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CERTIFICATE OF LIABILITY INSURANCE (1094) DATE(MMIDDIYYYY) ACCIR0 CERTIFICATE OF .LIABILITY INSURANCE 12)2312021 THIS CERTIFICATE IS ISSUED As A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS [ ERTIFIC.ATE DO ES.NOT.AFFIRMATIVE LY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE. POLICIES BELOW.THIS CERTIFICATE OF INSURANCE ROES NOT CONSTITUTE A CONTRACT 13ETWEEN THE 1SSWING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE.HOLDER. IMPORTANT:.if the certificate holder is.an ADDITIONAL:INSURED,the pol€cy{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 requira an endorsement.A statement on this certificate does not-confer rights tothe certificate holder in lieu of:such endorsement(s). PRODUCERDNTA Keri Devine .NAME: .. . MCGriff.insurance Services,Inc. _.. ...._..._..._...--.-.---.--.-- PHDNE 404 497-7500 FAx 3400 Overton Park.i]rive SE _Lv�Na Ex}_--.-------.--..--._...._.._ ...._.___..._ _................_... SUlta 300 E-MAIL Atlanta,GA 30339 ADDRESS:f devine@mcgdff:com _... NSRE _ IUR{5]AFFORD NG'GOVERACE NAIL k _�._ ......- m.--- - INSURER:A:ACE.American IInstlrance.ComNMY---------_.__..-------.--..------.-..._-. .-.._...22657... INSURED INSURER a:ACE Fire Underwriters Insurance Ca itpany _.-...-_..-.-.---.-207p2-.__-- Kelly Services.Inc.and its Subsidiaries ................_-._....._._....------_____-...----............ 999 Wes€.Big Beaver Road INSURER c_:Indemn1ttv Insarahce Company ofNorth America 43575-.----_ Troy.MI 48084 INSURER D.Federal insurance Com an_Y20281 t3ranchlDept:202! �? _._ ----__-- INSURER.E:ACE PropertLand Casualty Insurance CamQany 20fi99. w INSURER F.: COVERAGES CERTIFICATE:NUMB.ER:38VLWTUB 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 DFS MAY PERTAIN;THE INSURANCE.AFFORDED BY THE POLICIES.DESCRIBED HEREIN IS SUBJECT TO.ALL THE TERMS, EX.CLUSIDNS.AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED.:BY PAID CLAIMS. ._......... _......_.__......-:._------------- = — -- — - -- _..-_-_.::.--_.... . m._._... ._..__. - INSR:• :AFP�T$116R:"'..-'-'�'�-..' .'.f_..'•._'�-------- POLiCY.EFF. ' POLIOYExP LFR TYPE OF INSURANCE I IN ? V ! POLICY NUMBER '- MwDD1yYYY MMIDDIYYYY LIMITS A X COA7MERCIAL GENERAL LIABILITY 1 .Hoo 672496965 ; 0710112022 .Ol1g112023 EACH OCCtJRRENCE S 2.00D,00Q CLAIMS-MADEOGGUR - -------- .^...........~.rvv._m2,Ofl0,QOQ ''i3ANfA�E7CTiEN'1=E{5 t. PREMISES,,tEa nccurrence]._•w1-5 __.--_.-.—.------- }� Contractual Liability5,000 MED E7(P(Any'are pemonl S x ' PERSONAL&ADV IN IURY !5 2;000,000 _ GEN-L AGGREGATE LIMIT APPLIES PER: s y GENERALAGGREGATE-..-- 5 -....,.,.-,._..-.w.-.2,00U,000 POLICY PRO- LOO. 4 _. ----—rt- JEGT f RDIX€ TS-GOMP,'OPAGG S t ;OTHER. ------ ----- ......._._..G; _..-..._...w..................._-------- A : AUTOMOBILE LIABILITY ;ISA H25553883 ; 01108/2022 0110112023 COMBINED SINGLE LIMIT 2:000,000 X ANY AUTO ! !BODILY INJURY(P©r parson) 'S OWNED.. SCHEDULEDaQD.............. INJURY(Per acc-denll 5 _..-_..-.-- .AUTOS ONLY AUTOS = F----- HIRED. NON�OWNED PROPERTYDAMAGE. ;. AUTOS X AUTOS ONLY LPeraCCldenl].--..-.._---.---.----.----._a_S..............---.---•.__-..._..... �S E UMBRELLA LiAB X .nCCtJR f :*U G2792413A 007 01/0112022 01/01/2023 EAdH OCCURF3ENGE s 5' 15,oQQ,QaQ _.._ w.-_.... .-........-_.... EXCESS LIAB - - -------------------...-_.-..__._.. -- CLAIMS-MADE ? ?AGGREGATE .s 15:oofl,a0a z—— DED RETENTjON 5 is AB.. ;WORKERS COMPENSATION 'WLR 068926117{AZ,CA,MA} 0110112022. .011Q.T12fl23 PER OTH-i AND EMPLOYERS'LIABILMY YIN ; 'SCF C6892615A WI] x STATClTE-.-.__.- t=13...-..__-.--_...-............ __.,,,__..._._... C ANY"PROPRIErORiPA}i7NEAlExEGLrCIVE ;. WLR 06892649.1(AOS) E.L. OFFICEFUMEMSEFI EXCLUDED? ❑ - EACH ACCIDENT __ S_ _OOfl,000 N lA: :WCL}068926233{MI. H,WA] (Martdaterq in NH) E.L.DISEASE"EA EMPLOYEE'S .-1.000;000 (yes.describe under s .........._. ................... _..-_...----._...._..-._..-_.-._.... _. DESCRIPTION OF 0PERATIO NSbplow ,IE%L"DISEASE-POLICY LIMIT .5 1.000,000 D. ;CRIME68016744. 0110172022 01/01/2023 Each Lass s 3,000.000 `•.Covers:EWPlayee Dishonesty(Theft) S. &:Customer Protection ($USO) ;5. IS DES CFit PTION OF OPERATIDNS I LOCATION SIVEHIGLES(AC ORD 101,Additlonal Remarks Schedule;may he attached it more space Is required) Any provisions referenced on.this Ccrtifidate of Ihsurance apply only as required by written contract.In the event of cancellation by the insurance company(res)the General. LIability..Workers Compensation,and Automobile Liability policy(les)have be en.endorsed to provide 30 days'Notice of Cancellation to the certificate holder shown below. RE;GSA,Dated Feb.2020. Clearwater Gas is included as an Add!liona]Insured on the Generale Liability policy,but only.for an occurrence arising from the services:providad by,the named.insured and for which the named insured has agreed.to provide Additional Insured status. Branch/Dept:2021 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE.THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 777Mn pie Ire AUTHORRED.REPRESENTATIVE 777 tNaple Street Clearwater,FL 33755 Page.!.of! ®1988-2015 ACORO CORPORATION, All rights.reserved. ACORD:25(2016/03) The ACORD name and logo are registered marks of ACORD