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CERTIFICATE OF LIABILITY INSURANCE - RFQ 26-19 (8) DATE(MM/DDNYYY) ACORN® CERTIFICATE OF LIABILITY INSURANCE Ill3/2/2020 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 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: Timothy Esler Fenner & Esler Agency, Inc q/CONNo Exe: (201)262-1200 A/c,No: (201)262-7810 467 Kinderkamack Road E-MAIL ADDRESS: P. O. BOX 60 INSURER(S) AFFORDING COVERAGE NAIC# Oradell NJ 07649-0060 INSURERA:Travelers Indem Co/Connecticut 25682 INSURED INSURERB:The Travelers Indemnity Co. 25658 Biller Reinhart Engineering Group, Inc. INSURER C:Travelers Property Casualty Co. of Amex 25674 3434 COLWELL AVENUE INSURER D:Admiral Insurance Company 24856 SUITE 100 INSURER E: Tampa FL 33614 INSURER F: COVERAGES CERTIFICATE NUMBER:Master 20-21 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 EFF POLICY EXP LIMITS LTR IVSD WVD POLICY NUMBER MM/DD/YWY MM/DD/YWY X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 A CLAIMS-MADE ❑X OCCUR DAMAGE (RENTED 1,000,000 PREMISES Ea occurrence) $ X 680-7H522856-20-47 3/1/2020 3/1/2021 MED EXP(Any one person) $ 10,000 PERSONAL &ADV INJURY $ 2,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000 X POLICY ❑ PRO ❑ LOC PRODUCTS-COMP/OP AGG $ 4,000,000 JECT OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 Ea accident ANYAUTO BODILY INJURY(Per person) $ B ALL OWNED SCHEDULED AUTOS AUTOS BA-9N591324-20-GRP 3/1/2020 3/1/2021 BODILY INJURY(Per accident) $ NON-OWNED PROPERTY DAMAGE X HIRED AUTOS X AUTOS Per accident) $ Hired Auto PD $ UMBRELLA LAB X OCCUR EACH OCCURRENCE $ 3,000,000 C X EXCESS LAB CLAIMS-MADE AGGREGATE $ 3,000,000 DED X RETENTION $ 10,000 CUP-3E31364A-20-47 3/1/2020 3/1/2021 $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE -1 E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ D Professional Liability E0000032627-05 3/1/2020 3/1/2021 $1,000,000 $1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Additional Insured -City of Clearwater as respects general liability where required by written contract. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Clearwater THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Engineering, RFQ26-19 ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 4748 Clearwater, FL 33758-4748 AUTHORIZED REPRESENTATIVE Timothy Esler/JEAN ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD INS025(201401)