CERTIFICATE OF LIABILITY INSURANCE (9) 72/1/2024
E(MM/DDYYY)
A�" CERTIFICATE OF LIABILITY INSURANCE /Y
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: Amber Wisher
Marsh &McLennan Agency LLC PHONE FAX
Marsh &McLennan Ins.Agency LLC A/c No Ext): A/C,No):
E-M1 Polaris Way#300 ADDRESS: OCCerts@MarshMMA.com
Aliso Viejo CA 92656 INSURER(S)AFFORDING COVERAGE NAIC#
License#:OH18131 INSURERA: StarNet Insurance Company 40045
INSURED INFOSENDI INSURER B: Hamilton Ins Designated Activity Co 55555
InfoSend, Inc.
4240 E. La Palma Avenue INsuRERc:Arch Insurance Company 11150
Anaheim CA 92807-CA INSURER D:American Casualty Company of Reading PA 20427
INSURER E: The Continental Insurance Company 35289
INSURER F:
COVERAGES CERTIFICATE NUMBER:679897503 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 N TCP702532010 2/1/2024 2/1/2025 EACH OCCURRENCE $1,000,000
CLAIMS-MADE OCCUR DAMAGE TO RENTED
PREMISES Ea occurrence $1,000,000
MED EXP(Any one person) $15,000
PERSONAL&ADV INJURY $1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000
POLICY❑ PRO [:]JECT LOC PRODUCTS-COMP/OP AGG $2,000,000
X
OTHER: $
A AUTOMOBILE LIABILITY N N TCP702532010 2/1/2024 2/1/2025 COMBINED SINGLE LIMIT $1,000,000
Ea accident
X ANY AUTO BODILY INJURY(Per person) $
OWNED SCHEDULED BODILY INJURY(Per accident) $
AUTOS ONLY AUTOS
HIRED NON-OWNED PROPERTY DAMAGE $
AUTOS ONLY AUTOS ONLY Per accident
A X UMBRELLA LAB X OCCUR TCP702532010 2/1/2024 2/1/2025 EACH OCCURRENCE $5,000,000
EXCESS LAB CLAIMS-MADE AGGREGATE $5,000,000
DED X RETENTION$n $
D WORKERS COMPENSATION Y 7064059628 2/1/2024 2/1/2025 X PER OTH-
E AND EMPLOYERS'LIABILITY Y/N 7064059631 2/1/2024 2/1/2025 STATUTE ER
ANYPROPRIETOR/PARTNER/EXECUTIVEE.L.EACH ACCIDENT $1,000,000
OFFICE R/M EMBER EXCLUDED? FY] 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
B Prof Liab/Cyber AMWIN1018 2/1/2024 2/1/2025 Agg./Claim $5,000,000
C Retro 12/01/06 PCD100556501 2/1/2024 2/1/2025 Retention $100,000
Crime Limit/Retention
$500,000/$10,000
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
Certificate Holder is included as additional insured as respects to General Liability per attached endorsements.Waiver of Subrogation applies to Workers
Compensation per attached endorsement.
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.
City of Clearwater
100 S. Myrtle Avenue AUTHORIZED REPRESENTATIVE
Clearwater FL 33758-0000
1.1 Will"
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