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CERTIFICATE OF LIABILITY INSURANCE (1052) CER ww �y � i p F10129/2020 {3DORSI L-01 STEWAATE IMMiDDJYYYYI T1 I L THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE GOES 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 IINSURER($),AUTHORIZED ED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE s an ADDITIONAL,INSURED,the poIHOLDER. IIN I'GRTAhNT. If tNwe (certificate holder I Icyllea,j 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 c ACT Dixie Lee Stewart NX Underwood Anderson&Assoc.,Inc. PHONE PAX 2302 Worth 9th Avei .t?v.aaac8503m5526 _ d!�ICmNer) II50 Pensacola,FL 32503 .#! ILORU910rw d ndor on,,c rlN..... INSU RERIS1 AFFORDINGCOVE RAGE NAIC0 INSURER A:Westchester Su!plus INSURED INSURER B:ACE PropeLtj&Casual Insurance Company 20699 I dorll ation Solutions,Inc PO Box 107`62 INSURER D Pensacola,FL 32624INstreER INSURER F' COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE USTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ASOE FOR THE POUCY PERIOD INDICATED, NICTUWT'I EHISTANDING ANY REQUIRFMENT, TERM OR CONDITION OF ANY CONTRACT OR GATHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE" MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED 14EREINI IS SUBJECT TO ALL THE;TERMS, EXCLUSIONS AND CONDITIONS OF SUCH'POLICIES.LIIu H SHO WN MAY i-IAVE BEEN RFCII.cEp BY PAID CLAIMS. TN—r,4 ADDLURR', POLICY EFF POLICY Exp LTR TYPE.OF INSURANCE POLICY NUMBERY 1 LIMIT'S A X COMMERCIAL GENERAL LIAr3ILITY EACH OCCURRENCE $ 11000,000I CLAIMIS-(NIDE �OCCUR 024096567 012 1012912020 1012912021 DAMAGE To RENTED fJ 50,000 51000 1110001000 MEDEXd�,..LALm�!rrrrelµlRLanYxcarll �_ ...... 1,000,000 m _ EFR,'jgN1'L4NIIIFRY GEN'L.AGGREGATE LIMITAPPLIES PETR: GENERAL AOGREr3ArL $ 2,000,000 P'OJLICY F�JPC PPT LOC PRODUCTS-COMPIOP AGG 2,000,000 _]_TITHER B AUTOMOBILE LIABILITY � � fJ�SIN —SINGLE J 11 000,000 tEWyPoJEII CIF tJLEII ¢ wR11UIwvp �, r4 ANY AUTO H06�I60611 012 1012912020, 10/2912021 BoIII 2Toss ONLY U�I..."bS BODILY INJURY Per accrdon S Pod S ONLY ET"0S&V L' P.'..c'gtl]AMAGE s PIP-FL Aute $� 10,000 UMBRELLA U A 0IT C IIrR LASI!1 ._ ?Ci0I1,CII7CI CESSI NAB AIMS-(MADE G2096579 0°12 10129.12020 1012912021 2,000,000 ._. DED N�kErENTION ProdlComlp Lips 2,000,000 WORKERS COMPENSATION PEti OTH-. AND EMPLOYERS!LIABILITY T T' YIN ANY PR�TO�PRIETORIPARTNERlEXECUT'!4E NIA, E.L�EACH ACC$0ENT [GYr/ Fn�l EXCLIII EO4 IM,I.ntshE EA EIPLOYE. IT yas,r71perII E under NfrN1111 E.L.: ... DISEASE- 1012912020 .. ...�.......... 1012912021 Each Pollution Claim 1,000,000 DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES (ACORD 101,ArldlOonal Romarks Schedule,imay be aaltar«Hod If rrroore spocem Jr,rnquireddI City of Clearwater Is an Additional Insured on a primary and non-contributory basis with regards to the General Liability as required by written contract.City of Clearwater Is an Additional Insured with regards to the Auto Liability as required by written contract.Waiver of Subrogation,appiles to the General Liability and Auto Liability as required by written contract.Excess Liability over General Liability only1fd1lowing form. CERTIFICATE _HQL EIS SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Clearwater THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Cit Box Clearwater ACCORDANCE'WITH THE POLICY PROVISIONS, Clearwater,FL 33766 ......................................................................................................__..�.........._.. _ ....._.. AUTHORIZED REPRESENTATIVE ACORD 25(2016103) 0 1988-2016 ACORD CORPORATION. All rights reserved.. The AC't3R13 name and logo are registered marks of ACORD