CERTIFICATE OF LIABILITY INSURANCE (7) A`C ?RO® CERTIFICATE OF LIABILITY INSURANCE erla 019
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 WANED,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 NCONTACT ONE Karen Everhart
Independent Insurance Center PHONE , (703)777-7774 A1C Na: (707)777-7158
19465 Deerfield Ave. A-MAU. : kever artSicilremarkcom
Suite 210 INSURER(S)AFFORDING COVERAGE NAIC 0
Lansdowne VA 20176 INSURERA: TraVelers Ins CO
INSURED INSURER B
Ven Scoyoc Associates,Inc. INSURER C:
SW Mable Avenue SW INSURER D:
INSURER E:
Washington DC 20024 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 CONTRACTOR OTHER DOCUMENT WITH RESPECTTO WHICH THIS
CERTIFICATE MAYBE 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.
LTR TYPE OF INSURANCE POLICY NUMBER N UNITS
X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1.000,000
CLAIMS-MADE ®OCCUR PROMISES Me am S 300•000
MED EXP one S 5,000
A Y 63086399167 07/01/2019 07/01/2020 PERSONAL aADVINJURY s 1,000,000
GENtAGGREGATE LIMITAPPLIES PER: GENERALAGGREGATE S 2.000,000
POLICY El JECT F-1 LOC PRODUCTS-COMPIOPAGG S 20001000
OTHER: S
AUTOMOBILE LIASILmI - S 1,000,000
(EageANYAUTO BODILY INJURY(Per pmson) S
AOWNED SCHEDULED Y BABB399167 07/01/2019 07/01/2020 BOOILYINJURY(Par acddeno S
AUTOSONLY AUTOS
HIRED NON-OWNED S
AUTOSONLY AUTOS ONLY
S
UMBRELLA LtAB OCCUR EACH OCCURRENCE S 8,000,000
AExcessLIAB 11 CLAIMSMADE CUP3,1393486 07/01/2019 07/01/2020 AGGREGATE s 8,000,000
DEO I I RETENTION S 1S
WORKERS COMPENSATION X SPTRA rUTF DTH
AND EMPLOYERS'LIABILITY
ANY PROPRIETORNARTNERMECUTIVE YIN EL EACH ACCIDENT S 500,000
A OFFICERIMEMBEREXCLUDED? NIA UB7K819T97 07/01/2019 07/01/2020
(Mandatory In NH) E.L.DISEASE-EA EMPLOYEE S 500,000
e doudb0unda 500,000
DESCRIPTION OF OPERATIONS below EL DISEASE-POLICY LIMIT S
DESCRIPTION OF OPERATIONS/LOCATIONS!VEHICLES(ACORD 101,Addldmrol Remarks Salmdule,may be atlaehed N mole spaao Is mcpAmd)
THE FOLLOWING APPLIES WHEN REQUIRED IN A WRITTEN CONTRACT OR AGREEMENT:Certlflcate holder is included as an additional insured with
regard to General Llabilty,as per form CG D2 46 419,"Blanket Additional Insured and with regard to Automobile Liability,as per form CA T3 53 215,
"Business Auto Extension Endorsement",B.,Blanket Additional Insured. Subject to polity limits,terms,exclusions and conditions.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLFD BEFORE
THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN
City Of Clearwater,Florida ACCORDANCE WITH THE POLICY PROVISIONS.
Purchasing Dept,RFP#07-18
AUTHORIZED REPRESENTATIVE
Clearwater FL 33758-4748 /)
®1988`-22015 ACORD CORPORATION. All rights reserved.
ACORD 26(2016103) The ACORD name and logo are registered marks of ACORD
COMMERCIAL AUTO
THIS ENDORSEMENT CHANGES THE POLICY.PLEASE READ IT CAREFULLY.
BUSINESS AUTO EXTENSION ENDORSEMENT
This endorsement modifies Insurance provided under the following:
BUSINESS AUTO COVERAGE FORM
GENERAL DESCRIPTION OF COVERAGE—This endorsement broadens coverage.However.coverage for any
Injury. damage or medical expenses described in any of the provisions of this endorsement may be excluded or
limited by another endorsement to the Coverage Part and these coverage broadening provisions do not apply to
the extent that coverage is excluded or limited by such an endorsement.The IbIlowIng listing is a general cover-
age description only. I-Imitations and exclusions may apply to time coverages. Read all the provisions of this en-
dorsement and the rest of your policy carefully to determine rights.duties,and what is and is not covered.
