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CERTIFICATE OF LIABILITY INSURANCE (572)
HAZE&SA-01 AQVIRGINIA A� CERTIFICATE OF LIABILITY INSURANCE DA (MMIDD2 D/YYYn 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(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 PRODUCER Ames & Gough 8300 Greensboro Drive Suite 980 McLean, VA 22102 INSURED HAZEN AND SAWYER 498 Seventh Avenue New York, NY 10018 COVFRAGFR CFRTIFICATF NIIMRFR- RFVIRIr1N NIIMRFR- 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 RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. /NSR TYPE OF NSURANCE ADOL SUER POLICY NUMBER PoLN:Y EFF POIJCY E%P LIMITS A X COMMERCIAL GENERAL WIBIUTY CLAIMS -MADE [A] OCCUR �I P.O. BOX 4748 42UUNOL5499 312912021 EACH OCCURRENCE S 1,000,000 312912022 DAMAGE TO RENTED 1.000.000 X Contractual Liab. MED EXP (Any a,e son 10.000 PERSONAL &ADV INJURY 1'000'000 IGEN'L AGGREGATE UMIT AP�PL�IEIS PER POLICY X JECT u LOC GENERAL AGGREGATE 2,000,000 PRODUCTS-COMPlOPAGG 5 2,000,000 OTHER'. S A AUTOMOBILELIABILITY COMBINED SINGLE LIMIT S 2,000,000 BODILY INJURY Per arson S X ANY AUTO 42UENOL5501 3129/2021 3/2912022 OWNED SCHEDULED AUTOS ONLY AUUpTTryOpSSWWTT11 BpROdLYINJURY PbecrFen 5 Per sant S op AUTOS ONLY AIROS ONLY CompJCoIL Ded s 1,000 UMBRELLA LIAR OCCUR EACH OCCURRENCE AGGREGATE S EXCESS LIAB CLAIMS -MADE OED RETENTION B WORKERS COMPENSATION ANDEMPLOYERS'UABXJTY YIN ANY PROPRIETOWARTNER,FJ(ECUTNEE.L. OFFICERMEMSER EXCLUDED? N (MarMatM In NH) NIA ZWBOL6H6E 3129/2021 J(I R ��- 3/2912022 1,000,000 EACH ACCIDENT S E.L. DISEASE -FA EMROYFbS 1,000,000 x RIPaeeu3u unar DESCTION OF OPERATIONS tIBIOW I 1,000,0ee E L DISEASE - POLICY LIMIT 5 C /Professional Llab. AEH008231489 3129/2021 3129/2022 Per Claim/Aggregate 1,000,000 R IS INCLUDED VEHICLES ICLEARWATOPERATIONS CITY ODESCRIPTION SIADDITO(ACORD r QUIR Veit B BY WRITTEN C�NTRAC firedl APR 0 9 2021 Citbi o' Clearwater rFRTIFIr ATF Hnl nFR PMf;;"OOrIPJn 1)0nnrt...k rl&Nr.FI I ATInN ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE CITY OF CLEARWATER THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ATTENTION: CITY PROJECT MANAGER P.O. BOX 4748 AUTHORIZED REPRESENTATIVE CLEARWATER, FL 33758-4748 ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD