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MORNINGSIDE TENNIS COURT LIGHTING - 19-0035-PR - CERTIFICATE OF LIABILITY INSURANCE (3) MGAYCON-01 BKINQ .4�oRv CERTIFICATE OF LIABILITY INSURANCE DATEIAdM10°"YYY' F1212212020 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 13ETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the pollcy(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 Ileu of such endorsement(s). PRODUCER CRUACT Brad King,AAI Cecil W.Powell&Company PHONE 35 Fax 219 N.Newnan Street (AIC,Na Eat1.(904) 3-3181 AIM,No):(904)353-5722 Jacksonville,FL 32202 .13K)ngicwpowellins.corn INSURERS AFFORDING COVERAGE NA1C 9 INSURER A Mestf)eld Ins Co 24112 INSURED INSUREREI:National Union Fire Ins Co 19445 M Gay Constructors,Inc. INSURER c.XL Specialty Insurance Co 37885 P.D.Box 26249 INSURERD: Jacksonville,FL 32226 INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: 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 RESPECTTO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 1S SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. iNSR TypEOFINSURANCE ADDLSUBR pOLICYNUMBER PODCYEFF POLICYEIIPLN I AMtDDNYYYI LIMrIS A X COMMERCUIL GENERAL LIABILITY EACH OCCURRENCE S 1'000,000 CLAIMS-MADE F_X]Or-CUR CMM4264265 3/3112020 3131/2021 OAMGETSr ORENTED S 500,000 MED EXP oneperson) S 5,000 PERSONAL&ADV INJURY $ 1'000'000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY x Yea F LOC PRODUCTS-COMPIOPAGG S 2'000'000 OTHER: $ A AUTOMOMLELiAeILnY EeecBINEDSINGLE LIMIT S 1,000,000 X ANY AUTO CMM4264265 3/31/2020 313112021 BODILY INJURY Perperson) S OWNED SCHEDULED AUTOS ONLY AUTOS yy� p BODILY INJURY Per accident S ERJY AUTOS ONLY AU70S MN ., AMAGE $ S B X UMBRELLA LIAR X OCCUR EACH OCCURRENCE S 5'000'000 EXCESS LIAB CLAIMS-MADE BE049326402 3/3112020 313112021 AGGREGATE S DED I X I RETENTIONS 10,000 General Agg s 5,000,000 WORKERS COMPENSATION PER OTH AND EMPLOYERS'LIABILITY Y I N ANY PROPRIETORIPARTNERIEXECUnVE ❑ E.L.EACH ACCIDENT S OEF1 SUMEM BER EXCLUDED? M I A iM1eand ! NHS EI_DISEASE-EA EMPLOYE $ If yyes,dastAbs under 1) RlPTION OF OPERATIONS below E.L DISEASE-POLICY LIMIT S C Installation Floater UM0003210SMA20A 11/1412020 1111412021 Any One Location 350,000 C Equipment Floater UM00032106MA20A 1111412020 1111412021 Any One Item 350,000 DESCRIPTION OF OPERATIONS!LOCATIONS I VEHICLES ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) Project: MDmingside Tennis Courts Lighting 19-0036-PR CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Ci of Clearwater THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELJVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Municipal Services Buildings 100 South Myrtle Avenue Clearwater,FL 33756 AUTHORG:ED REPRESENTATIVE ACORD 25(2016103) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD