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CERTIFICATE OF LIABILITY INSURANCEARD® CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 07/21/2021 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 po icy, 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 Fenner & Esler Agency, Inc 467 Kinderkamack Road P. 0. Box 60 Oradell NJ 07649-0060INSURERA: CONTACT Timothy Esler NAME: (aC E Ext): (201) 262-1200 FAx No): (201) 262-7810 E-MAIL certs@fenner-esler.com ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # Selective Insurance Company Am 12572 INSUREDINSURER Desman, Inc.INSURER 3 West 35th StreetINSURER 3rd Floor New York NY 10001 B : Selective Insurance Co. of America 12572 C : Hartford Insurance Company of the Southeast 38261 D : Endurance American Specialty Insurance Company 41718 INSURER E : $ 1,000,000 INSURER F : COVERAGES CERTIFICATE NUMBER: Master 20-21 NY 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 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. INSR LTR TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF (MM/DD/YYYY) POLICY EXP (MM/DD/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY Y S2391236 11/01/2020 11/01/2021 EACH OCCURRENCE$ 2,000,000 DAMAGE 10 PREMISES (EaEN occur ence) $ 1,000,000 CLAIMS -MADE %� OCCUR EXP (Any one person) $ 15,000 X ContractualMED PERSONAL & ADV INJURY $ 2,000,000 GENERAL AGGREGATE $ 4,000,000 GEN'L AGGREGATE POLICY OTHER: X LIMIT APPLIES PER: PRO- JECT LOC PRODUCTS-COMP/OPAGG 4,000,000 $ $ A AUTOMOBILE X LIABILITY ANY AUTO OWNED AUTOS ONLY HIRED AUTOS ONLY _ SCHEDULED AUTOS NON -OWNED AUTOS ONLY S2391236 11/01/2020 11/01/2021 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 BODILY INJURY (Per person) $ BODILYINJURY(Peraccident) $ PROPERTY DAMAGE (Per accident) $ PIP -Basic $ B X UMBRELLA LIAB EXCESS LIAB X OCCUR S2391236 11/01/2020 11/01/2021 EACH OCCURRENCE$ 5,000,000 AGGREGATE $ 5,000,000 $ DED X RETENTION $ 10,000 C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below Y / N N NIA 84WECAJ2MWL 11/01/2020 11/01/2021 PER STATUTE OTH- ER E.L. EACH ACCIDENT 1 000 000 $ ,, E.L. DISEASE - EA EMPLOYEE 1,000,000 $ E.L. DISEASE - POLICY LIMIT 1,000,000 $ D ProfessionaletDe:Fll Liability Retro Date: Full Prior Acts DPL30001379301 12/03/2020 12/03/2021 Per Claim Limit Aggregate Limit $5,000,000 $5,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Additional Insured - Certificate Holder as respects general liability where required by written contract. General Liability Additional Insured is primary and non-contributory where required by written contract. Should any of the above described policies be cancelled before the expiration date thereof, the issuing insurer will endeavor to mail 30 days written notice to the certificate holder named, but failure to do so shall impose no obligation or liability of any kind upon the insurer, its agents or representatives. CERTIFICATE HOLDER CANCELLATION City of Clearwater Engineering, RFQ #37-21 P.O. Box 4748 I Clearwater FL 33758-4748 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE .p a_s ACORD 25 (2016/03) @ 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD A 9 o® CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 07/21/2021 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 po icy, 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 Fenner & Esler Agency, Inc 467 Kinderkamack Road P. O. Box 60 Oradell NJ 07649-0060INSURERA: NAMEACT Timothy Esler PHONE (201) 262-1200 FAX (201) 262-7810 (A/C No. Ext): (A/C, No): E-MAIL certs@fenner-esler.com ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # Selective Insurance Company Am 12572 INSURED Desman, Inc.INSURER 3 West 35th StreetINSURER 3rd Floor New York NY 10001 INSURER B : Selective Insurance Co. of America 12572 C : Hartford Insurance Company of the Southeast 38261 D : Endurance American Specialty Insurance Company 41718 INSURER E : INSURER F : DAMAGE -10 RENTED PREMISES (Ea occurrence) COVERAGES CERTIFICATE NUMBER: Master 20-21 NY 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 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. ILTR TYPE OF INSURANCE INSD UBR SWVD POLICY NUMBER POLICY EFF (MMIDD/YYYY) POLICY EXP (MM/DD/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY Y S2391236 11/01/2020 11/01/2021 EACH OCCURRENCE$ 2.000,000 CLAIMS -MADE El OCCUR DAMAGE -10 RENTED PREMISES (Ea occurrence) 1,000,000 $ X ContractualMED EXP (Any one person) $ 15,000 PERSONAL & ADV INJURY $ 2,000,000 GEN'L AGGREGATE POLICY OTHER: X LIMIT APPLIESPER: PRO ❑ JECT LOC GENERAL AGGREGATE $ 4,000,000 PRODUCTS-COMP/OPAGG 4,000,000 $ $ A AUTOMOBILE X LIABILITY ANY AUTO OWNED AUTOS ONLY HIRED AUTOS ONLY - _ _ SCHEDULED AUTOS NON -OWNED AUTOS ONLY S2391236 11/01/2020 11/01/2021 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ PIP -Basic $ B X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE S2391236 11/01/2020 11/01/2021 EACH OCCURRENCE$ 5,000,000 AGGREGATE $ 5,000,000 DED Xl RETENTION $ 10,000 $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below YNN NIA 84WECAJ2MWL 11/01/2020 11/01/2021 %CJ STATUTEPER ETH E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT 1,000,000 $ D ProfessionaletDe:Fll Liability Retro Date: Full Prior Acts DPL30001379301 12/03/2020 12/03/2021 Per Claim Limit Aggregate Limit $5,000,000 $5,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) Additional Insured - Certificate Holder as respects general liability where required by written contract. General Liability Additional Insured is primary and non-contributory where required by written contract. Should any of the above described policies be cancelled before the expiration date thereof, the issuing insurer will endeavor to mail 30 days written notice to the certificate holder named, but failure to do so shall impose no obligation or liability of any kind upon the insurer, its agents or representatives. CERTIFICATE HOLDER CANCELLATION City of Clearwater Engineering, RFQ #37-21 P.O. Box 4748 Clearwater FL 33758-4748 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) *441 © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD