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CERTIFICATE OF LIABILITY INSURANCE - RFQ 26-19 (7) MEADHU1 OP ID: MRH ACORL7 DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 11/21/2019 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 608-257-3795 CONTACT Phil Hausmann,CIC NAME: Hausmann-Johnson Insurance Inc PHONE608-257-3795 FAX 608-257-4324 700 Regent St.,PO Box 259408 (A/C,No,Ext): (A/C,No): Madison,WI 53725-9408 E-MAIL Phil Hausmann ADDRESS: INSURERS AFFORDING COVERAGE NAIC# INSURER A:Travelers Casualty&Surety 19038 INSURED Mead&Hunt,Inc. INSURER B:Cincinnati Insurance Company 10677 M&H Architecture,Inc. Mead&Hunt Companies,Inc. INSURERC: Mead&Hunt International,Inc INSURER D: 2440 Deming Way Middleton,WI 53562-1562 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 2019 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. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVD MM/DD/YYYY MM/DD/YYYY A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR 6305C65601312/01/2019 12/01/2020 DAMAGE TO RENTED 300,000 X PREMISES Ea occurrence $ MED EXP(Any oneperson) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY LJC PES X� LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 Ea accident $ X ANY AUTO X 81011-275575 12/01/2019 12/01/2020 BODILY INJURY Perperson) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident $ X AUTOS ONLY X AUOTOS ONLDY PROPERTYr cDAMAGE $ A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 9,000,000 EXCESS LIAB CLAIMS-MADE CUPOK301101 12/01/2019 12/01/2020 AGGREGATE $ 9,000,000 DED X RETENTION$ 0 $ A WORKERS COMPENSATION X PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER A ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N UB8J317393-WI 12/01/2019 12/01/2020 E.L.EACH ACCIDENT $ 1'000'000 (MandatoryOFFICER/Min ER EXCLUDED? N/A UBOJ215432-OTH STATE 12/01/2019 12/01/2020 1,000,000 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ Ifyes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ I CRIPTLON T1�i'S1/ °1�heen required In wriitte'n"conLracL hkecetLlTlma cafeaattachedifmorespaceisrequired) holder is listed as additional insured with respect to commercial general liability and commercial auto liability. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Ci of Clearwater THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City ACCORDANCE WITH THE POLICY PROVISIONS. 1650 North Arcturas Building C Clearwater,FL 33765 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD