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Osborn Engineering
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`Ill �® CERTIFICATE OF LIABILITY INSURANCE <br />DAT6/10/2020YY) <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 />James B. Oswald Company <br />1100 Superior Avenue, Suite 1500 <br />CONTACT <br />Noelle Boyd <br />NAMEThe <br />PHONE FAX <br />A/C No Ext: 216-367-4954 A/c No): 216-839-2815 <br />ADDRESS: nmboyd@oswaldcompanies.com <br />Cleveland OH 44114 <br />INSURER(S) AFFORDING COVERAGE NAIC # <br />Y <br />INSURERA: Travelers Indemnity Company 25658 <br />11/1/2019 <br />INSURED OSBOR-1 <br />The Osborn Engineering Company <br />360 Central Avenue <br />INSURER B: Charter Oak Fire Insurance Co 25615 <br />INSURER C: Travelers Property Casualty Company Of America 25674 <br />INSURER D: XL Specialty Insurance Co. 37885 <br />Suite 1150 <br />St. Petersburg FL 33701 <br />INSURER E: <br />INSURER F: <br />GUVFRACiFS CFRTIFICCTF NIIIMRI 1r,1AQrr191 RFVICInN WIIMI <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 />INSD <br />SUBR <br />WVD <br />POLICY NUMBER <br />POLICY EFF <br />MM/DD/YYYYI <br />POLICY EXP <br />(MMIDDNYYYI <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 � OCCUR <br />DAMAGES( RENTED <br />PREMISES Ea occurrence) $1,000,000 <br />MED EXP (Any one person) $ 10,000 <br />X Al Primary & <br />X Non -Contributory <br />PERSONAL &ADV INJURY 1 $1,000,000 <br />_ <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE $2,000,000 <br />POLICY PEI° LOC <br />j <br />PRODUCTS - COMP/OPAGG $2,0K000 <br />$ <br />OTHER: <br />A <br />AUTOMOBILE <br />LIABILITY <br />Y <br />Y <br />BA -5992L205 -19 -GRP <br />11/1/2019 11/1/2020 <br />COMBINED SINGLE LIMIT $1,000,000 <br />Ea accident <br />BODILY INJURY (Per person) $ <br />X <br />ANY AUTO <br />��, <br />OWNED `� SCHEDULED <br />AUTOS ONLY AUTOS <br />BODILY INJURY(Peraccident)l $ <br />xi <br />HIRED X NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />PROPERTY DAMAGE $ <br />Per accident <br />$ <br />X <br />Al Primary <br />C <br />X <br />UMBRELLA LIAB <br />X <br />OCCUR <br />Y <br />Y <br />CUP -7D982830-19-47 <br />11/1/2019 <br />11/1/2020 <br />EACH OCCURRENCE S10,000,000 <br />AGGREGATE $ 10,000,000 <br />EXCESS LIAB <br />CLAIMS -MADE <br />DED I X I RETENTION $ 1 n nnn <br />Excludes Professional $ <br />A <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY Y / N <br />UB -31-807985-19-47 <br />11/1/2019 <br />11/1/2020 <br />X I STATUTE —X—[OTH- <br />ER <br />E.L. EACH ACCIDENT $ 1,000,000 <br />ANYPROPRIETOR/PARTNER/EXECUTIVE N <br />OFFICER/MEMBER EXCLUDED? ❑ <br />NIA <br />E.L. DISEASE - EA EMPLOYEEI $ 1,000,000 <br />(Mandatory in NH) <br />If yes, describe under <br />E.L. DISEASE - POLICY LIMIT $ 1,000,000 <br />DESCRIPTION OF OPERATIONS below <br />D <br />Professional Liability <br />Claims Made <br />Retro Date:01/01/1892 <br />N <br />Y <br />DP 9951342 <br />11/1/2019 <br />I <br />11/1/2020 <br />Each Claim $5,000,000 <br />Aggregate $5,000,000 <br />Pollution & Envir. Liab. Included <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be 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 />CERTIFICATE HOLDER CANCELLATION <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 />(01988-2015 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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