2021 STORMWATER PIPE CLEANING - 20-0019-EN - CERTIFICATE OF LIABILITY INSURANCE (2) ACC>RL> CERTIFICATE OF LIABILITY INSURANCE
12/11120,20
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 AMiENCN, 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 THUS CERTIFICATE HI19LDER,
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(les)must have ADDITIONAL INSURED provisions or he endorsed,
If SUBROGATION IS WAIVED,'sutTje t to the tenns and conditions of the policy,certain policies may require,an'endorsement. aA statement on
this certificate does riot conifer rights to the certificate holder in lieu of such,endorsements.
PRODUCER CONTACT HOUSE
Kelly White&Associates Insurance, LLC PHONE 904-88,01-8,881
P.N .Box 550909 -MAIL akelly kwwhttelnsurance coni.. L�
INSURER S AFFORDING COVERAGE NAIC#
Jacksonville FL 32235 INSURER A: Continental Casualty Company 20445
INSURED INSURERa. Continental Casualty Company 29443
Cloud 9 SeMces, Inc dba: Fender Marine Construction INSURERc,.Continental Casualty Cornpany......
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1201 W Jackson St INSURER o r Arrlerii an Interstate Ins Co 31895
INSURER E: Evanston Insurance Cc
Orlando FL 32805-2241
COVERAGES CERTIFICATE NUMBER; CLCU2O121115955592 REVISION NU SER�:
Ti-HS K3 TO CERTIFY"THAT THE'POLICIES of INSURANCE LISTED BELOW HAVE BEEN ISSUED TO 'THE INSURED NAMED ABOVE FOR THE POUCY PERIOD
INDICATED NOT ITHETANONING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER OOC'UMENT WITH RESPECT To W HICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BYTHE POO, 0E5 DESCRIBED HEREIN IS SUBJECT To ALL THE TERMS,.
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.UNITS SHOWN MAY HAVE BEEN REDUCED BY FAINT CLAIMS,
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IIN R TYPE OF INSURANCE' POLICY NUMME;R PCTLIGY EEP POLICY EXP _w LIMITS
�r . _ .w_ww _.. _ r N.tN o
X COMMERCIAL GENERAL LIAWLIrY EACH OCCURRENCE 1 1,9O0"000
DAMAGE TO IGLAIMS-MADE [ J,OCCUR eY r mmn:' t 1ON`1„tIOO
A 4 Primary&Non-ContribLitort^ uwlED Ela l an_. �a k l .. s 5 009
-Broadened Liability _ _ X X 5945843940 12120/2020 °1212012021 PERSONAL&AGy INJURY s 1„090 009
GEN°L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGA"TE', S 2,000 000
PRO wTLauCi r MRaGF ASG s2,000„090POLICY JECT LOC
0rEUEIm Installation Floater $ 50,000
_._..__.
AUTOMOBILE OAM ITY t;CiUSINED S5 LE_UMP "S...1'000,000
ANYAUTO BODILY BN,IURY'q,Pawr person $
OWNED SCHE01,A-ED
S AUTOS ONLY A&I71T0045643937 1212912020 1212912921 BCIEII Y"I•NJeUtRY IPrrr Om.7,,.,�1.0�.).,ay �$
HIRSXNON-O� DPROPERTYwAMAGE
ONLY �
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PNP s I0,O00
INrSBRETLALIAa �CC, EAI;EI0CtC7RRENCE $ 2„000,000
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EXCESS,t IAe DE 6045643058 121291;292'9 '1212012021 PCaGR-GAIT t 2,090,000
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uta ` .t�..L l�Nn?..t.._51�CNI�9 m..., m. __.. Prod'LlctslUorNWpl ted s 2 t79119Ct9
WORKERS COMPENSATION SER GT"Fy,
AND EMPT..owE'RC"LMS[ILITY w T TT USLSH BAF
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o�I�IYFRO RIF,I�R AR TN�b�IraYE IYUVE�� I Ea. EACH ACCIDENT s 1199th910N
U N N u A A` CFL2931492O2O 12;12312929 '124231292 .
iMmidaWy Irm NII E I r}I EA�F,I A IEq Lf)T E 19OO_100 ,.�,.�,.s
IIw , scri a under Ob�tiµ990
0MRIPTIION OF OPERATIONS Naaloww E L DISE�ASr POUC"ro<wrw MIT S 1
.,... .
General Aggregate 2 000,099
E Contractors Pollution& KLV2ENV1 O177 9711082020 017119129:21 Per Occurrence 1,,OOO„000
Professional Liability
DESCRIPTION orOPERATIONS I LOCATIONS F VEHICLES (ACORD 101,Additional,Ek4arnat*s ScbeduOemay be anarehe4 if more space Is r ukrodwi
Project.No:20.0019-EN Project Name;2021 Stom wwater Pipe Cleaning
The certificate holder is an addrtlonal insuredfor all policies. Coverage is Primary and Non•Contributory.'Waiver of Subrogation applies in favor of cer0cate
holder for all policies A 30 day w,rrlttelll notice of cancellation vwiH be provided expect in the event dame to non-payment of premium then a 10 days written
notice wwitl be given.per Florida state atatautes With respects to insureds operations as re ured by'wwratten contact.
..._n._ ,.........,_,
i SHOULD ANY of THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN
City of Cleenvater ngine'ering D �.,' 1 2020 ACCORDANCE WITH THE POLICY PROVISIONS,
Alin.Construction ice ciallst w AUTHORIZED REPRESENTATIVE
P.O. Box 4'74.5 � � (lee �
Clearwater' 4t 7 tmRW"f71C
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1'988-2016 ACORD COIRPORATION. Alt rights reserved.
ACORD 25 4`201610 31 The ACORD name and Norio are reoiistered manes of ACORD