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CERTIFICATE OF LIABILITY INSURANCE (465)Client #: 292011 80MCKIMCRE page 2 of 3 AUUHDTM CERTIFICATE OF LIABILITY INSURANCE DATE(MM /DD /YYYY) 8/29/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. THIS POLICIES 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 BB &T Insurance Services, Inc 3318 West Friendly Ave., S te. 400 Ste 400 O, NC 27410 O CONTACT PHONE FAX an Lo, Ext >: 804678 -5025 (A/C, No): 8888318409 ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: XL Specialty Insurance Company 37885 INSURED McKim & Creed Inc. 1730 Varsity Drive #500 Raleigh, NC 27606 INSURER B : �I• " '•� •` ` -"� INSURER C: EACH OCCURRENCE INSURER D: INSURER E : CLAIMS -MADE INSURER F: OCCUR COVERAGES • 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 ADDLSUBR INSR WVD POLICY NUMBER POLICY EFF (MM/DD /YYYY) POLICY EXP (MM/OD/VYYY) LIMITS COMMERCIAL GENERAL LIABILITY .. t �� "• .r --� `+: , �I• " '•� •` ` -"� ,_ _ , EACH OCCURRENCE $ CLAIMS -MADE OCCUR PREMISES TO occurrence) $ MED EXP (Any one person) $ PERSONALS ADV INJURY $ GEN'L AGGREGATE POLICY OTHER: LIMIT APPLIES PRO- JECT PER: LOC GENERAL AGGREGATE $ PRODUCTS - COMP /OP AGG $ COMBINED SINGLE LIMIT (Ea accident) $ $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS _ SCHEDULED AUTOS NON -OWNED AUTOS 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) It 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 Professional Liability DPR9917311 09/05/2017 09/05/2018 $5,000,000 Per Claim $7,000,000 Aggregate DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached M more space Is required) RTIFICATE HOLDER CANCELLATION City of Clearwater Attn: City Clerk P.O. Box 4748 Clearwater, FL 33758 -4748 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 ACORD 25 (2014/01) 1 of 1 975 #S18688676/M18688446 0 1988 -2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD TLS page 2 of 3 a VIICIIIN•clVVrci ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 8/29/2017 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 BB &T Insurance Services, Inc. Post Office Box 13941 Durham, NC 27709 919 281 4500 CONTACT Debbie Church NAME: E, NNE o, Ext): 910- 772 -3720 FAX No): 888-746 -8761 (AlC E -MAIL dschurch @bbandt.com ADDRESS: INSURER(S) AFFORDING COVERAGE NAIL # INSURER A : Charter Oak Fire Insurance Comp 25615 INSURED McKim and Creed Inc 1730 Varsity Dr Ste 500 Raleigh, NC 27606 -2689 INSURER a : Travelers Property Casualty Co 25674 INSURER C: Travelers Indemnity Co of Amer 25666 INSURER D INSURER E: CLAIMS -MADE INSURER F : OCCUR • REVISION NUMBER: VV V CFSAVIC3 ',cll... 1,II, . c .•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 ADDLSUBR INSR WVD POLICY NUMBER POLICY EFF (MM /DD/YYYY) 09/05/2017 ' 09/0512017 , ,,rJ , , POLICY EXP (MM/DD /YYYY) 09/05/2018 `99/05/2018 LIMITS EACH OCCURRENCE $1,000,000 A X COMMERCIAL GENERAL LIABILITY X X X X 6302G091871 COF17 I' r-- 8102011341L1�'.''- ', LLE, y L.c.,, v..` DAMAGE RENTED DAMAGES (Ea occurrence) $100,000 $10,000 $1,000,000 CLAIMS -MADE X OCCUR MED EXP (Any one person) PERSONAL B ADV INJURY GENERAL AGGREGATE $2,000,000 GE 'L AGGREGATE POLICY OTHER: X LIMIT APPLIES JECT X PER: LOC PRODUCTS - COMP /OP AGG $2,000,000 COMBINED SINGLE LIMIT (Ea accident) $ $1,000,000 B AUTOMOBILE X LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS X SCHEDULED AUTOS NON -OWNED AUTOS BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY (Per DAMAGE Per accident $ $ B X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE X X CUP5J8991491714 09/05/2017 09/05/2018 EACH OCCURRENCE $10,000,000 AGGREGATE $10,000,000 $ DED X RETENTION $10,000 C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER /MEMBER EXCLUDED? (Mandatory In NH) II Yes, descrbe under DESCRIPTION OF OPERATIONS below Y / N N N / A X UB004J717613 09/05/2017 09/05/2018 X SEATUTE H ER E EACH ACCIDENT $1,000,000 $1,000,000 $1,000,000 E.L. DISEASE - EA EMPLOYEE E.L. DISEASE - POLICY LIMIT DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached It more space Is required) The City of Clearwater is included as an additional insured with respects to all coverage except Workers' Compensation where required by written contract before a loss. Such coverage is primary and non contributory. A Waiver of Subrogation also applies in favor of the City of Clearwater for CGL and Automobile Liability coverage where required by written contract, before a loss. a thirty (30) day notice of cancellation shall be given the Certificate Holder prior to cancellation or non renewal. CERTIFICATE HOLDER CANCELLATION City of Clearwater Attn: City Clerk PO Box 4748 Clearwater, FL 33758 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 ACORD 25 (2014/01) 1 of 1 „d, #S18691090/M18687822 ©1988 -2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD MEBAR