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CERTIFICATE OF LIABILITY INSURANCE (5)
A�©Rn CERTIFICATE OF LIABILITY INSURANCE DATE(MMl201YYYY) 06128/2018 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). PRODUCER Aon Risk Services Northeast, Inc. New York NY Office 199 Water Street New York NY 10038-3551 USA CONTACT NAME: PHONE (866) Ext): (866) 283-7122 (A/C. No.): (800) 363-0105 E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURED Kubra Data Transfer Ltd. 30 Knox Drive Piscataway NJ 08854 USA INSURER A: Travelers Property Cas Co of America 25674 INSURER B: The Travelers Indemnity Co. 25658 INSURER C: The Charter Oak Fire Insurance Company 25615 INSURER D: Commerce & Industry Ins Co 19410 INSURER E: $1,000,000 INSURER F: COVERAGES CERTIFICATE NUMBER: 570072049976 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Limits shown are as requested INSR LTR TYPE OF INSURANCE ADDL INSD SUER WVD POLICY NUMBER POLIO? El -F (MM/DD/YYYY) POLICY EXP (MM/DD/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY TC2JGLSA2H53218ATIL18 07/01/201$ 07/01/2019 EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED PREMISES (Ea occurrence) $1,000,000 CLAIMS -MADE (X 1 OCCUR MED EXP (Any one person) $10,000 PERSONAL & ADV INJURY $1,000,000 GENERAL AGGREGATE $5,000,000 GEN'L X AGGREGATE POLICY OTHER: LIMIT APPLIES PRO -LOC JECT PER: PRODUCTS - COMP/OPAGG $2,000,000 '0' AUTOMOBILE X LIABILITY ANY AUTO OWNED AUTOS ONLY HIRED AUTOS ONLY - - SCHEDULED AUTOS NON -OWNED AUTOS ONLY TC2J-CAP-2H532166-TIL-18 07/01/2018 07/01/2019 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 BODILY INJURY ( Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident) D X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE 28294916 07/01/2018 07/01/2019 EACH OCCURRENCE $3,000,000 AGGREGATE $3,000,000 DED X RETENTION 82S 000 C B B C A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR t PARTNER / EXECUTIVEE.L. OFFICER/MEMBER EXCLUDED? J N I (Mandatory in NH) If EC describe under DESCRIPTION OF OPERATIONS below D N/A TC2OUB2J 70326818 TRKUB2J70325618 TRKUB2J70327A18 TC20UB2J 70324418 TC2JUB2370328118 07/01/2018 07/01/2018 07/01/2018 07/01/2018 07/01/2018 07/01/2019X 07/01/2019 07/01/2019 07/01/2019 07/01/2019 PEATUTE (00TH EACH ACCIDENT $1,000,000 E.L. DISEASE -EA EMPLOYEE $1,000,000 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) City of Clearwater is included as Additional Insured in accordance with the policy provisions of the General Liability, Automobile Liability and Excess Liability policies. General Liability policy evidenced herein is Primary and Non -Contributory to other insurance available to an Additional Insured, but only in accordance with the policy's provisions. CERTIFICATE HOLDER CANCELLATION Holder Identifier : 570072049976 Certificate No gWE city of Clearwater 100 S Myrtle AVe Clearwater FL 33756 USA 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 ts4 c%�c/GG2Y C/1DLJ51CLT+'ll e./�?Q ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD