The URL can be used to link to this page

CERTIFICATE OF LIABILITY INSURANCE (1068)^ HALMAHOL2 .dLC�RO� CERTIFICATE OF LIABILITY INSURANCEDATEIMMIODIYYYYk 4111202 1 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE }FOLDER. THIS CERTIFICATE DD15 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(ies) 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 CONTACT - Commercial Lines NAME: PHONE 513 852-8300 FAX U51 Insurance Services LLC T C�rVe� MIL No); 513-852.8428 312 Elm Street, 23rd Floor ADDRESS: sheryl.stewart07a usi.com INSURERIFS) AFFORDING COVERAGE AIC Cincinnati, OH 45202 prr -••--- - ACE INSURED Sensit Technologies LLC 851 Transport Drive Valparaiso, IN 48383 Amencan Insurance Company Federal Insurance Com any Chubb National Insurance Company��202 t_UVIZrKA r_b CERTIFICATE NUMBER: 15345529 REVISION NUMBER: See below THI5 IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE PCLICY 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 tS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. 7R TYPE OF INSURANCE SUB POLICY EFF POLICY EXP POLICY NUMBER DDIYYYY MIdID LIMITS A )C COhIMERCIAL GENERAL LIABILITY p[,LG2773882A r��x � Ij 04101/2021 04/01/2022 EACH OCCURRENCE s �o000De CLAIMS -MADE L� OCCUR PREMISES Ea oxurrence3 Is 100DD00 DESCRIPTION 0 OPERATIONSILOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached it more space is requiredy Evidence Of CGVCrage, ..-G r1VL--- CANCELLATION City of Clearwater - Clearwater Gas System SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Attn: Bruce Griffin THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED 1N 400 North Myrtle Avenue ACCORDANCE WITH THE POLICY PROVISIONS. Clearwater, FL 33755 AUTHORIZED RE DR E5 E NTATIVE The ACORD name and logo are registered marks of ACORD © 1988-2015 ACORD CORPORATION. All rights reserved, ACORD 25 (201&103) 111111111111111111111111111111111 IN11f 1l f 1I11lull I1111111I111I11 I1111111f 11111111111111 •crew+Aoir000s73roana�cwrom- MED EXP (Any one person) S 5000 PERSONAL&ADV INJURY 5 1000000 GEN'L AGGREGAT E L IMIT APPLI E S PER: NE AGGREGATE 5 20000DD POLICY �� LOC PRODUCTS-COMPIOPAGG S 2000000 OTHER: B AUTOMOBILE LIABILITY 73602458 OMBIN ❑ SINGLE 5 04/01/2021 Q41Q1121?22 LIMIT S 1000D00 X ANY AUTO ancidenl OWNED SCHEDULED BODILY INJURY (Per person) 5 AUTOS ONLY AUTOS HIRED NOH -OWNED BODILY INJURY (Per accident) S AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE S er ecd nl A x UMBRELLALUIB X OCCUR =LIAR XOOG27739143 04/01/2021 04/01/2022 EACH DOCURRENCE $ CLAIMS -MADE a a,00p,00D AGGREGATE s 4,000,000 DEO RETENTIONS WORKERS COMPENSATION C 5 AND EMPLOYERS' UABIUTY YIN 71755720 04/0112421 04/01/2022 X STATUTE ER A NYPROPRI ETORIPARTNERIEXEGUTI VE OFFICERIM'MBEREKCL" , r-1 NIA EL EACH ACCIDENT 5 1000000 (Mandatory in NH) It yea, describe under E. L. DISEASE -EA EMPLOYE S 1DD0000 DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT S 1000000 DESCRIPTION 0 OPERATIONSILOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached it more space is requiredy Evidence Of CGVCrage, ..-G r1VL--- CANCELLATION City of Clearwater - Clearwater Gas System SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Attn: Bruce Griffin THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED 1N 400 North Myrtle Avenue ACCORDANCE WITH THE POLICY PROVISIONS. Clearwater, FL 33755 AUTHORIZED RE DR E5 E NTATIVE The ACORD name and logo are registered marks of ACORD © 1988-2015 ACORD CORPORATION. All rights reserved, ACORD 25 (201&103) 111111111111111111111111111111111 IN11f 1l f 1I11lull I1111111I111I11 I1111111f 11111111111111 •crew+Aoir000s73roana�cwrom-