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CERTIFICATE OF LIABILITY INSURANCE (564)��® /`i CERTIFICATE OF LIABILITY INSURANCE DATE(MM/OD20 YY) 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(les) 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 Aon Risk Services South, Inc. Franklin TN office 501 Corporate Centre Drive Suite 300 Franklin TN 37067 USA CONTACTNAME: PHONE (866) 283-7122 FAX 800-363-0105 (Ale. No. Ext): (A/C. No.): E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIL # INSURED Malcolm Pirnie, Inc. 44 South Broadway 9th Floor White Plains NY 10601 USA INSURER Al Hartford Fire insurance Co. 19682 INSURER B: Hartford Casualty Insurance Co 29424 INSURER C: Hartford Accident & Indemnity Company 22357 INSURER0: Turin City Fire Insurance Company 29459 INSURER E: INSURER F: CERTIFICATE NUMBER' 570 vTHIS,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. Limits shown are as requested INSR LTR - TYPE OF INSURANCE ADDL INS) SURF WVD POLICY NUMB R POLICY EFF MM/DD/YYYY POLICY EXP IMM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY 2-OECSOL5318 % 616/°1/2°11LEACH OCCURRENCE $1,000,000 CLAIMS -MADE X OCCUR General Liabilit VES terns & conditions DAMAGE TO RENTED PREMISES(Eaoccurrence) $1,000,000 SIR applies per policy MED EXP (Any one person) $10,000 OCT09 2020 PERSONALS ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: (J GENERAL AGGREGATE $2,000,000 POLICY X PRO- E� X l LOC OFFiCIAL PRODUCTS •COMP/OP AGG $2,000,000 — OTHER: JECT REC AND GISLATIVC A AUTOMOBILE LIABILITY SgjRDS 20 UEN OL531 M't(jepT0/Ol/2021 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 AUTO Auto (AOS) BODILY INJURY ( Per person) X ANY OWNED — SCHEDULED BODILY INJURY (Per accident) — AUTOS ONLY HIRED AUTOS AUTOS NON -OWNED PROPERTY DAMAGE (Per accident) ONLY _„AUTOS ONLY B X UMBRELLA LIAR X OCCUR 20XHUOL5322 10/01/2020 10/01/2021 OCCURRENCE $1,000,000 CLAIMS -MADE umbrella AGGREGATE $1,000,000 EXCESS LIAR DED X RETENTION S10 000 C WORKERS COMPENSATION AND ' 20WN0L532 3 10/01/2020 10/01/7021 x PER STATUTE OETTH- EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR / PARTNER EXECUTIVE I I AOS 10/01/2020 10/01/2021 E.L. EACH ACCIDENT $1,000,000 D / ,,� in OFFICER/MEMBER EXCLUDED: uE.L. (Mandatory in NH) (Mandatory N/A 2OwPROL5321 WI DISEASE -EA EMPLOYEE $1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE•POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more apace is required) Re: All Operations of the Named Insured. City of Clearwater is included as Additional Insured as required by written contract, but limited to the operations of the Insured under said contract, with respect to the General Liability, Auto Liability and umbrella Liability policies. General Liability and Auto Liability evidenced herein is primary and non-contributory to other insurance available to the Additional Insured, but only to the extent required by written contract with the insured. A waiver of Subrogation is granted in favor of Additional Insured as required by written contract but limited to the operations of the Insured under said contract, with respect to the General Liability, Auto Liability, umbrella Liability and workers' Compensation policies. CERTIFICATE HOLDER CANCELLATION Holder Identifier Certificate No : 570084308134 City of Clearwater Attn: City clerk P.O. Box 4748 Clearwater FL 33758 USA 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) 01988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD