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CERTIFICATE OF LIABILITY INSURANCE (5)Client#: 93777 GOVEBRAN ACORD,. CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DE/YYYY) 6/16/2020 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER Edgewood Partners Ins. Center 2405 Satellite Blvd., Ste. 200 Duluth, GA 30096 770 232-0202 CONTACT NAME: Patricia O'Neil PHONE 6784755738 FAX (E-- wi ' ) ( ' No): ADDRESS: patricia.oneil@epicbrokers.com INSURER(S) AFFORDING COVERAGE NAIC / INSURER A : Hartford Fire Insurance Company 19682 INSURED Bi112Pay, LLC 9428 Baymeadows Rd. Ste 500 Jacksonville, FL 32256 INSURER B : Trumbull Insurance Company 27120 INSURER C : Hartford Casualty Insurance Company 29424 INSURER D Indian Harbor Insurance Co 36940 INSURER E : Freedom Specialty Insurance Company. 23787 INSURER F : X VERAGES CERTIFICATE 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 LTR TYPE OF INSURANCE INSR SWVDR POLICY NUMBER (MM/DDY/YYYY) (MMIDDEFFYIYYYPY) LIMITS A X COMMERCIAL GENERAL LIABILITY X X 20UUNEF2748 06/20/2020 06/20/2021 EACHOCCURRENCE$1,000,000 CLAIMS -MADE X OCCUR PREMISES (EaErence) $300,000 MED EXP (Any one person) $10,000 PERSONAL & ADV INJURY $1,000,000 GEN'L AGGREGATE POLICY OTHER: LIMIT APPLIES PRO - JECT PER: LOC GENERAL AGGREGATE s2,000,000 PRODUCTS - COMP/OP AGG $2,000,000 $ B AUTOMOBILE X X LIABILITY ANY AUTO OAUTOWNED S ONLY AUTOS ONLY X SCHEDULED AUTOS 1113rOOS ONE X X 20UUNEF2748 06/20/2020 06/20/2021 COMBINEDaaccident) SINGLE LIMIT (E $1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ Comp -1,000 $Col I-1,000 C X UMBRELLA LIAB EXCESS UAB X OCCUR CLAIMS -MADE X X 20XHUEF3101 06/20/2020 06/20/2021 EACH OCCURRENCE $5,000,000 AGGREGATE $5,000,000 DED X RETENTION $10000 $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) N yes, describe under DESCRIPTION OF OPERATIONS below Y / N N N I A X 20WECAE6U0E 01/01/2020 01/01/2021 X PER STATUTE OTH- ER E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 E.L. DISEASE - POLICY LIMIT $1,000,000 D D E Professional Liab Cyber Liability Excess D&O & X X I I MTP903664301 MTP903664301 XMF1803589 06/20/2020 06/20/2020 06/20/2020 06/20/2021 06/20/2021 06/20/2021 5,000,000 5,000,000 5,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) CERTIFICATE HOLDER City of Clearwater Attn: Customer Service 100 South 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 7,1 New, 444407 ACORD 25 (2016/03) 1 of 1 #S2261534/M2261271 ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD RRIC1