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Osborn Engineering
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8/24/2020 10:55:45 AM
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/ <br />�® <br />A� CERTIFICATE OF LIABILITY INSURANCE <br />(MM/DDYYY) <br />DATE IY <br />6/10/2020 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br />this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />The James B. Oswald Company <br />1100 Superior Avenue, Suite 1500('C, <br />Cleveland OH 44114 <br />CONTACT <br />NAME: Noelle Boyd <br />PHONE FAX <br />Alc No Ext: 216-367-4954 A/C Noy 216-839-2815 <br />ADDRESS: nmboyd@oswaldr-ompanies.com <br />INSURER(S) AFFORDING COVERAGE NAIC # <br />Y <br />INSURER A: Travelers Indemnity Company 25658 <br />660-5N423097-19 <br />INSURED OSBOR-1 <br />INSURERS: Charter Oak Fire Insurance CO 25615 <br />The Osborn Engineering Company <br />360 Central Avenue <br />INSURER C: Travelers Property Casualty Company Of America 25674 <br />INSURER D: XL Specialty Insurance Co. 37885 <br />Suite 1150 <br />INSURERE: <br />St. Petersburg FL 33701 <br />INSURER F : <br />COVERAGES CERTIFICATE NUMBER: 1R14PAS191 REVISION NUMBER: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />LTR <br />TYPE OF INSURANCE <br />ADDL <br />SUBR <br />POLICY NUMBER <br />EFF <br />MM DD/YYYY <br />MPOLICY LICY EXP <br />I M <br />I D/YYYY <br />LIMITS <br />B <br />X COMMERCIAL GENERAL LIABILITY <br />Y <br />Y <br />660-5N423097-19 <br />11/1/2019 <br />11/1/2020 <br />EACH OCCURRENCE $1,000,000 <br />CLAIMS -MADE X OCCUR <br />DAMAGE TO RENTED <br />PREMISES Ea occurrence $ 1,000,000 <br />MED EXP (Any one person) $ 10,000 <br />X Al Primary & <br />X I Non -Contributory <br />PERSONAL &ADV INJURY $1,000,000 <br />I <br />GEN'LAGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE $2,000,000 <br />POLICY PRO JECT LOC <br />PRODUCTS - COMP/OP AGG $ 2,000,000 <br />$ <br />OTHER: <br />A <br />AUTOMOBILE <br />LIABILITY <br />Y <br />Y <br />BA -5992L205 -19 -GRP <br />11/1/2019 <br />! 11/1/2020 <br />COMBINED SINGLE LIMIT 81,000,000 <br />Ea accident <br />BODILY INJURY (Per person) $ <br />AUTO <br />1XXANY <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />��, <br />BODILY INJURY (Per accident) $ <br />PROPERTY DAMAGE $ <br />HIRED X NON -OWNED <br />AUTOS ONLY AUTOS ONLYPeraccidentAl <br />$ <br />Primary <br />C <br />X <br />UMBRELLALIAB <br />X <br />OCCUR <br />Y <br />Y <br />CUP -7D982830-19-47 <br />11/1/2019 <br />i 11/1/2020 <br />EACH OCCURRENCE $10,000,000 <br />AGGREGATE $ 10,000,000 <br />EXCESS LIABCLAIMS-MADE <br />I <br />DED I X I RETENTION $1 n rinn <br />Excludes Professional $ <br />I <br />A <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />ANYPROPRIETOR/PARTNER/EXECUTIVE Y/N <br />N <br />UB -31807985-19-47 <br />11/1/2019 <br />11/1/2020 <br />X PER STATUTE X ORTH- <br />E.L. EACH ACCIDENT $1,000,000 <br />OFFICER/MEMBEREXCLUDED? <br />NIA <br />E.L. DISEASE - EA EMPLOYEE $ 1,000,000 <br />(Mandatoryin NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT $ 1,000,000 <br />D <br />Professional Liability <br />N <br />Y <br />DPR9951342 <br />11/1/2019 <br />11/1/2020 <br />Each Claim $5,000,000 <br />Claims Made <br />Aggregate $5,000,000 <br />Retro Date:01/01/1892 <br />Pollution & Envir. Liab. Included <br />DESCRIPTION OF OPERATIONS / LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) <br />Additional Insured and Waiver of Subrogation as designated above is provided when required of the Named Insured by written contract or agreement. <br />Pinellas County a Political subdivision of the State of Florida is Additional Insured on a primary and noncontributory basis as noted above and per attached <br />endorsement. Waiver of Subrogation applies in favor of Pinellas County a Political subdivision of the State of Florida. Umbrella Liability follows form. <br />(:tK I IFIL;A I t HULUtK <br />Pinellas County, a Political Subdivision of the State of <br />Florida <br />400 S Fort Harrison Avenue <br />Clearwater, FL 33756 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />©1988-2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />RFQ 20-07-01 CONTINUING PROFESSIONAL CONSULTING SERVICES <br />SECTION H - PAGE 60 <br />
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