CERTIFICATE OF INSURANCE
CERTIFICATE NUMBER ,iii,
SEA-000503997 -09
PRODUCER
MARSH RISK & INSURANCE SERVICES
P. O. BOX 193880
SAN FRANCISCO, CA 94119-3880
CALIFORNIA LICENSE NO. 0437153
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE
POLICY. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE
AFFORDED BY THE POLICIES DESCRIBED HEREIN.
COMPANIES AFFORDING COVERAGE
URSA-F-ALL-W/PRO- FL TAM URS
INSURED
URS CORPORATION
600 MONTGOMERY STREET
25TH FLOOR
SAN FRANCISCO, CA 94111
COMPANY
A NATIONAL UNION FIRE INS. CO. OF PITTSBURGH, PA.
COMPANY
B AMERICAN HOME ASSURANCE CO
COMPANY
C AMERICAN INTERNATIONAL SPECIALTY LINES INS. CO.
COMPANY
D INSURANCE CO. OF THE STATE OF PA
THIS IS TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED.
NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN, THE INSURANCE AFFORDED BYTHE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS OF SUCH POLICIES.
AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS
LTR DA TE (MM/DDIYY) DATE (MM/DDIYY)
A GENERAL LIABILITY GL933-3116 04/01104 04/01/05 GENERALAGGREGRATE $ 2,000,000
X COMMERCIAL GENERAL LIABiLITY PRODUCTS-COM PlOP AGG $ 2,000,000
CLAIMS MADE 0 OCCUR PERSONAL & ADV INJ URY $ 1,000,000
OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $ 1,000,000
FIRE DAMAGE (Anyone fire) $ 1,000,000
MED EXP (Anyone person) $ 5,000
A AUTOMOBILE LIABILITY 826-1679 AOS 04/01 /04 04/01/05
B X COMBINED SINGLE LIMIT $ 1,000,000
ANY AUTO 826-1680 MA 04/01 /04 04/01 /05
A ALL OWNED AUTOS 826-1681 TX 04/01 /04 04/01/05 BODIL Y INJURY
SCHEDULED AUTOS (Per person) $
X HIRED AUTOS BODIL Y INJURY
$
X NON-OWNED AUTOS (per accident)
PROPERTY DAMAGE $
GARAGE LIABILITY AUTO ONL Y- EA ACCIDENT $
ANY AUTO OTHER THAN AUTO ONL Y:
EACH ACCIDENT
AGGREGATE
EXCESS LIABILITY EACH OCCURRENCE
UMBRELLA FORM AGGREGATE
OTHER THAN UMBRELLA FORM
A WORKERS.COMPENSATION AND 7155121 (CA) 01/01/05 01/01/06
D EMPLOYERS' LIABILITY 7155122 (AOS) 01/01/05 01/01/06
1,000,000
D THE PROPRIETORI X INCL 7155118 EXCLUD.CA,AOS,GA 01/01/05 01/01/06 EL DISEASE-POLICY LIMIT 1,000,000
PARTNERS/EXECUTIVE
E OFFICERS ARE: EXCL 7155119 (GA) 01/01/05 01/01/06 EL DISEASE-EACH EMPLOYEE 1 000 000
OTHER
C PROF(E&O)LlABILlTY 819-4168 04/01104 04/01/05 EACH CLAIM $1,000,000
CLAIMS MADE FORM AGGREGATE $1,000,000
DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLES/SPECIAL ITEMS
CLEARWATER CITY PROPERTY - BROWNFIELD REHABILITATION 901-927 CLEVELAND ST.
PROJECT NO.: 12002390
STATE OF FLORIDA IS AN ADDITIONAL INSURED AS RESPECTS GENERAL & AUTO LIABILITY.
CITY OF CLEARWATER
112 SOUTH OSCEOLA AVENUE
CLEARWATER, FL 33766
SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE INSURER AFFORDING COVERAGE WILL ENDEAVOR TO MAIL 30 DAYS
WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED HEREIN, BUT FAILURE TO MAIL SUCH
NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER
AFFORDING COVERAGE, ITS AGENTS OR REPRESENTATIVES, OR THE ISSUER OF THIS
CERTIFICATE.
MARSH USA INC
BY: Michio Nekota
~UL
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PRODUCER COMPANIES AFFORDING COVERAGE
MARSH RISK & INSURANCE SERVICES
P. O. BOX 193880 COMPANY
SAN FRANCISCO, CA 94119-3880 E AMERICAN INTERNATIONAL SOUTH INSURANCE CO.
CALIFORNIA LICENSE NO. 0437153
URSA-F-ALL-W/PRO- FL TAM URS
COMPANY
F
INSURED
URS CORPORATION
600 MONTGOMERY STREET
25TH FLOOR
SAN FRANCISCO, CA 94111
COMPANY
G
COMPANY
H
CITY OF CLEARWATER
112 SOUTH OSCEOLA AVENUE
CLEARWATER, FL 33766 .
MARSH USA INC.
BY: Michlo Nekola