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DRUID TRAIL WALKWAY - PHASE 4 - 04-0021-PR - CERTIFICATE OF LIABILITY INSURANCE (2) KEYSEXC-01 WONE ACORO° CERTIFICATE OF LIABILITY INSURANCE UAT11MM/DDIYYYY) 11/13/2018 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(les)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 - CONTACT NAME: ASSOCIATES AGENCY,INC. PHONE FAX 11470 N 53rd St IAPC,No,Extl:(813)988-1234 iArC,Nel:(813)988-0989 Temple Terrace,FL 33617 PD&ss;cents@associatesins.com INSURERI.S)AFFORDING COVERAGE NAIC# INSURER A:Bitco National insurance Company 20109 INSURED INSURER a t Bitco 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 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. 1LT R TYPE OF INSURANCE INS6 St O POLICY NUMBER POL9CY EFF I POLtcY EXP LIMITS A. X COMMERCIAL GENERAL LIABILITY 1,000,000 EACH OCCUR#2I=•NCE. '$ CLAIMS-MADE X OCCUR CLP 3675275 12/01/2018 12/01/2019 DAMAGE TO RENTED 300,000 PREMISES(Ea or"n-ence) 5 MED EXP IArty one person) S 10,000 PERSONAL&ADV INJURY S 1,000,000 GEN1 AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S 2,000,000 POLICY X JET LOC '.....PRODUCTS COMPIOPAGG $... --2,000,000 OTHER:: ,.�. m._.._. S B AUTOMOBILE LIABILITY ... m , COMBINED SINGLE LIMIT 1,000.,0.00'.. fFa amdentl $ X ANY AUTO CAP 3675276 12101/2018 12/01/2019 BODILY INJURY tF®r pufson) OWNED SCHEDULED AUTOS ONLY AUTOS yyN p BODILY INJURY(Per amident) 5... Xd.. AUTODS ONLY X ATOS ONLY (-01 a rderltDAMAGE 5... PIP s 10,000 mm®...._�u. _.�.._ .. .. B X UMBRELLA LIAB X OCCUR EACH OCCURRENCE '.. $ 5,000,000. EXCESS LIAB CLAIM&MADE 'CUP 2816168 1210112018. 12/01/2019 AGGREGATE $ 5,000,000 DED X RETENTIONS 10,000 _... - B PER OTH- AND EMPLOYERS'LIABILIITf YIN X STATUTE 'FR _ ANY PROPRIETORIPARTNER/EXECUTIVE WC 3675274 12/01/2018 12/01/2019 .. 1,000,000 �FFICERIM MBER EXCLUDED? NIA C L IrAGit ACCIOENT' $ - - - IllandatoryIn NH) E L DISEASE-EA EMPLOYEE_$ 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below '.. E L DISEASE: POLICY LIMIT DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) Druid Trail—Phase IV Project#04-0021-PR CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Cit of Clearwater Engineering Department THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City g g p ACCORDANCE WITH THE POLICY PROVISIONS. 100 S.Myrtle Ave.#220 Clearwater,FL 33758 �— - -_-- - AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD