CERTIFICATE OF LIABILITY INSURANCE (58)
~~ CERTIFICATE OF LIABILITY INSURANCE I DATE (MMlDDIYYYY)
06/06/2008
PRODUCER (651)644-7200 FAX (651)644-9137 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Lee F. Murphy, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
2515 Wabash Ave. #300 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
St. Paul, MN 55114-2000
INSURERS AFFORDING COVERAGE NAIC#
INSURED INSURER A Am Internat'l Specialty Lines In . Co. (BISA:
Ceres Environmental Services, Inc. HAL INSURER B: Commerce and Industry Insurance o. (BISA)
3825 85th Avenue North, Suite #101 INSURER C: Hanover Insurance Company
Brooklyn Park, MN 55443 INSURER 0:
INSURER E:
CO ES
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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
I~ ~~~ TYPE OF INSURANCE POLICY NUMBER POUCY EFFECTIVE POUCY EXPIRATION UMITS
GENERAL UABIUTY PROP 7076886 06/03/2008 06/03/2009 EACH OCCURRENCE $ 1,000,000
X' COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 100,000
- ~ CLAIMS MADE 00 OCCUR
MED EXP (Anyone person) $ 5,000
A T Incl. Poll-Occur " PERSONAL & ADV INJURY $ 1,000,000
~ Prof. Claims Made R TRO DATE IS 4-15-1999 GENERAL AGGREGATE $ 2,000,000
f----' 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $
II ' rxl PRO- nLOC
POLICY JECT
AUTOMOBILE UABlUTY CA 7076888 06/03/2008 06/03/2009 COMBINED SINGLE LIMIT
- (Ea accident) $
X ANY AUTO .."'.... 1,000,000
- r.:::-~~-;~ ':ii r;:',V! r,~
ALL OWNED AUTOS \~ :. "UJ L~~ \~.~l.~~. BODILY INJURY
- .~.~ ,~;,-- $
SCHEDULED AUTOS HIR D PHYSICAL DAMAGE ACV >;<>-_..........,........' ;". l(Pei pe~n)
B X DEI ~CTIBLE $1,000/$1,000
HIRED AUTOS \\;,; . C ,-,,," BOQIL Y INJURY
X " :;, $
NON-OWNED AUTOS l ~ t 1 ,.) t', .' (per, accident)
- . U L.' ,-;':;ii
- I PRoPERTY DAMAGE $
kr:i'!(j""';':'i ' -;-;~_':. .(per jaccident)
GARAGE LIABIUTY LEGi~)lLJ'~ ,,~.:~::,-~,-~:..,;;~~.~:> .:'~ "uto ONLY - EA ACCIDENT $
~ ANY AUTO 1---=--':-----" -
OTHER THAN EA ACC $
AUTO ONLY: AGG $
EXCESSIUMBRELLA UABIUTY PROU 7076887 06/03/2008 06/03/2009 EACH OCCURRENCE $ 10,000,000
XJ OCCUR D CLAIMS MADE AGGREGATE $ 10,000,000
A $
~ DEDUCTIBLE $
X RETENTION $ 10,000 $
WORKERS COMPENSATION AND we 342-65-16 12/08/2007 12/08/2008 X T T"X~JT~I,~~1 10J~-
EMPLOYERS' UABIUTY 1,000,000
B ANY PROPRIETOR/PARTNER/EXECUTIVE E.L EACH ACCIDENT $
-- ---- Qf.fJ~E~E::~BI;R ~W[lf'P7______ --- -- --- ---- ----------- - - ----- ------.-- -~ - - -EMPI::OYff $ -1,-900,090
If yes, describe under 1,000,000
SPECIAL PROVISIONS below E.L DISEASE - POLICY LIMIT $
OTHER Scheduled RHX 8406400 08/18/2007 08/18/2008 $7,245,164. Limit
ontractors
C quipment Coverage L :ASED/RENTED EQUIPMENT Deductible $10,000.
LIM IT $500,000/DED $1,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
ity of Clearwater Florida is listed as Additional Insured under the General Liability Policy
vith regard to: RFP #37-07, Disaster Debris Removal and Disposal Services.
C
City of Clearwater, Florida
Attn: City Clerk
P.O. Box 4748
Clearwater, FL 33758-4748
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
Rodne
at)Q1UJtO~r~
ACORD 25 (2001/08)
@ACORD CORPORATION 1988