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CERTIFICATE OF LIABILITY INSURANCE (9)i"` i ® Rte' CERTIFICATE OF LIABILITY INSURANCE DATE (MNUD0/YYYY) 10/29/2019 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 rights to the certificate holder in lieu of such endorsement(s). PRODUCER Willis Towers Watson Northeast, Inc. fka Willie of New York, Inc. c/o 26 Century Blvd P.O. Box 305191 Nashville, TN 372305191 USA INSUREDINSURERS: KWbra Data Transfer Ltd.; and its subsidiaries, ForwMaker Software, Inc. Newbridge Information Services, Inc. and Matrix Digital Technologies, Inc. 5050 Tomken Road Mi.ssiaaauea. ON L4W 5S1 CAN CONTACT NAME: PHONE 1-877-945-7378 FAX 1^588-467-2378 to C. No. Ext): (A'C, No): A DR-MAIESS: certificates@willis.com INSURER(SSAFFORDING COVERAGE NAIL# INSURERA: ACE American Insurance Company 22667 Great American Insurance Company 1 16691 INSURER C : INSURER D : .. ,_...--_—_--. INSURER E INSURERF: COVERAGES CERTIFICATE NUMBER: W13644142 REVISION NUMBER: THIS -INDICATED.-NOTWITHSTANDING CERTIFICATE EXCLUSIONS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD ANY -REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER -DOCUMENT WITH RESPECT TO WHICH THIS MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, ___._ AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TYPE OF INSURANCE APDL SUBf? POLICY EFF POLICY EXP INSD WVDi POLICY NUMBER IMM;DDNYYY)(MIWDD/YYYY)i LIMITS 1 R LTR ICOMMERCIAL GENERAL LIABILITY :, OCCUR , ' EACH NCE i $ CLAIMS -MADE PREMISES occurrence) a $ ji LLaa MED EXP (Any one person) i $ PERSONAL &ADV INJURY ; $ GEN'L AGGREGATE LIMIT i ` PRO- i • JECT APPLIES PER: r i 1 LOC GENERAL AGGREGATE I $ _� PRODUCTS - COMP/OP AGG i $ IPOLICY OTHER: $ AUTOMOBILE UABIUTY ANY AUTOBODILY OWNED AUTOS ONLY HIRED AUTOS ONLY SCHEDULED.BODILY AUTOS$ NON -OWNED AUTOS ONLY COMBINED SINGLE LIMIT i $ (Ea accident]_ INJURY (Per person) ! $ INJURY (Per accident) I $ J PROPERTY DAMAGE Per accident)_ $ , UMBRELLA LIAB EXCESS UAB jj--- QED I j RETENTIONS i OCCUR ' EACH OCCURRENCE $ _ !_ J, CLAIMS -MADE AGGREGATE :, $ - - $ WORKERS COMPENSATION ANYI'ROPR OIE OR PARTNE OFFRlMEMBEREXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS YIN NIA STATUTE EROH E.L. EACH ACCIDENT I I $ E.L. DISEASE - EA EMPLOYEE] $ EXECUTIVE below E.L. DISEASE • POLICY LIMIT I $ A (Media/Cyber/Tech ESO EON 023669298 008 11/01/2019'11/01/2020 Limit '83,000,000 Retention i Per Policy Provisions DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached it more space is required) SEE ATTACHED CERTIFICATE HOLDER CANCELLATION City of Clearwater Attn: Gail Rini Customer Service 100 3 Myrtle Ave Clearwater, FL 33756 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2016 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD SR ID: 18743700 BATCH 1432494 2 of 2 3636