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CERTIFICATE OF LIABILITY INSURANCE (1130) 712/21/2023 E(MM/DD/YYYY) ACOR" CERTIFICATE OF LIABILITY INSURANCE 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 CONTACT NAME: Arthur J. Gallagher Risk Management Services, LLC PHONE FAX Six Desta Drive, Suite 5900 A/C No Ext): 432-570-3456 A/c,Noy 432-570-3450 Midland TX 79705 ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# INSURERA: Hartford Fire Insurance Company 19682 INSURED CATALIS-01 INSURER B:Trumbull Insurance Company 27120 Catalis Payments, LLC INSURERC: Hartford Casualty Insurance Company 29424 3025 Windward Plaza Ste 200 Alpharetta GA 30005 INSURER D:Associated Industries Insurance Co, Inc 23140 INSURER E: Hartford Accident and Indemnity Company 22357 INSURER F: COVERAGES CERTIFICATE NUMBER:1263578896 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 TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR INSD WVD POLICY NUMBER MM/DD MM/DD A X COMMERCIAL GENERAL LIABILITY Y Y 2000NEL6049 6/20/2023 6/20/2024 EACH OCCURRENCE $1,000,000 DAMAGE S( RENTED CLAIMS-MADE OCCUR PREMISES Ea occurrence) ccurrence) $300,000 MED EXP(Any one person) $10,000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICYā¯‘ PRO [:]JECT LOC PRODUCTS-COMP/OP AGG $2,000,000 X OTHER: $ B AUTOMOBILE LIABILITY Y Y 46UENEL7176 6/20/2023 6/20/2024 COMBINED SINGLE LIMIT $1,000,000 Ea accident X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS X HIREDX NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident C X UMBRELLA LAB X OCCUR Y Y 46 XHU EL6530 6/20/2023 6/20/2024 EACH OCCURRENCE $5,000,000 EXCESS LAB CLAIMS-MADE AGGREGATE $5,000,000 DED X RETENTION$1 n nnn $ E WORKERS COMPENSATION Y 46WEAH8FBG 1/1/2024 1/1/2025 X PEROTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVEE.L.EACH ACCIDENT $1,000,000 OFFICE R/M EMBER EXCLUDED? F N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 D Professional Liability Y AES1234141-00 6/20/2023 6/20/2024 Professional $5,000,000 Cyber Liability Y Cyber $5,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Certificate Holder is an Additional Insured as respects to the General Liability,Automobile, Cyber/Professional policies,pursuant to the policy's terms, definitions,conditions and exclusions,as per endorsement HG0001 edition(09 16), HA9916,edition(12-21),CYS 0122. Waiver of Subrogation applies to certificate holder,as respects to the General Liability,Automobile,Cyber/Professional policies, pursuant to the policy's terms, definitions,conditions and exclusions,as per endorsement HG0001 edition(09 16), HA9916,edition(12-21),TCYS 0122. The insurance provided in the General Liability policy is primary and noncontributing as per endorsement HG0001 edition(09 16). CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Clearwater ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Customer Service 100 South Myrtle Ave AUTHORIZED REENTATIVE Clearwater FL 33756-0000 J,*`1 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD