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CERTIFICATE OF LIABILITY INSURANCE (1113)
ODORSt L-01 T l" CERTIFICATE OF LIABILITY INSURANCE DATE1/8/ 022 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 Co TACT Dixie Lee Stewart M.E.Wilson dba Underwood Anderson Insurance PHONE 2302 North 9th Avenue [pl.0 N.,Ext: 850L434.q 26 nrc,Nsa: 850 438.0330 Pensacola,FL 32503 dixle@underwoodanderson.com INSURER AFFORDING COVERAGE NAIL INSURER A.WestchesterSurplus Lines Insurance Com an 10472 INSURED - INSURER B:ACE Propeq&Casu4t yinsurance Company 20699 Odorixation Solutions,Inc iNWRF r PO Box 10762 INSURER D Pensacola,FL 32524 - - - - - INSURER E: INSURER F: COVERAGES C RTIFICATE 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 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 ADDL SUB POLICY EFF POLICY EXP LT* TYPE OF INSURANCE P{3LICY NUMBER LIMITS A x COMMERCIALGENERAL LIABILITY EACH OCCURRENCE '$ 1,000,000'. CLAIMS-MADE ='OCCUR x X 624096567014 1012912+022 1012912023 'AM Tc7 RENTED E 50,000. 5,000 w .a PERSONAL S ADV INJURY 1,000,000 GENT AGGREGATE LIMITAPPLIES PER: gENERAL AGGREGATE 5 -. 2,000,000 POLICY r_1 jga LOC PRODUCTS-COMPIOPAGO S 2,000,000 OTHER,- $ B AUTOMOBILE LIABILITY �QMBIINEf7 SINGLE I114SIT �� 1,000,000 ANY AUTO X X CAL H08460511 014 1012912022 1012912023 I� SIL_ ��Yltarlsaaeeni ___ OVMED SCHE ULED AUTOS ONLY AUTO BODILY INJURY JPer awdem $ PAIAC% ATE $A ONLY 3Qp PIP 10,000 A UMBRELLA UAB X OCCUR EACHwQCCURRENCE 2,000,000 EXCESS UAB CLAIMS-MADE 624096579014 1012912022 1012912023 A GRE ATE 2,000,000 ©ED I I RETENTION 5 - Prod/Comp Ops $ 2,000,000 WORKERS COOMPENSATION — _ PER IJIF 6TH- AND EMPLOYERS'LIABILITY Y t N ER ANY PROPRIETJRIPARTNER/EXECUTIVE � NIA E.L EACH ACCIDENT $ F nCatory E.L.DISEASE-EA EMPLOYEE'$ kt yyou daacribe under D RIFTION OF OPERATIONS below, E,L.DI,�rASE-PQLILY LIMA' A Pollution Liability 624096567014 1012912022 1012912623 Each Pollution Claim 1,000,000 DESCRIPTION OF OPERATIONS t LOCATIONS r VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached H more apace Is requl"" City of Clearwater is an Additional Insured on a primary and non-contributory basics with regards to the General Liability as required by written 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 contracts Excess Liability over General Liability and Auto Liability. CERTIFICATE_HOLDER - -_ CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Cl Of Clearwater THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. P.Q.Box 4749 Clearwater,FL 33756 - - AUTHORIZED REPRESENTATIVE ACORD 25(2016103) 0 1 988-201 5 ACORD CORPORATION. All rights reserved. The ACORD dame and logo are registered marks of ACORD