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CLEARWATER GAS SYSTEM FACILITY REDEVELOPMENT - 15-0043-GA - CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) ACOR" CERTIFICATE OF LIABILITY INSURANCE vv2o19 5/16/2018 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). ON PRODUCER Lockton Companies NAAMMEACT 444 W.47th Street,Suite 900 PHONE FAx Kansas City MO 64112-1906 E MAILo Ext): A/C,No (816)960-9000 ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Travelers Property Casualty Co of America 25674 INSURED WALBRIDGE INSURER B:The Travelers Indemnity Corripany 25658 1347929 777 WOODWARD AVE.,SUITE 300 INSURER C:Travelers Indemnity Co of CT 25682 DETROIT MI 48226 INSURER D:Westchester Fire Insurance Company 10030 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 15382547 REVISION NUMBER: XXXXXXX 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 TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR INSD WVD POLICY NUMBER MM/DDNYYY MM/DDNYYY A X COMMERCIAL GENERAL LIABILITY y Y VTC2J-CO-8A097077-TIL-18 1/1/2018 1/1/2019 EACH OCCURRENCE $ 2,000,000 DAMAGE TO CLAIMS-MADE 1XI OCCUR PREMISES Ea occurrDence $ 300,000 X CONTRACTUAL LIAB. MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY n PRO- n LOC PRODUCTS-COMP/OP AGG $ 2,000,000 JECT OTHER: $ B AUTOMOBILE LIABILITY y y VTC2K-CAP-8A097053-IND-I8 1/1/2018 1/1/2019 COMBINED SINGLE LIMIT $ Ea accident 2,000,000 X ANY AUTO BODILY INJURY(Per person) $ XXXXXXX OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS XXXXXXX X HIREDX NON-OWNED PROPERTY DAMAGE $ XXXXXXX AUTOS ONLY AUTOS ONLY Per accident $ XXXXXXX A X UMBRELLA LIAB X OCCUR N Y VTSMJ-CUP-8A097089-TIL-18 1/1/2018 1/1/2019 EACH OCCURRENCE $ 35,000,000 D EXCESS LIAB CLAIMS-MADE G24245846007 1/1/2018 1/1/2019 AGGREGATE $ 35,000,000 DED RETENTION$ Prod-Comp Op Ag $ 35,000,000 WORKERS COMPENSATION PER OTH- C AND EMPLOYERS'LIABILITY Y/N Y VTC2EUB-9A51500-7-18 1/1/2018 1/1/2019 X STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVEE.L.EACH ACCIDENT $ 1000 000 OFFICER/MEMBER EXCLUDED? N❑ N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 A CONTRACTORS N N QT-630-8A097575-TIL-18 1/1/2018 1/1/2019 $1,000,000 LEASEDBENTED EQUIPMENT-ALL RISK DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) RE:CLEARWATER GAS SYSTEMS FACILITY REDEVELOPMENT(15-0043-GA).CITY OF CLEARWATER IS AN ADDITIONAL INSURED AS RESPECTS GENERAL LIABILITY AND AUTO LIABILITY COVERAGE ON A PRIMARY AND NON-CONTRIBUTORY BASIS AS REQUIRED BY WRITTEN CONTRACT.WAIVER OF SUBRGATION APPLIES IN FAVOR OF THE ADDITIONAL INSUREDS AS RESPECTS GENERAL LIABILITY,AUTO LIABILITY,AND WORKERS COMPENSATION COVERAGE AS REQUIRED BY WRITTEN CONTRACT AND WHERE ALLOWED BY LAW. FOR CANCELLATION FOR ANY REASON OTHER THAN NONPAYMENT OF PREMIUM,THE INSURER(S)WILL SEND 30 DAYS NOTICE OF CANCELLATION TO THE CERTIFICATE HOLDER. CERTIFICATE HOLDER CANCELLATION 15382547 CITY OF CLEARWATER SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 100 S.MYRTLE AVE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN CLEARWATER FL 33756 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIV Al1 ©1988 015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD