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CERTIFICATE OF LIABILITY INSURANCE (864), lt- R CERTIFICATE OF LIABILITY INSURANCE 110/31/2017 DATE Ij :�� 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($), 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 endarsement(s ). PRODUCER MacLennan & Bain Insurance 214 Aberdeen Drive Valparaiso IN 46385. CONTACT Vickie pOxtex' PHONE , {219) 464 -0100 FAx [2191 464 -982 6 o. E-MAIL _vicki.e@macleananbain.com INSURER 5 AFFORRING COVERAGE NAIC X INSUREeA:Great American Specialty E & S 37532 INSURED Sensit Technologies LLC 851 Transport Drive Val araiso IN 46383 INSURER 8 :Trove �, er S GENERALLIABILTTY INSURER C: Ft ritat»Le>alzan CPCL7/VSP INSURER D : WSURERE: EACH OCCURRENCE INSURER F: COVERAGES CERTIFICATE NUMBER:2017 REVISION NUMRFR- THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED 14AMED 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 1S SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIM #TS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR TYPE OF INSURANCE ADOL UBR POLICY NUMBER POLICY WDD EFF MMIDDY€YYxYY L HITS Clearwater, EL 33755 GENERALLIABILTTY Ft ritat»Le>alzan CPCL7/VSP EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIAaIGTY DAMA 1 T RENTED R MS rreme S 300, DDO A CLAIMS -MADE ® OCCUR L3306820 1111/2017 11/1/2010 MEO EXP one rsanl 5 51000 PERSONAL &AOVINJURY 5 11000,000 X Con.tractnal Liability T included. GENERAL AGGREGATE S 21000,000 GEN1 AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG $ 2,000,000 X1 POLICY I PRO LOC Deductible $ $ 5 , o o 0 AUTOMOBILE LIAMUTY COMBINED SINGLE LIMIT eaccidenl 11000,000 SOOILY INJURY [per person) S ANY AUTO BODILY INJURY (per accident) $ RNYAUTOD SCHEDULED AUTOS AUTOS - 3G912939 1/1/2017 11/1/2018 NON -OWNED HIRED AUTOS AUTOS PROPERTY DAMAGE (Per accident)$ UMBRELLA LEAH I X OCCUR EACH OCCURRENCE S 7,000,000 X AGGREGATE S 7,000,000 A EXCESSUAB CLAIMS -MADE QED I x I RETENVONs S 53306921 1/1/2017 111/2018 B WORKERS COMPENSATION WG STATU- OTH- IMITSF AND EMPLOYERS' LIABILITY Y 1 N E.L. EACH ACCIDENT s '1,000,000 ANY PROPRIETORIPARTNEReXECUTIVE OFFICEWMEMBER Mandatory In NH EXCLt1DEq? � [ Y NIA - 3G912939 1/1/2017 1/1/2018 E.L.flISEASE - EA EMPLOYE $ 1,000,000 of es, descrlb9 under E.L. DISEASE - POLICY LIMIT $ 1 000 00D DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS T LOCATIONS I VEHICLES (Attach ACORD IG1, Additional Remarks Schedu#e, H more space is required) CERTIFICATE HOLDER rAMrl =l € ATlnhr Bruce . Grif f in@myCl.earwater SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE. THEREOF, NOTICE WILL BE DELIVERED IN City of Clearwater ACCORDANCE WITH THE POLICY PROVISIONS. Clearwater Gas System AUTHORIZED REPRESENTATIVE Attn: Bruce Griffin 4OO North Myrtle Avenue Clearwater, EL 33755 Ft ritat»Le>alzan CPCL7/VSP Ak;Urw Z5 [Z010 105) INS 025 (201005).09 ©1988 -2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORO