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CERTIFICATE OF LIABILITY INSURANCE (470)�1 ® -°'� " CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 12/20/2017 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 have ADDITIONAL INSURED provisions or 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 Aon Risk Services South, Inc. Franklin TN Office 501 Corporate Centre Drive Suite 300 Franklin TN 37067 USA CONTACT PHON: (NC. No. Ext): (866) 283-7122 FAX No.): 800-363-0105 EMAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURED Malcolm Pirnie, Inc. 44 South Broadway 9th Floor White Plains NY 10601 USA INSURER A: Greenwich Insurance Company 22322 INSURER B: XL Specialty Insurance Co 37885 INSURER C: XL Insurance America Inc 24554 INSURER D: $1,000,000 INSURER E: INSURER F: CLAIMS -MADE X OCCUR COVERAGES CERTIFICATE NUMBER: 570069526949 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. Limits shown are as requested INSR LTR TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF (MM/DD POLICY EXP (cMWDDIrcYYv�YY LIMITS A X COMMERCIAL GENERAL LIABILITY GEC00107613S b1/01// 01/01 EACH EACH OCCURRENCE $1,000,000 CLAIMS -MADE X OCCUR General Liability SIR applies per policy terns & conditions DAMAGE TO RENTED PREMISES (Ea occurrence) $1,000,000 . ms's:. MED EXP (Any one person) $10,000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY X PRO -X JECT LOC PRODUCTS - COMP/OP AGG $2,000,000 OTHER: :'� B AUTOMOBILE LIABILITY AEC001075816 Auto (AOS)or.: 01/01/2018 01/01/2019 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 X ANY AUTO .- .. ',. n ( person) BODILY INJURY Per OWNED - SCHEDULED AUTOS LE'Gi.f' , ,,_, ..a 1. BODILY INJURY (Per accident) AUTOS ONLY HIRED AUTOS ONLY NON -OWNED AUTOS ONLY PROPERTY DAMAGE (Per accident) _ B X UMBRELLA LIAB X OCCUR UEC001075916 01/01/2018 01/01/2019 EACH OCCURRENCE $1,000,000 EXCESS LIAB - CLAIMS -MADE Umbrella AGGREGATE $1,000,000 DED X RETENTION $10 000 C ORKS SCOMPENSA ION AND WORKERS RS' LIABILITY RWD943516312 01/01/2018 01/01/2019 X STA UTE I ETH B ANY PROPRIETOR / PARTNER I EXECUTIVE YIN N N / A AOS RWR943516712 01/01/2018 01/01/2019 E.L. EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) AK , WI E.L. DISEASE -EA EMPLOYEE $1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Re: All operations of the Named Insured. city of Clearwater is included as Additional Insured as required by written contract, but limited to the operations of the Insured under said contract, with respect to the General Liability, Auto Liability and Umbrella Liability policies. General Liability and Auto Liability evidenced herein is primary and non-contributory to other insurance available to the Additional Insured, but only to the extent required by written contract with the insured. A Waiver of Subrogation is granted in favor of Additional Insured as required by written contract but limited to the operations of the Insured under said contract, with respect to the General Liability, Auto Liability, Umbrella Liability and Workers' Compensation policies. CERTIFICATE HOLDER City of Clearwater Attn: City Clerk P.O. Box 4748 Clearwater FL 33758 USA 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. Holder Identifier : Certificate No : 570069526949 AUTHORIZED REPRESENTATIVE e�X�IB c�TdQr� �sG4ifrC�CIO �kGL�i �� ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD