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CLEARWATER BEACH ROUNDABOUT PROJECT 2018 - 18-0031-EN - CERTIFICATE OF LIABILITY INSURANCE (2) KEYSEXC-01 B ONES ACORO° CERTIFICATE OF LIABILITY INSURANCE DATE,MM/°°f"'"' 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 SGENCY,INC. Imo, %Ext):(1813)988-1234 FAX 1 470 N 53 d IA+c,N.):(813)988-0989 Temple Terrace,FL 33617X-MAIL Certsi@associatesins.com INSURERIS)AFFORDING COVERAGE,. NAIC. INSURER A:Bitco National Insurance Company _ 20109 INSURED INSURER B:Bitco General Insurance Corporation 20096 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- "T R .. .... TYPE OF INSURANCE ,.. L"' UUD'.. POLICY NUMBER POLICY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY ) �YY} IMM/DDdYYYYI 1,000,000 . EACH OCCURRENCE $ CLAIMS-MADE X OCCUR ,CLP 3675275 '.. 12/01/2018 12/01/2019 .PF eM16E TO�E�NrEonoe) $.. 300,000 MED EXP(Any one person) $_ 10,000 PERSONAL&ADV INJURY $ 1,000,000. GEN L AGGREGATE"LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000' POLICY I X '...JET i LOC PRODUCTS-COMP/OP AGG $ 2,000,000.. OTHER.:... B AUTOMOBILE LIABILITYCOMBINED SINGLE LIMIT 1,000,000 _(Eaaccident)- - —.....-- - $___. X ANY AUTO CAP 3675276 12/01/2018 12/01/2019 BODILY INJURY(Per person) S_ OWNED SCHEDULED AUTOS ONLY AUTOS p BODILY INJURY(Per accident) X AUTOS ONLY X AUOTOS ONLY RerOePcE-cid ntAh�bAGE $ PIP $ 10,000 B X UMBRELLA LIAB X 'OCCUREACH OCCURRENCE $ 5,000,000 EXCESS LIAB CLAIMS-MADE CUP 2816168 12/01/2018; 12/01/2019 AGGREGATE $ 5,000,000 DED X RETENTION$ 10,000 _... $ B AND EMPLOYORKERS ERS'LIABILITY YIN MPENSATION X STATUTE '_ERH WC 3675274 12/0112018 12/01/2019 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE EL EACH ACCIDENT $ andatory In NH)EXCLUDED? NIA 1,000,000 E L DISEASE-EA EMPLOYEE $ If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E L DISEASE POLICY LIMIT $ DESCRIPTION OF OPERATIONS 1 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 BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED INCit of Clearwater—Engineering Dept ACCORDANCE WITH THE POLICY PROVISIONS. 100 S.Myrtle Ave,Suite 220 Clearwater,FL 33756 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD