CERTIFICATE OF LIABILITY INSURANCE (60)
DATE (MM/DD/YYVY)
05/30/2008
DUCER
Aon Risk services central, Inc.
fka Aon Risk services, Inc. of PA
Dominion Tower, 10th Floor
625 Liberty Avenue
pittsburgh PA 15222-3110 USA
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY
AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE
COVERAGE AFFORDED BY THE POLICIES BELOW.
INSURERS AFFORDING COVERAGE
PHONE. 866 283-7122
FAX- 847 953-5390
INSURED
American Bridge company
1000 American Bridge way
coraopolis PA 15108 USA
INSURER A:
INSURER B:
Insurance company of the State of PA
zurich American Ins Co
National union Fire Ins Co of pittsburgh
INSURER C:
INSURER D:
INSURER E:
NAIC #
19429
16535
19445
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THE POLICIES OF INSURANCE LISTED BELOW HA VE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICA TED NOTWITHSTANDING
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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 HA VE BEEN REDUCED BY PAID CLAIMS LIMITS SHOWN ARE AS REQUESTED
INSR DD'
LTR NSR
POLICY EFFECTIVE POLICV EXPIRATION
DATE(MMIDDlYY) DATE(MM\DDIVY)
06101/08 061-01/09
TYPE OF INSURANCE
POLICY NUMBER
LIMITS
8--
GLo832207509
EACH OCCURRENCE
~ERAL LIABILI1Y--- -
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE [!] OCCUR
X per projec~ Genl A99
PERSONAL & ADV INJURY
GENERAL AGGREGATE
GEN'L AGGREGATE LIMIT APPLIES PER
D POLICY lXl PRO. 1)(1 LOC
L..J JECT I.2.J
PRODUCTS - COMP/OP AGG
B
AUTOMOBILE LIABILITY
X ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
"ON OWNED AUTOS
BAP832212012
06/01/08
06/01/09
COMBINED SINGLE LIMIT
(Ea accident)
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BODIL Y INJURY
( Per person)
JUN
$1,000 COMP OED
$1,000 COll DED
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GARAGE LIABILITY
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EJ ANY AUTO
EXCESS /UMBRELLA LIABILITY
~ OCCUR D CLAIMS MADE
AGGREGATE
EA ACC
AGG
BE4889808
EACH OCCURRENCE
A
X
RETENTION $10,000
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
10/01/07
10/01/08
wc
(AOS)
wc6436681
ANY PROPRIETOR / PARTNER / EXECUTIVE (CA)
OFFICER/MEMBER EXCLUDED?
wc3725418
If yes, describe under SPECIAL PROVISIONS (FL)
below
A
E.L DISEASE-EA EMPLOYEE
10/01/08
10/01/07
A
EL DISEASE.POLlCY LIMIT
OTHER
$2.,000,000
$1,000,000
$2,000,000
$4,000,000
$4,000,000
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$1,000,000 _
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$1 , 000 ,000 iiii
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DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
RE: clearwater Beach spur Connector pedestrian Bridge (99-0081-EN). The city of clearwater and its respective
officers and employees are included as Additional Insured in regards to General and Automobile Liability, but
solely as respects to work performed and vehicles used by or on behalf of the Named Insured in connection with the
City of clearwater
P.O. BOX 4748
clearwater FL 33758-4748 USA
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRA nON
DATE THEREOF. THE ISSUING INSURER WILL ENDEAVOR TO MAIL
30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
BUT FAILURE T DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY
OF ANY KIND ON THE INSURER, ITS AGENTS OR SENT A TIVE
Att1,lchment to ACORD Certificate for American Bridge company
;fhe 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
American Bridge Company
1000 American Bridge way
coraopolis PA 15108 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 I:"ISURANCE POLICY DESCRIPTION EFFECTIVE EXPIRATION LIMITS
LTR DATE DATE
WORKERS COMPENSATION
. ~ ~----, - - -.-----= 1'I~37254.22 - . WIOl/07~ rlO/01/08 -- -- ---. .. -.-----"- "- --~---"-- --
A (OR)
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
described project. It is further agreed that such insurance as is afforded the Additional Insured shall
be primary. It is understood and agreed that the company waives its right of subrogation against the
Additional Insured which may arise by reason of a payment of claim under all policles. USL&H coverage is
included under the workers Compensation policies.
Certificate No :
570028717510