A. BROAD FORM NAMED INSURED H. HIRED AUTO PHYSICAL DAMAGE—LOSS OF
B. BLANKET ADDITIONAL INSURED USE—INCREASED LIMIT
C. EMPLOYEE HIRED AUTO I. PHYSICAL DAMAGE — TRANSPORTATION
EXPENSES—INCREASED LIMIT
D. EMPLOYEES AS INSURED J. PERSONAL PROPERTY
E. SUPPLEMENTARY PAYMENTS— INCREASED K. AIRBAGS
LIMITS L NOTICE AND KNOWLEDGE OF ACCIDENT OR
F. HIRED AUTO — LIMITED WORLDWIDE COV LOSS
ERAGE—INDEMNITY BASIS M. BLANKET WAIVER OF SUBROGATION
G. WAIVER OF DEDUCTIBLE—GLASS N. UNINTENTIONAL ERRORS OR OMISSIONS
PROVISIONS
A. BROAD FORM NAMED INSURED this insurance applies and only to the extent that
The foaowing is added to Paragraph A.1..Who Is person or organization qualifies as an "insured"
An Insured of SECTION n—COVERED AUTOS under the Who Is An Insured provision contained
LIABILITY COVERAGE: in Section il.
Any organization u newly C. EMPLOYEE HIRED AUTO
Yo wty acquire or form dur- 1. The follow is added to Para
Ing the policy period over which you maintain Who bi gIsaInsured. of SECTION q�COV-
50% or more ownership interest and that is not EREO AUTOS LIABILITY COVERAGE-
Coverage
insured Por Business Auto Coverage.
Coverage under this provision is afforded only un- An "employee" of yours Is an "insured"while
til the 1130th day after you acquire or form the or- operating an "auto" hired or rented under a
ganbmMon or the end of the policy period. which- contract or agreement In an "employee's"
ever is earlier. name. with your permission. while performing
duties related to the conduct of your busi-
B. BLANKET ADDITIONAL INSURED ness.
The bllowing Is added to Paragraph c. in A.1.. 2. The following replaces Paragraph b. in B.S..
Who Is An Insured.of SECTION II—COVERED Other Insurance. of SECTION W — BUSI-
AUTOS LIABILITY COVERAGE: NESS AUTO CONDITIONS:
Any person or organization who Is required under b. For Hired Auto Physical Damage Cover-
a written contract or agreement between you and age. the following are deemed to be cov-
that person or organization. that Is signed and eyed"autos"you own:
executed by you before the "bodily Injury' or (1) Any covered "auto" you lease. hire.
"property damage" occurs and that is in effect rent or borrow.and
during the policy period.to be named as an adds- (2) Any covered"auto"hired or rented by
clonal Insured is an °insured" for Covered Autos your "employee" under a contract In
LisblIll<y Coverage. but only for damages to which an "employee's" name. with your
CA 73 53 0215 ®2015 The Travelers IndemMy Company.AG fWft reserved. Page 1 of 4
Ireudes copyrWftd mah*1 of henna Servkes ofte.Ina.WM b pemdssion.
COMMERCIAL AUTO
permission. while performing dudes (a) With re§pect to any claim made or°suit"
related to the conduct of your busi- brought outside the United States of
ness. America. the territories and possessions
However. arty"auto°that Is leased,hired. of the United States of America. Puerto
rented or borrowed with a driver is not a Rico and Canada:
covered"auto°. (I) You must arrange to defend the In-
D. EMPLOYEES AS INSURED sured"against.and investigate or set-
The
etThe following is added to Paragraph A.1.,Who Is tie any such claim or"suit'and keep
An Insured.of SECTION II-COVERED AUTOS us advised of all proceedings and ac-
LIMIL17Y COVERAGE: tions.
Any"employee"of your:Is an"Insured°while us- M Neither you nor any other involved
Ing a covered°auto°you don't own.hire or borrow Insured" will make any settlement
In your business or your personal affairs. without our consent
E. SUPPLEMENTARY PAYMENTS -INCREASED (1111)We may.at our discs on. participate
LIMITS In defending the°insured° against or
In the settlement of, any claim or
I. The following replaces Paragraph A.2.a.(2). "suit'.
of SECTION 11-COVERED AUTOS LIABIL- (iv)We will reimburse the °insured° for
ITY COVERAGE' sums that the Insured" legally must
(2) Up to $3.000 fbr cost of bail bonds (in- pay as damages because of °bodly
cluding bonds for related traffic law viola- Injury"or°properly damage° to which
dons) required because of an "accident! this Insurance applies. that the In-
we cover. We do not have to furnish sured" pays with our consent, but
these bonds. only up to the ftk described in Para-
2. The following replaces Paragraph A.2.a.(4), graph Q. Limits Of Insurance. of
of SECTION II-COVERED AUTOS LiABIL- SECTION II - COVERED AUTOS
iTY COVERAGE: UA131UTY COVERAGE.
