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CLEARWATER BEACH ROUNDABOUT PROJECT 2018 - 18-0031-EN - CERTIFICATE OF LIABILITY INSURANCE KEYSEXC-01 BJO CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYY' 09/20/2018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THI CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIE BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZE REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(les)must have ADDITIONAL INSURED provisions or be endorse If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement C this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER : CONTACT NAME: ASSOCIATES AGENCY,INC. PHONE - .. - 11470 N 53rd St (A/C,No,Exq:(813)988-1234 IA/c No).(813)988-0989 Temple Terrace,FL 33617 E-MAIL Certs@associateslns com _INSURER(S)AFFORDING_COVERAGE__-._--..-__,.-_-"_--________--___--_-_NAICI INSURER A:BItco National Ins UraC: nce_ ompany - --;20109- -- --- INSURED !INSURER_B:Bitop General InSUrance.Corporation _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 POLICY PERI( INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH TH CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERM EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADSL SUER POLICY EFF POLICY EXP T TYPE OF INSURANCE N POLICY NUMBER 4. YY LIMITS A X COMMERCIAL GENERAL LIABILITY 100C - -; -- -- EACH OCCURRENCE_ . ' CLAIMS-MADE i X OCCUR ICLP3661589 12/01/2017': 12/01/2018 DAMAGETORQNcErence) 30C —._ - .:- ___ _.._..._.- MED_EXP(Anyoneperson) -_-._$ 1C _. - __.. PERSONAL&ADV INJURY $ 1,00C GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 2,OOC _$ .. -... POLICY X! PE� LOC PRODUCTS-COMP/OP AGG_ 2,OOC ........ OTHER: $ B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,00C X ANY AUTO CAP 3661590 12/01/2017 1 12/01/2018 IEaaccidenl) -- OWNED SCHEDULED _BODILY INJURY(Perperson) ._$ AUTOS ONLY AUTOS BODILY INJURY(Per accident)_ pV/NE X.... AUTOS ONLY X.... AUOr6S ONLY (Peer PROPERTY tDAMAGE PIP $ 1C B X UMBRELLA LIAB X OCCUREACH OCCURRENCE $ 5,OOC EXCESS LIAB CLAIMS-MADE, CUP 2812266 12/01/2017 1Z/O1IZO18 AGGREGATE $ 5,OOC _... - ......... DED X !, RETENTION$ 10,000; B 'WORKERS COMPENSATION X PER OTH- ;ANDEMPLOYERS'LIABILITY - STAT.LITE ER______.. ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N' WC 3661588 12/01/2017112101/2018 1,00C OFFICER/M MER EXCLUDED? N/A: E L EACH-ACCIDENT," _$ (Mandatory n H) E DISEASE EA EMPLOYEE' $ 1 00C L _.. If yes,describe under 1,OOC DESCRIPTION OF OPERATIONS below E L DISEASE POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space is required) Clearwater Beach Roundabout Modifications Project#18-0031-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 BEFOI THE EXPIRATION DATE City of Clearwater-Engineering Dept ACCORDANCE WITH THE POLICY PROVISIONSCE WILL BE DELIVERED 100 S.Myrtle Ave,Suite 220 Clearwater,FL 33756 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reser The ACORD name and logo are registered marks of ACORD