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CERTIFICATE OF LIABILITY INSURANCE (1085)rel 0TdZLITRI1I NT.�Ir ►arrr-rr '4CC71?C7 CERTIFICATE ❑F LIABILITY INSURANCE �-� DAT DDIY1 1112/202 1212021 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($), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION 1S 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 CON ACT Dixie Lee Stewart M.E. Wilson dba Underwood Anderson Insurance 2302 North 9th Avenue Pensacola, FL 32503 P AHC, v, Ext : 85(1) 434-S52fi A1C, Na : 85i1j 438-0330 Iffi6g, dixle underwoodanderson,com INSURERS AFFORDING COVERAGE NAIL # EACH DCCURREAGE 5 1,000,080 INSURERA: Westchester Surplus Lines Insurance Compan 10172 M E 0 EYP (AnY one parsoM S 5,080 INSURED INSURER a: ACE Property& Casualty insurance Company 20659 INSURERC: Odorixation Solutions, Inc INSURER 0! PO Box 10762 Pensacola, FL 32524 INSURER E INSURERF: LIABILITY ANY AUTO OWNED SCHEDU-ED AUTOS ONLY AUTOOpS ALTOS ONLY a C75 pNLD 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 RESPECT TO WI-IiCH 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 L TYPE OF INSURANCE ADDLSUBR IN D • WVn POLICY NUMBER POLICY EFF MMIDD1YYYY POLICY EXP MMfDDI LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE LK OCCUR X X 624896567013 10/2912021 18/29/2022 EACH DCCURREAGE 5 1,000,080 E i RENTED n $ 50,080 DAMAGRE OcCurya M E 0 EYP (AnY one parsoM S 5,080 mm P & ARV INJ RY S 1,000,080 GENT A00REGATE LIMIT APPLIES PER: POLICY ❑ PRO - JF-1LOC EC ECT OTHER GENERAL AGGREGATE 5 2,008,000 PRODUCTS - COMPIOPAGG $ 2.000,000 $ B AUTOMOBILE X LIABILITY ANY AUTO OWNED SCHEDU-ED AUTOS ONLY AUTOOpS ALTOS ONLY a C75 pNLD X X CAL HO8450511 013 10/2912821 1812912822 ❑M81NEp 5iNGLE LIMIT 1,000,800 B DIyY tNIjIULkyLpar parson S BODILY INJURY Per acddent' $ PesQad9r,DAMAG[ S PIP - FL Autos $ 10,000 A X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE G24096579013 16/29/2021 10129/2022 EAOH RREN E E 7,800,000 AGGREGATE $ 2,000,000 DED I I RETENTION$ Prod/Comp Ops � 2,000,000 j fE WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNERIEXECUTIVE ❑ (�FF10ER'rM n g�R EXCLUDED' i? ndatory Irl N ) E1 yyes descriheunder ❑ESL�RIPT! N Q F Q ERATIONS below NIA PEROTH- T — — E.L. EACH ACCIDENT S E I E - MPLbYEE $ El DISEASE -POLICY LIMIT S A Pollution Liability 624096587013 10129/2021 1012912022 Each Pollution Claim 1,(180,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 997, Addidonal Remarks Schedule, may be attached if more space is required] City of Clea rwater is an Additional Insured on a primary and non-contributory has is with regards to theGeneral LIabIIity as required by wtitle n contract. City of Clearwater Is an Additional Insured with regards to the Auto Liability as required by written contract. Waiver of Subrogation applies to the General Liability and Auto Liability as required by written contract. Excess Liability over General Liability and Auto Liability. CERTIFICATE HOLDER CONCFI.I OTLnN ACORD 25 (2016103) ©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 I City of Clearwater THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. P.O. Box 4748 Clearwater, FL 33755 AUTHORIZED REPR E S ENTATIV8 ACORD 25 (2016103) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD