CERTIFICATE OF LIABILITY INSURANCE (2)
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ACORDm CERTIFICA TE OF LIABILITY INSURANCE Page 1 of 2 I DATE
06/30/2008
PRODUCER 877-945-7378 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Willis North America, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
26 Century Blvd. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
P. O. Box 305191
Nashville, TN 372305191 INSURERS AFFORDING COVERAGE NAIC#
INSURED URS Corporation INSURER A: National Union Fire Ins Co of Pittsburgh 19445-100
600 Montgomery Street, 25th Floor INSURERS: Insurance Company of the State of PA 19429-100
San Francisco, CA 94111
INSURERC: Lloyd's of London & British Companies 15792-004
INSURERD: Lexington Insurance Company 19437-000
I INSURER E:
COVERAGES
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~~: rto..~~ TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS
A GENERAL LIABILITY GL1642006 6/30/2008 5/1/2009 EACH OCCURRENCE $ 2,000,000 i
- DAMAGE TO RENTED $~ 00 0 L1>~.J
X COMMERCIAL GENERAL LIABILITY ~~MISES lEa occurence\
I CLAIMS MADE [i] OCCUR MED EXP (Anyone person) $ 50 000
.JL XCU, BFPD PERSONAL & ADV INJURY $ 2 000 000 I
.JL Contractual Liability GENERAL AGGREGATE $ 2 000 000
~'L AGGRE~E LIMIT APAS PER: PRODUCTS. COMP/OP AGG $ 2 000 000
POLICY X\rR.,: LOC
A ~TOMOBILE LIABILITY CA826-3009 5/1/2008 5/1/2009 COMBINED SINGLE LIMIT 2,000,000
(Ea accident) $
A .JL ANY AUTO CA826-3010 5/@CE f/E50 0 9
ALL OWNED AUTOS BODILY INJURY
- (Per person) $
SCHEDULED AUTOS
- JUL 25 2008
HIRED AUTOS BODILY INJURY
- $
NON.OWNED AUTOS (Per accident)
- C FF/C/AL RECC
- ROSAND PROPERTY DAMAGE $
l ~~I~' A TIV~ em rl"t! "'~rw (Per accident)
GARAGE LIABILITY AUTO ONLY. EA ACCIDENT $
~ ANY AUTO OTHER THAN EAACC $
AUTO ONLY: AGG $
EXCESs/UMBRELLA LIABILITY EACH OCCURRENCE $
tJ OCCUR D CLAIMS MADE AGGREGATE $
$
R DEDUCTIBLE $
RETENTION $ $
A WORKERS COMPENSATION AND WC1593661 1/1/2008 1/1/2009 X I WCSTATU-.I IOJ~'
EMPLOYERS' LIABILITY
B ANY PROPRIETOR/PARTNER/EXECUTIVE WC1593662 1/1/2008 1/1/2009 E.L. EACH ACCIDENT $ 2.000.000
A OFFICER/MEMBER EXCLUDED? WC1593663 1/1/2008 1/1/2009 E.L. DISEASE. EA EMPLOYEE $ 2.000.000
If yes, describe under WC1593665/WC1593666 1/1/2008 1/1/2009 2 000 000
B SPECIAL PROVISIONS below E.L. DISEASE. POLICY LIMIT $
C OTHER PE0801821 / PE080165'j 6/30/2008 5/1/2009
D Professional Liability 6502253 6/30/2008 5/1/2009 $1,000,000 Each Claim
w/Limited Contractual - $1.000,000 Aggregate
Claims Made Policy
DESCRIPTION OF OPERATIONs/LOCATIONSlVEHICLEs/EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS
Clearwater City Property - Brownfield Rehabilitation 901-927 Cleveland St. Project No. : 12002390
State of Florida is an Additional Insured as respects General & Auto Liability.
QI=C:EiVED
CERTIFICATE HOLDER
CANCELLATION
JUL 1 6 2008
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 DO SO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
Cl1Y OF CLEARWATER
City of Clearwater ENGINEERING DEPARTMENT
112 South Osceola Avenue
Clearwater, FL 33766
ACORD 25 (2001/08)
Coll:2400561 Tpl:788999