CERTIFICATE OF LIABILITY INSURANCE (13) A '° ' CERTIFICATE OF LIABILITY INSURANCE °A T
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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
this certificate does not confer rights to the certificate holder in lieu of such endorsement(s)..
PRODUCER 50NTACT
NAME
BIBERK PHONE 844-472-0967 FAX203 654-3613
P.O. Box 113247 yAfC No,Ext} (A+C,No):
E-MAIL custornerservicetE biBERK.corn
Stamford, CT 06911 ADDRESS
INSURERS)AFFORDING COVERAGE NAIC#
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INSURER A, dationa Liability}&r re, In,Uranc.e Co,npany 20052
113 Ve,t slides INSURER 6 .
INSURER C
1 causeway blvd, INSURER D
Clearwater, FL 33767
' INSURER E;
INSURER F
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELLOW HAVE BEEN ISSUES 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 A6DL 111aR POLICY EFF POLICY EXP
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COMMERCIAL GENERAL LIABILITY
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AwY RCPRIrTORIP R rII R.rxL y NIA 3J91VC417404 100,000
A is F. ER.MEr,!BER�Y . - ,;2/01,/2022 02I'0 /202:3
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Professional Liability (Errors & Per Occurrence/
Omissions): Claims-Made Aggregate
DESCRIPTION OF OPERATIONS f LOCATIONS VEHICLES {ACORN 101 Add Mona[Remarks Sch,�dule may be attached if more space is required)
Exclusions:
Randall Young;
CERTIFICATE HOLDER CANCELLATION
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.
705 N Missouri Avenue
Clearwater, FL 33755 AUTHORIZED REPRESENTATIVE
1988-2815 ACORD CORPORATION. All rights reserved.
ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD