CERTIFICATE OF LIABILITY INSURANCE (521) U "U�
Client#:25411 WANTGROU
DATE(MMIDDAYYY
ACORD. CERTIFICATE OF LIABILITY INSURANCE 7/19/2019
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 any rights to the certificate holder in lieu of such endorsement(s).
PRODUCER CONTAC tie Kresner
NAME:
Greyfing Ins,BrokeragelEPIC PHONE, 11770.552.4225- - 11 FAX 866,550,4082
(AJC,No}:
3780 Mansell Road,Suite 370 E-MAIL
ADDR SS, Katie.Kresner@greyling.com
Alpharetta,GA 30022 INSURER(S)AFFORDINGCOVERAGE NAIL 0
INSURER IA;National UPI-on Fire-Ins.Co. .19445
INSURED INSURER B..The Continental Insurance Company35289
Wantman Group,Inc. i- - I - --1111---- -1-11--11--l- 1 1
19410
2035 Vista Parkway INSURER C:Commerce&Indus"Ins.Co.
INSURER D Berkley Insurance Company 32603
Suite 100
INSURER E
West Palm Beach,FL 33411
1 INSURER F
COVERAGES CERTIFICATE NUMBER: 19-20 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 CONTRACTOR 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 PAIDCLAIMS.
...............
INSR fADDLISUBk{ POLICY EFF POLICY EXP
TYPE OF INSURANCE INSR!WVV, I'll POLICY NUMBER tMWDDNYYY)IIMMIDDfYYYYI LIMITS
A y COMMERCIAL GENERAL LIABILITY 14613985 08/0112019 0810112020EACH OCCURRENCES 1,000,000
DANIA,&TO RENTED s500,000
CI AIMS-MADE X CCCUR PRELAI S tra occur—ce) I
0",pe--) 25 000
PERSONAL&ADV INJURYJURY
f
1.
f
GEN'L AG43RD'ATE LIMIT APPLIES PER
GENERAL AGGREGATE s2,000,000
..........
PRO, i
POLICY JECT 10C PRODUCTS-COMPtOP AGO S2,000,000
OTHER: $
I-A AUTOMOBILE LIABILITY 19775972 08/0112019 08101/2020 cOMBINEDSINGLIELNIF 1,000,000
XI ANY AUTO BODILY INJURY k—
OWDT NE SCHEDULED ,�,d
BODILY INJURY�P�,acenl)I
AUTOSONLYHIRED AUTOS
NON-OWNED PRO ERTY DAAGE
u,apcudentIM
AUTOS ONLY X AUTOS ONLY {P
X UMBRELLA LIAR y OCCUR 1 6049958687 08101/2019 0810112020 EACH OCCURRENCE IS5000000
EXCESS LIAR AGGREGATE
X[RETENTION$10,000
1
C WORKERS COMPENSATION 1011 569886 8101/2019 08/0 1 0 S 1 202 X I PEARTUTE OTH-t 0T �El
AND EMPLOYERS'LIABILITY
[ANY PROPRIETORIPARThIrPJE>tFCU"rIVF,,Y"f 11
i OFFICERWEMBER EXCLUDED' NJ A E L,EACH ACUDFNT $1,000,000
W
(Mandatory in NH) E L DISEASE-EA
If yes,describe-u.,
DESCRIPTION OF OPERAT IONS b.I.. E L.DISEASE-POLICY LIMD 51,000,01101101
.OPERA..........--............ ---------
D Professional
PollutionProfessional Liab AEC903226000 08/01/201910810112020 Per Claim$5,000,000
Aggregate$5,000,000
In
Liability
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES fACORD 101,Additional Remarks Schedule,may be attached if more space is required)
Re:RFQ#26-19.
City of Clearwater is named as an Additional Insured with respects to General&Automobile Liability where
required by written contract.
Should any of the above described policies be cancelled by the issuing insurer before the expiration date
thereof,we will endeavor to provide 30 days'written notice(except 10 days for nonpayment of premium)to
(See Attached Descriptions)
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
Cit of C lea rwater THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
100 S Myrtle Ave#220 ACCORDANCE WITH THE POLICY PROVISIONS.
Clearwater,FL 33756
AUTHORIZED REPRESENTATIVE
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