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CERTIFICATE OF LIABILITY INSURANCE - RFQ 26-19 DATE(MMIODIYYYY) ,q o CERTIFICATE OF LIABILITY INSURANCE. I 10/01/2020 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(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 amthis certificate:does not confer rights to:the certificate holder in lieu of such endorsement(s). c PRODUCER CONTACT NAME: Aon Risk Services South, Inc. PHONE FAX L • Franklin.TN Office (A1C.No.Ext): (866) 283-7122 AIC..No.): SOD-363-0105' C 501 Corporate Centre Drive E-MAIL a suite 300 ADDRESS: _ Franklin TN 37067 USA INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURER A: Hartford Fire Insurance CO. 19682 Arcadis U.S., Inc, INSURER B: Hartford Accident & Indemnity Company 22357 630 Plaza Drive suite 200 INSURER C: Twin City Fire insurance Company 29459' Highlands Ranch CO 80129 USA INSURER D: INSURER E: INSURER F: COVERAGES. CERTIFICATE NUMBER:570084311204 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,TERMOR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH.RESPECT TO WHICH THIS CERTIFICATE-MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE'AFFORDED BY THE POLICIES,OESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Limits shown areas requested INSH POLICY Fe LTR - TYPE,OFENSURANCE INSD WVD POLICY NUMBER MMIPDlYYY MM1DOlYYY LIMITS X COMMERCIAL GENERALLLABILITY ZOECSOL5318 ZU 1010112021 EACH OCCURRENCE $1,000,000 CLAIMS-MADE X❑OCCUR SIR applies per policy terns & conditions DAMAGE TU RENTEU $1,000,000 PREMISES £a oecu;rence X Contractual Liability MED EXR(Any one person) $10,000 PERSONAL&ADV INJURY $1,000,000 q GEN'LAGGREGATELIM:TAPPLIESPER: GENERAL AGGREGATE $2,000,000 POLICYEl PRO- FX LOC PRODUCTS-COMPYOPAGG $2,000,000 JECT 0 OTHER: n A AUTOMOBILE LIABILITY 20 LIEN OL5319 10/01/2020 10/01/2021 COMBINED SINGLE LIMIT $1,000,OOD LO aaocida _ •, X ANYAlJTO BODILY INJURY(Per person) Z OWNED SCHEDULED BODILY INJURY(Per accident) 2 AUTOS ONLY AUTOS m HIREDAUTOS NON-OWNED PROPERTYDAMAGE ONLY AUTOS ONLY Peraccldent X Property Damage to � 61 LIMBRELLALIAB OCCUR EACH OCCURRENCE V EXCESS LIAR CLAIMS-MADE AGGREGATE DED RETENTION B WORKERS COMPENSATION AND 20WNOL5 10 01 D 0 2021 X PERSTATUTE OTTH• EMPLOYERS'LIABILITYER ANY PROPRIETOR PARTNER!EXECUTIVE Y!N A05 E.L.EACHACCIDENT, $1,000,000 O OF'FiCERIMEMSEREXCLODED.4 NIA 20WPROL5321 10/01/202010/01/2021 (Mandatory In NH) WI E.L.DISEASE-EA EMPLOYEE $1,000,000 If fes OF OPERATIONS below es describe under DEE.L.DISEASE-POUCY LIMIT $7.,000,000— " - DESCRIPTION OF OPERATIONS I LOCATIONS!VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) RE: Pursuit Number 60005817.0014, RFQ•#26-19. city of Clearwater is included as Additional Insured inaccordance with the policy provisions of the General Liability and Automobile Liability policies. °^ e- - CERTIFICATE HOLDER 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. . ,tee city of cl earwate r AUTHORIZED REPRESENTATIVE Attn: 3illian Prieto PO Box 4748 �I Clearwater FL 33758-4748 USA 994 li sxrl� 1W Jc ©.1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD Asoodook.Point v, MDG2020 0003945 01 leeii�llilieeillli�t®'eele�l,'IIII�I'I�ipilleeello�lll���l®�i�'i�ll' City of Clearwater Attn: Jilhan Prieto Ptd Box 4748 Clearwater FL 88758 4748 4 k C Y'aa