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CERTIFICATE OF LIABILITY INSURANCE (2) DATE(MM/DD/YYYY) A�"® CERTIFICATE OF LIABILITY INSURANCE 03/18/2020 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 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 CONTACT Libby Kader NAME: ARCW Insurance PHONE (727)544-8841 FAX (727)544-8842 (AC, C No Ext): A/C,No): 9067 Belcher Rd E-MAIL libby@arcwinsurance.com ADDRESS: Y@ INSURER(S)AFFORDING COVERAGE NAIC# Pinellas Park FL 33782 INSURERA: Nationwide Ins.Co.ofAmerica 25453 INSURED INSURER B Fowler Associates Architects INSURER C: 1421 Court St Ste D INSURER D: INSURER E: Clearwater FL 33756-6172 INSURER F: COVERAGES CERTIFICATE NUMBER: 20/21 Master 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 ADDLSUBR TYPE OF INSURANCE POLICY EFF POLICY EXP LTR INSD WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1'000'000 DAMAGE TO CLAIMS-MADE ❑OCCUR _PREMISES Ea oTED N""ence $ 300,000 MED EXP(Any one person) $ 5,000 A Y ACP5994833143 03/25/2020 03/25/2021 PERSONAL&ADV INJURY $ 1,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2'000'000 POLICY ❑ PRO ❑ LOC PRODUCTS-COMP/OP AGG $ 2,000,000 PRO- JECT OTHER: Non-owned $ 1,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANYAUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accide nt) $ AUTOS ONLY AUTOS HIRED NON-OWNEDPROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident r $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION $ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ NIA E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) RFQ#11-14 City of Clearwater is additional Insured with respects to the general liability,as required by written contract,subject to the terms and conditions of the policy. 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 ACCORDANCE WITH THE POLICY PROVISIONS. 100 S Myrtle Ave AUTHORIZED REPRESENTATIVE #220 Clearwater FL 33756 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD AC�® EVIDENCE OF PROPERTY INSURANCE F DATE(MM/DD/YYW) 3/18/2020 THIS EVIDENCE OF PROPERTY INSURANCE IS ISSUED ASA MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE ADDITIONAL INTEREST NAMED BELOW.THIS EVIDENCE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS EVIDENCE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE ADDITIONAL INTEREST. AGENCY PHONE (727)544-8841 COMPANY A C No Ext): ARCW Insurance Nationwide Ins. Co. of America 9067 Belcher Rd 1100 Locust Street Pinellas Park FL 33782 Des Moines IA 50391 FAX A/C No:(727)544-8842 E-MAADDRESS: CODE: 59954 SUB CODE: 002 AGENCY 00051335 CUSTOMER ID#: INSURED LOAN NUMBER POLICY NUMBER Fowler Associates Architects ACP5994833143 1421 Court St Ste D EFFECTIVE DATE EXPIRATION DATE CONTINUED UNTIL 3/25/2020 3/25/2021 TERMINATED IF CHECKED Clearwater FL 33756-6172 THIS REPLACES PRIOR EVIDENCE DATED: PROPERTY INFORMATION LOCATION/DESCRIPTION LOC# 00001/Bldg# 00001 1421 Court St Clearwater, FL 33756-6172 THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUEDTO THE INSURED NAMEDABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OFANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS EVIDENCE OF PROPERTY INSURANCE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BYTHE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. COVERAGE INFORMATION COVERAGE/PERILS/FORMS AMOUNT OF INSURANCE DEDUCTIBLE Personal Property, Replacement Cost, Special form 129,700 1,000 I w/ Extra Expense, Actual Loss Sustained, Special form 12 Monies and Securities on Premises, Special form 10,000 1,000 Monies and Securities off Premises, Special form 10,000 1,000 Trees, Shrubs & Plants, Special form 10,000 1,000 REMARKS(Including Special Conditions) CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ADDITIONAL INTEREST NAME AND ADDRESS MORTGAGEE ADDITIONAL INSURED Jillian.Prieto@ clearwater.c LOSS PAYEE X Loss Payee & Addl Insured City of Clearwater LOAN# 100 S Myrtle Ave #220 AUTHORIZED REPRESENTATIVE Clearwater, FL 33756 Chuck Wasson/LK ACORD 27 (2009112) O 1993-2009 ACORD CORPORATION. All rights reserved. INS027 (200912).02 The ACORD name and logo are registered marks of ACORD