,� (4) All reasonable expenses incurred by the (v) We will reimburse the "Insured' for
Insured" at our request, Including actual the reasonable expenses incurred
toss of earnings up to $S00 a day be- with our consent for your lnvesdga-
cause of time off from work tion of such claims and your defense
of the Insured" against any such
F. HIRED AUTO - LIMITED WORLDWIDE COV- "suit". but only up to and Included
ERAGE-INDEMNITY BASiS within the IM described In Para-
The foilowing replaces Subparagraph(S) In Para- graph Q. Limits Of Insurance, of
graph B.7.. Policy Period, Coverage Territory, SECTION II - COVERED AUTOS
„ of SECTION IV - BUSINESS AUTO CONDI- LIABILITY COVERAGE. and not in
TIONS; addition to such Urnit. Our duly to
(S) Anywhere in the world. except any country or make such payments ends when we
brisdiction while any trade sanction, em- have used up the applicable limit of
ergo. or similar regulation imposed by the insurance in payments for damages.
United States of America applies to and pro- settlements or defense expenses.
habits the transaction of business with or (b) This insurance is excess over arty valid
within such country or jurisdiction. for Cov- and coliectibte other insurance available
ered Autos I-labilily Coverage for any covered to the °Insured°whether primary. excess.
-® °auto° that you lease, hire. rent or borrow contingent or on any other basis.
without a driver for a period of 30 days or less (c) This Insurance is not a substitute for re-
and that Is not an"auyou lease, hire. rent qulred or compulsory Insurance in any
to"
-'— or borrow from any of your °employees". country outside the United States. its ter-
partners (if you are a partnership). members Modes and possessions.Puerto Rico and
Of you are a limited lability company) or Canada.
members of their households.
Page 2 of 4 ®2MS The Travelers btdem*CompaO.at dgfda name& CA T3 53 0215
malacias copydglded matelot of bwarm Ser►kw Office.leo.arbh ft permiealon.
000511
COMMERCIAL AUTO
You agree to maintain all required or (2) In or on your covered"auto°.
compulsory Insurance In any such coun- This coverage applies only in the event of a total
by up to the minimum limits required by theft of your covered"auto".
local law. Your failure to comply with No deductibles
compulsory insurance requirements will apply to this Personal Property
not Invalidate the coverage afforded by coverage.
this policy,but we will only be gable to the K. AIRBAGS
same extent we would have been gable The following is added to Paragraph B.3., Exclu-
had you compiled with the compulsory in- sions, of SECTION III — PHYSICAL DAMAGE
surance requirements. COVERAGE.
(d) it Is understood that we are not an admit Exclusion 3.a. does not appy to 'loss"to one or
teed or authorized insurer outside the more airbags In a covered"auto"you own that in-
United States of America. its territories fhate due to a cause other than a cause of"loss"
and possessions. Puerto Rico and Can- set forth in Paragraphs A.1.b. and A.1.c.. but
ada. We assume no responsibility for the only.
furnishing of certificates of Insurance. or a. If that"auto" is a covered"auto"for Compre-
for compliance In any way with the laws hensive Coverage under this policy.
of other countries relating to insurance. b. The airbags are not covered under any war-
e. WAIVER OF DEDUCTIBLE—GLASS rally,and
The following Is added to Paragraph D. Deducti- c. The albags were not intentionally inflated.
ble. of SECTION 111 — PHYSICAL DAMAGE We will pay up to a maximum of$1.000 for any
COVERAGE: one"loss".
No deductible for a covered "auto" will apply to �„ NOTICE AND KNOWLEDGE OF ACCIDENT OR
glass damage if the glass Is repaired rather than LOSS
replaced. The following is added to Paragraph A.2.a., of
H. HIRED AUTO PHYSICAL DAMAGE—LOSS OF SECTION IV—BUSINESS AUTO CONDITIONS:
USE—INCREASED LIMIT Your duty to give us or our authorized representa-
The folW&g replaces the last sentence of Para- tive prompt notice of the "accident' or"loss" ap-
graph A.4.b., Loss Of use Expenses, of SEG piles only when the "accident'or"loss" is known
TION 111—PHYSICAL DAMAGE COVERAGE: to:
However, the most we will pay for any expenses (a) You(ifyou are an individual);
for loss of use Is $6S per day. to a maximum of (b) A partner(if you are a partnership);
$7SO for any one"accident'. (c) A member Of you are a limited liability com-
L PHYSICAL DAMAGE — TRANSPORTATION pany);
EXPENSES—INCREASED LIMIT (d) An executive officer, director or Insurance
The following replaces the first sentence In Para- manager(if you are a corporation or other or-
graph A.4.a.. Transportation Expenses, of ganization):or
SECTION iii — PHYSICAL DAMAGE COVER- (e) Any"employee"authorized by you to give no-
AGE: tics of the"accident!or"loss".
We will pay up to$SO per day to a maximum of M. BLANKET WAIVER OF SUBROGATION
$1.SOO for temporary transportation expense in- The following laces Paragraph A.S.. Transfer
cuffed by you because of the total theft of a cov- Of Rights Of Recovery Against Others To Us,
ered"auto"of the private passenger type. of SECTION IV — BUSINESS AUTO CONDI-
J. PERSONAL PROPWtTY TIONS:
The following Is added to Paragraph A.4.. Cover- S. Transfer Of Ritter Of Recovery Against
age Extensions. of SECTION III — PHYSICAL Others To Us
DAMAGE COVERAGE: We waive any right of recovery we may have
Personal property against any person or organization to the e*-
tent required of you by a written contract
We will pay up to $400 for"loss"to wearing ap- signed and executed prior to any "acddenr
parel and other personal property which Is: or"loss".provided that the"accident"or"loss"
(1) Owned by an Insured°;and arises out of operations contemplated by
CA T3 53 0215 0 2016 The Travelers Indem*Cogwrq.Ag rigida reserved. Page 3 of 4
Includes copyrighNd material of fimance services oMce,rra:.with Rs pemdssion.
r
COMMERCIAL AUTO
such contrail The waiver applies only to the The unintentional omission of, or unintentional
person or organization designated in such error in, any information given by you shall not
contract
prejudice your rights under this insurance. How-
N. UNINTENTIONAL ERRORS OR OMISSIONS ever this provision does not affect our right to col-
The following is added to Paragraph 8.2., Con- led additional premium or exercise our right of
ceaimenk MisreprresenbMan, Or Fraud, of cancellation or non-renewal.
SECTION IV—BUSINESS AUTO CONDITIONS:
Page 4 of 4 02MS The Travelers Indarni ft Comps ny.A0 dglda reserved. CA T3 53 0215
Includes copyrighted materia!of Insurance services Office.Im with b parmis*rL
000512
COMMERCIAL GENERAL LIABILITY
THIS ENDORSEMENT CHANGES THE POLICY.PLEASE READ IT CAREFULLY.
BLANKET ADDITIONAL INSURED
(includes Products-Completed Operations If Required By Contract)
This endorsement modifies Insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
PROVISIONS (1) Any "bodily Injury". "property damage" or
The following Is added to SECTION 11—WHO IS AN "personal Injury"arising out of the providing.
INSURED: or failure to provide. any professional
Any person or organization that you agree In a architectural, engineering or surveying
written contract or agreement to include as an services,including.
additional Insured on this Coverage Part is an (a) The preparing, approving. or failing to
Insured.but only. prepare or approve. maps. shop
a. With respect to Wily, for "bodily injury" or drawings. opinions. reports. surveys.
"property damage" that occurs, or for"personal field orders or change orders, or the
Injury" caused by an offense that is committed, preparing, approving, or failing to
subsequent to the signing of that contract or prepare or approve, drawings and
agreement and while that part of the contract or specifications;and
agreement is In effect;and (b) Supervisory, inspection, architectural or
b. If, and only to the extent that, such injury or engineering activities.
damage is caused by acts or omissions of you or
your subcontractor In the performance of"your (2) Any "bodily injury" or "properly damage"
.ME work"to which the written contract or agreement caused by "your work' and included In the
OR applies. Such person or organization does not "products-completed operations hazard"
qualify as an additional Insured with respect to unless the written contract or agreement
the independent acts or omissions of such specifically requires you to provide such
person or organization. coverage for that additional Insured during
The Insurance provided to such additional insured is the policy per•
subject to the following provisions: c. The additional insured must comply with the
o� a. if the Limits of Insurance of this Coverage Part following duties:
shown in the Declarations exceed the minimum
limits required by the written contract or (1) Give us written notice as soon as practicable
Aagreement. the Insurance provided to the of an "occurrence" or an offense which may
additional insured will be limited to such result in a claim.To the extent possible.such
minimum required limbs. For the purposes of notice should include:
determining whether this limitation applies, the (a) How. when and where the "occurrence"
.� minimum limits required by the written contract or or offense took place;
agreement will be considered to Include the
minimum limits of any Umbrella or Excess (b) The names and addresses of any injured
liability coverage required for the additional persons and witnesses;and
Insured by that written contract or agreement.
This provision will not increase the limits of (a) The nature and location of any Injury or
ESEInsurance described In Section 111 — Limits Of damage arising out of the "occurrence"
Insurance. or offense.
Is. The Insurance provided to such additional (2) If a claim is made or"suit'Is brought against
Insured does not appy to: the additional insured:
W D2 46 0418 ®1018 The Travelers IndemWW Company.All rigids reserved. Page 1 of 2
016151
COMMERCIAL GENERAL LIABILITY
(a) Immediately record the specifics of the (4) Tender the defense and indemnity of any
claim or°suit'and the date received:and claim or 'sub' to any provider of other
(b) Nolifyus as soon as practicable and see Insurance which would cover such additional
to it that we receive written notice of the Insured for a loss we cover. However, this
claim or"suit'as soon as practicable. condition does not affect whether the
(3) Immediately send us copies of all legal insurance provided to such additional
papas received In connection with the claim Insured Is primary to other insurance
or °suit', cooperate with us In the available to such additional insured which
Invesdgation or settlement of the claim or cow that person or organization as a
defense against the esuir, and otherwise named insured as described In Paragraph 4.,
comply with all policy conditions. Other Insurance,of Section N—Commercial
General Liability Conditions.
Page 2 of 2 0 2018 The Travelers hWemnay Company.AD rWft reserved. CO D2 46 0419
ACo® CERTIFICATE OF LIABILITY INSURANCE DAoarzu201D 9
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 Ileu of such endoreement(s).
PRODUCER CONTACT Karen Everhart
NAME:
Independent Insurance Center PHONE (703)777-7774AX Ne: (707)777-7156
19485 Deerfield Ave. ADDRESS: keverhart®iicliremark.com
Suite 210 INSURER(S)AFFORDING COVERAGE NAIC 0
Lansdowne VA 20176 INSURER A: RPS-Chubb Insurance Group
INSURED INSURER 9:
Van Scoyoc Associates,Inc. INSURER C:
800 Maine Avenue SW INSURER D:
INSURER E:
Washington DC 20024 INSURER F:
COVERAGES CERTIFICATE NUMBER: 19-20 VSA E80 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.
LTR TYPE OF INSURANCE tN80 WVD POLICY NUMBER MMIDOfYYYY) (MMIDDfYYYY1 LIMITS
COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S
CLAIMS-MADE 0 OCCURE
TT-
E' ceu ceS
MED EXP one S
PERSONAL&ADVINJURY S
GEN'LAGGREGATELIMITAPPUESPER; GEIERALAGGREGATE $
POLICY JEC LOC PRODUCTS-COMPIOPAGG $
OTHER:1:1S
AUTOMOBILE LIABILITY BINa�tSINGLELIMIT $
ANYAUTO BODILY INJURY(Por person) S
OWNED SCHEDULED
AUTiOSONLY AUTOS BODILY INJURY(Per aulderd) S
HIRED
AUTOSNSOLY
ONLY O S
S
UMBRELLALIA13 OCCUR EACH OCCURRENCE $
EXCESS LIAR HCLAIMS-MADE AGGREGATE $
DED I I RETENTION S S
WORKERS COMPENSATION STA TE ER
AND EMPLOYERS'LIABILITY YIN
ANY PROPRIETORIPARTNEWEXECUTNE NIA E.L.EACH ACCIDENT $
OFFICER/MEMBER EXCLUDED? Li
(Mandatory In NH) E.L.DISEASE-EA EMPLOYEE S
Hyes desefte under
DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S
Errors 8 OmissionsA 68026778 07/0112019 07/01/2020 $50,000 ded $2,000,000
Aggregate $2,000,000
DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Sched^may be attached It more space Is required)
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN
City of Clearwater,Florida ACCORDANCE WITH THE POLICY PROVISIONS.
Purchasing Dept,RFP 007-18
AUTHORIZED REPRESENTATIVE
Clearwater FL 33758.4748 11
01988-22015 ACORD CORPORATION. All rights reserved.
ACORD 26(2016103) The ACORD name and logo are registered marks of ACORD