and conditlons of the policy, certain policles may require an endorsement. A statement on this certificate does not confer rights to the
certlficate holder in lieu of such endorsement(s).
PRODUCER CONTACT
Marsh USA, If1C. NAME:
PHONE FAX
1166 Avenue of the Americas a N eM : ac No :
New York, NY 10036 E-MAIL
Attn: NewYork.Certs@marsh.com Fax: 212-948-0500 ADDRESS:
INSURER(S) AFFORDING COVERAGE NAIC #
034835-KUBRA-ALL-17-18
INSURED
Kubra Data Transfer Ltd.
30 Knox Drive
Piscataway, NJ 08854
COVERAGES
CERTIFICATE NUMBER:
p: Travelers Property Casualty Co. of America
B: Commerce & Industry Ins. Co
�: Illinois Union Insurance Co
D:
INSURER E :
INSURER F :
NYC-008783747-06 REVISION NUMBER:9
0
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 TypE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS
LTR POLICY NUMBER MM/D MM/D
A X COMMERCIAL GENERAL LIABILITY TC2JGLSA-178D3504-TIL-17 07101/2017 07101/2018 EACH OCCURRENCE $ 1,000,000
CLAIMS-MADE � OCCUR PREM SES� a occu ence $ 1,000,000
MED EXP (Any one person) $ 10,000
PERSONAL & ADV INJURY $ 1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: GENER,4L AGGREGATE $ 5,000,000
POLICY � PR� � LOC PRODUCTS - COMP/OP AGG $ 2,000,000
X JECT
OTHER: $
A AUTOMOBILE LIABILITY TC2JCAP-178D353A-TIL-17 07/0112017 07/0112018 COMBINED SINGLE LIMIT g 1,000,000
Ea accident
X ANY AUTO BODILY INJURY (Per person) $
X ALL OWNED X SCHEDUIED BODILY INJURY (Per accident) $
AUTOS AUTOS
X HIRED AUTOS X q� OS�ED PPer�a cidentDAMAGE $
$
B X UMBRELU► LIAB X OCCUR 28189247 07/01I2017 07I01/2018 EACH OCCURRENCE $ 3,000,000
EXCESS LIAB CLAIMS-MADE AGGREGATE $ 3,000,000
DED RETENTION $ $
A WORKERS COMPENSATION TC20U6-178D3412-17 (AOS) 07/0112017 07101/2018 X STATUTE �RH
AND EMPLOYERS' LIABILITY
A ANY PROPRIETOR/PARTNER/EXECUTIVE Y�N TRJUB-178D3565-17 (AZ, MA, WI) 07/01/2017 07101/2018 E.L. EACH ACCIDENT $ 1,000,000
OFFICER/MEMBEREXCLUDED? � N�A
(Mandato�y in NH) E.L. DISEASE - EA EMPLOYEE $ 1,000,000
If yes, describe under 1,000,000
DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $
C MEDIA E80 EON G23669298 005 11I01I2016 11I01/2017 LIMIT 3,000,000
SIR 750,000
DESCRIPTION OF OPERA710NS / LOCATIONS / VEHICLES (ACORD 101, Addkional Remarks Schedule, may be attachad if mare space is required)
City of Clearwater is included as additional insured (except Workers' Compensation) where required by written contract. This insurance is primary and non-contributory over any existing insurance and limited to
liability arising out of the operations of the named insured and where required by written contract. E& 0 coverage includes cyber liability coverage.
City of Clearwater
100 S Myrtle Ave
Cleanvater, FL 33756
LLA
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
of Marsh USA Inc.
IDaniel Rivera �� � �;�,
O 1988-2014 ACORD CORPORATION. Ail rights reserved.
ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD
OR°� CERTIFICATE OF LIABILITY INSURANCE DO6/012017D�YYY)
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 endorsementlsl.
PRODUCER
Marsh USA, Inc.
1166 Avenue of the Americas
New York, NY 10036
Attn: NewYork.Certs@marsh.com Fax: 212-948-0500
034835-KUBRA-CRIME-16-17
INSURED
Kubra Data Transfer Ltd.
30 Knox Drive
Piscataway, NJ 08854
iNSUReR n: Great American Insurance Co.
INSURER C :
16691
COVERAGES CERTIFICATE NUMBER: NYC-008784902-01 REVISION NUMBER:5
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 TypE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS
LTR POLICY NUMBER MM/DD/YYYY MM/DD/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: GENERAL AGGREGATE $
POLICY � PR� � LOC PRODUCTS - COMP/OP AGG $
JECT
OTHER: $
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $
Ea accident
ANY AUTO BODILY INJURY (Per person) $
ALL OWNED SCHEDULED BODILY INJURY (Per accident) $
AUTOS AUTOS
HIRED AUTOS NON-OWNED PROPERTY DAMAGE $
AUTOS Per accident
$
UMBRELLA LIAB OCCUR EACH OCCURRENCE $
EXCESS LIAB CLAIMS-MADE AGGREGATE $
DED RETENTION $ $
WORKERSCOMPENSATION PER OTH-
AND EMPLOYERS' LIABILITY Y� N STATUTE ER
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.L. DISEASE - POLICY LIMIT $
A CRIME 479-90-07 10122/2016 10I22I2017 LIMIT: 2,000,000
SIR: 500,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 107, Additional Remarks Schedule, may be attached if more space is required)
CERTIFICATE HOLDER CONCFI 1 ATInN
City of Clearwater
Attn: Gail Rini Customer Service
t 00 S Myrtle Ave
Clearwater, FL 33756
ACORD 25 (2014/01)
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
of Marsh USA Inc.
Henry Swayne
�� �' s-"� �
O 1988-2014 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD