CERTIFICATE OF LIABILITY INSURANCE (56)
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ACORDTM
PRODUCER
. Aon Risk 'services South, Inc.
fka Aon Risk services, Inc. of Tennessee
501 corporate Centre Drive
suite 300
Franklin TN 37067 USA
TIllS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY
. CONFERS NO RIGHTS UPONTHE.CERTIFICATEHOLDER. THIS
CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE
COVERAGE AFFORDED BY THE POLICIES BELOW.
PHONE- 866 283-7122
FAX- 847 953-5390
INSURERS AFFORDING COVERAGE
NAIC #
19437
INSURED
ARCADIS U.S., Inc.
630 Plaza Dr Ste 200
Highlands Ranch CO 80129-2379 USA
INSURER A:
INSURERB:
Lexington Insurance company
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INSURER C:
INSURER D:
INSURERE:
t,-
TIm poucms OF INSURANCE USTED BELOW HAVE BEEN ISSUED TO TIm INSURED NAMED ABOVE FOR TIm POUCY PERIOD INDICATED. NOTWITIISTANDING
ANY REQUIREMENT, TERM OR CONDmON OF ANY CONTRACT OR OTIffiR DOCUMENT WITIl RESPECT TO WInCH TIllS CERTIFICATE MAY BE ISSUED OR MAY
PERTAIN, TIm INSURANCE AFFORDED BY TIm POucms DESCRIBED HEREIN IS SUBJECT TO ALL TIm TERMS, EXCLUSIONS AND CONDmONS OF SUCH POucms.
AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. L1MfrS SHOWN ARE AS ~.I;Q .E~.TJi:D
INSR
LTR S
TYPE OF INSURANCE
POLICY NUMBER
POLICY EXPIRATION
DATE(MMlDDlyy)
~ERAL LI,<I.BILITY
. COMMERCI,<I.L GENERAL. UABnJTY
CLAIMS MADE D OCCUR
GEN'L AGGREGAn; LIMIT APPLIES PER:
o POLlCY D r:g: 0 LOC
;;::CIAl RECO os AND
l GISLATlVE SR CS OEPT
AUTOMOBILE LI,<I.BILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
IDRED AUTOS
NON OWNED AUTOS
r-~ [E (~ [E ~
ID ---.
U AY 2 7
[E~
GARAGE LIABILITY
B ANY AUTO
EXCESS /UMBRELLA LIABILITY
D OCCUR D CLAIMS MADE
DDEDUCTIBLE
DRETENTION
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
ANY PROPRIETOR / PARTNER / EXECUTIVE
OFFICERlMEMBER EXCLUDED?
If yes, descnbe under SPECI,<I.L PROVISIONS
below
A
5766461
prof Liab - Contractors
06/01/08
OTHER
Cont racto r Poll
DESCRIPTION OF OPERATIONSILOCATIONS/VEHICLESlEXCLUSIONS ADDED BY ENDORSEMENT/SPECI,<I.L PROVISIONS
Evidence of Insurance.
For professional Liability coverage, the Aggregate Limit is
within the policy period for all operations of the insured.
LIMITS
EACH OCCURRENCE
DAMAGE TO RENTED
PREMISES (Eo occurence)
one person
PERSONAL & ADV INRJRY
0"1
1'0.
,."
\Q
N
lI'l
CO
N
o
o
1'0.
lI'l
GENERAL AGGREGATE
PRODUCTS - COMP/OP AGG
COMBINED SINGLE LIMIT
(Ea ac<:ident)
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BODILY INRJRY
( Per person)
BODILY INRJRY
(per accident)
PROPERTY DAMAGE
(per accident)
AUTO ONLY - EA ACCIDENT
OTHER THAN EA ACC
AUTO ONLY:
AGG
EACH OCCURRENCE
AGGREGATE
-
~
E.L. DISEASE-EA EMPLOYEE
E.L. DISEASE-POLICY LIMIT
Each C aim
Annual Aggregate
~
~
$5,000,000 ~
$5,000.000 ::a;.JI
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ICLI
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the total insurance available for claims presented
The Limit will be reduced by payments of indemnity
City of Clearwater .
Attn: Kathy Bedini (city
P.O. Box 4748
Clearwater FL 33758-4748
clerk)
USA
SHOULD ANY OF TIm ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
30 DAYS WRlTJ'EN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFf,
BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR UABILITY
OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
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Attachment to ACORD Certificate forARCADIS U.S., Inc.
The terms, conditions and provisions noted below are hereby attached to the captioned certificate as additional description of the coverage
afforded by the insurer(s). This attachment does not contain all terms, conditions, coverages or exclusions contained in the policy.
INSURER
INSURED
ARCADIS U.S., Inc.
630 Plaza Dr Ste 200
Highlands Ranch co 80129-2379 USA
INSURER
INSURER
INSURER
INSURER
ADDITIONAL POLICIES
If a policy below does not include limit information, refer to the corresponding policy on the ACORD
certificate form for policy limits.
ADD'L POLICY NUMBER POLICY POLICY
INSR INSRD TYPE OF INSURANCE POLICY DESCRIPTION EFFECTIVE EXPIRATION LIMrrS
LTR DATE DATE
..
OTHER
[] ClaimS-Made
EJ professional L i abil
[] and Contractors
[] pollution Liability
DESCRIPTION OF OPERA TIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
OR LONGER TIME PERIODS DEPENDING ON THE JURISDICTION OF, AND REASON FOR, THE CANCELLATION.
Certificate No :
570028526377