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HILLCREST AVENUE BYPASS CULVERT - 13-0042-EN - CERTIFICATE OF LIABILITY INSURANCE —....•� KEY'SEXC-01 JFAVA ERTIFICATE OF LIABILITY INSURANCE FDATE(MM/2018 Y) 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, suis ect to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this cer8ificate does not confer right,=to the certificate holder in lieu of such endorsement(s). PRODUCER ;CONTACT ASSOCIATES AGENCY,INC. PHONE -- FAX 11470 N 5Si d St (A/C,No,Ext):(813)988-1234 _ (AIC,No):(813)98_8-0989 Temple T(,rrace,FL 33617 "ADoRIEss:Certs@associatesins.com INSURERS)AFFORDING COVERAGE NAIC# INSURER A:Bitco National Insurance Company 20109 INSURED INSURER 13:Bitco General Insurance Cor oration 20095 Keystone Excavators,Inc. INSURER C: _ 371 Scarlet Blvd. INSURER D Oldsmar,FL 34677 — INSURER E: _ INSURER F: _ _- COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLIO'(PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO VIHICH 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. ILTR TYPE OF INSURANCE ADSL SUER POLICY NUMBER POLICY EFF POLICY EXP -__ INSD MMIDD MM/DD LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCEI$$ 1,000,000 -�CLAIMS-MADE OCCUR CLP 3661589 12/01/2017 12/01/2018 DAMAGE TO RENTED 300,000 PREMISES(Ea occurrence) ;$ -- __ MED EXP(Any one person) $ 10'000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER f___G_GENERAL AGGREGATE $ 2'000,000 FI:LICY JECT LCC PRODUCTS-COMP/OP AGG $ 2,000'000 O'HER: _ B AUTOMOBILE LIABILITY I Ea aBINEDtSINGLE LIMIT $ 1,000,000 X ANY AUTO CAP 3661590 12/01/2017 12/01/2018 BODILY INJURY Per erson $ONN AUTO D SCHEDULED BODILY INJURY(Per accident $ AUTOS OS ONLY AUTOS I i X NUtRED X NON-OWNED �PFOPERTY DAMAGE AUTOS ONLY AUTOS ONLY .LPe'accident). pip $ 10,000 B X UMBRELLA LIAB 'X OCCUR ! S,000,OOO EACH OCCURRENCE $ _ EXCESS LIAB CLAIMS-MAIZE; CUP 2812266 12/01/2017 12/01/2018 5,000,000 L`cD X RETENTION$ 10,0001 AGGREGATE $ B I WORK!'RS COMPENSATION ( X PER OTH- $ E AND EMPLOYERS'LIABILITY YIN j ! �._,,STATUTETATUTE ERR !ANY PROPRIETOR/PARTNER(EXECUTIVE WC 3661588 12/01/2017 i 12/01/2018" 1,000,000 OFFICER/MEMBERED?EXCLUDE NIA E...EACH ACCIDENT $ _ _ (Mandatory in NH) -- F—.DISEASE-EA EMPLOYEE$ 1,000,000 If yes,(I.,scribe under '1,000,000 DESCR PTION OF OPERATIONS below _ F.L_DISEASE-POLICY LIMIT $ _ i I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) HILLCREST AVENUE BYPASS CULVERT PROJECT PROJECT NO.:13-0042-EN City of Clearwater is an additional insured under the general liability when required by contract. CERTIFICATE HOLDER _ CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Clearwater—Engin r;ring Dept. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Myrtle Ave,Suite 223 Clearwater, water,FL 33756 AUTHORIZED REPRESENTATIVE ACORD 26(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD