CERTIFICATE OF LIABILITY INSURANCE (3)ACORD CERTIFICATE OF LIABILITY INSURANCE page 1 of 2 12/23/2008
PRODUCER 877-945-7378 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Willis ERH HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
26 Century Blvd. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
P. 0. Box 305191
Nashville, TN 372305191 INSURERS AFFORDING COVERAGE NAIC#
INSURED URS Corporation INSURERA:National Union Fire Iris CO of Pittsburgh 19445-100
600 Montgomery Street, 25th Floor INSURERe New Hampshire Insurance Company 23841-076
San Francisco, CA 94111
INSURERC:Insurance Company of the State of PA 19429-100
INSURERD:Lloyd's of London & British companies 15792-004
INSURERE:Lexington Insurance Company 19437-000
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
ANY REQUIREMENT
,
THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
MAY PERTAIN
,
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR
LTR DD'
LNSM
TYPE OF INSURANCE
POLICY NUMBER POLICY EFFECTIVE
ppTE POLICY EXPIRATION
DATE M DD LIMITS
A GENERAL LIABILITY GL1642006 6/30/2008 5/1/2009 EACHOCCURRENCE $ 2,000,000
X
COMMERCIAL GENERAL LIABILITY DAMAGE To RENTED
PREMISES E urence
$ 11000,000
CLAIMS MADE X OCCUR MED EXP (Anyone person) 10,000
X BFPD
XCU PERSONAL & ADV INJURY $ 2,000,000
,
X Contractual Liability GENERAL AGGREGATE $ 2,000,000
GEN'LAGGREGATE LIMIT APPLIESPER, PRODUCTS -COMP/OP AGG $ 2,000,000
POLICY X PRO LOC
A AUT OMOBILE LIABILITY CA826-3009 5/1/2008 5/1/2009 COMBINED SINGLE LIMIT $ 2
000
000
E X ANY AUTO CA826-3010 5/1/2008 5/1/2009 (Eaaccident) ,
,
ALL OWNED AUTOS BODILY INJURY
$
(Per person)
SCHEDULEDAUTOS
HIREDAUTOS BODILY INJURY $
(Per accident)
NON-OWNED AUTOS
PROPERTYDAMAGE $
(Per accident)
GARAGE LIABILITY 1
AUTO ONLY - EAAGCIDENT
$
...
_
ANVAUTO I - . OTHERTHAN EA ACC $
` AUTO ONLY: AGG $
EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $
OCCUR CLAIMS MADE LJ t I AGGREGATE $
DEDUCTIBLE
RETENTION $ $
C WORKERS COMPENSATION AND WC4990858 1/1/2009 1/1/2010 X WRVLA IT OTH-
a- EMPLOYERS' LIABILITY
RTNER/EXECUTIVE.-^"-
eW
?TC4?30-85-9-----._.._-? .-..---
1/112009
2r- 00-,--00-0-._
A ANY PROPRIET
A
OFFICER/MEMBEREXCLUDED? WC4990862 1/1/2009 1/1/2010 E.L.DISEASE- EAEMPLOYEE $ 2,000,000
C If yes, describe under
SPECIALPROVISIONS below
WC4 90857 WC4990860
141/2009
1 1 2010
E.L. DISEASE - POLICY LIMIT
S 2,000,000
D OTHER PE0801821 PE0801657 6 30 2008 5 1 2009
E 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/LOCATIONS/VEHICLES/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.
nrnr!clrrnrc UAl neo (:ANrFI I ATIf1N
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3 0 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
i
f Cl
t RE RFa^ENTATIVES.
ty o
earwa
er
C
112 South Osceola Avenue UT RIVED REPRES AEyr TIVE
Clearwater, FL 33766 \?/1?/"??
ACORD 25 (2001/08) Coll:2571031 Tpl:870588 Cert:11821190 UACUKUW)HPUKAIIUNIWOO
Page 2 of 2
IMPORTANT
If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement
on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may
require an endorsement. A statement on this certificate does not confer rights to the certificate
holder in lieu of such endorsement(s).
_._ DISClAIMEH
The Certificate of Insurance on the reverse side of this form does not constitute a contract between
the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it
affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon.
ACORD 25 (2001/08) Coll:2571031 Tp1:870588 Cert:11921190