CERTIFICATE OF INSURANCE (9)
Professional Underwriters,
P.o. Box 3139
Far.mington Hills, MI 48333
Phone: 248-855-3322
Inc
OP 10 DATE (MMlDDNYYY)
WADET-8 10 14 03
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.
ACORD..
CERTIFICATE OF LIABILITY INSURANCE
PRODUCER
Wade-Trim, Inc.
4919 Memorial Hwy., Suite 200
Tampa, FL 33634
COVERAGES
INSURERS AFFORDING COVERAGE
INSURER A: St. Paul Fire & Marine Ins
INSURER B: St. Paul Mercury Insurance
INSURERC: Continental Casualty Compan
INSURER D:
INSURER E:
NAIC#
INSURED
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.
'L~~ ~~~~ TYPE OF INSURANCE POLICY NUMBER PD~~~1J~rJ~~E P~k~CEY,ijXrXb~J!RN LIMITS
GENERAL LIABILITY EACH OCCURRENCE $1,000,000
- ~~~~~SYE~6~~~~ncej
A X X COMMERCIAL GEHERAL LIABILITY ' CK0210296S 10/01/03 10/01/04 $1,00.0,000
f-- ~ CLAIMS MADE [!] OCCUR MED EXP (Anyone person) $10,000
PERSONAL & ADV INJURY $1,000,000
f--
GENERAL AGGREGATE $ 2,000,000
f--
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COM~OPAGG $2,000,000
Ii !xl PRO- n
POLICY X JECT LOC
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $1,000,000
f--
A ~ ANY AUTO CK02102969 10/01/03 10/01/04 (Ea accident)
ALL OWNED AUTOS BODILY INJURY
f-- $
SCHEDULED AUTOS (Per person)
f--
HIRED AUTOS BODILY INJURY
f-- $
NON-OWNED AUTOS (Per accident)
f-- I
f-- PROPERTY DAMAGE $
(Per accident)
GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $
R ANY AUTO I OTHER THAN EA ACC $
I AUTO ONLY: AGG $
EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $14,000,000
A !J OCCUR D CLAIMS MADE CK02102969 10/01/03 10/01/04 AGGREGATE $14,000,000
$
~ DEDUCTIBLE $
RETENTION $ $
c~ h-_~_~.~__ - T\J\1~ATU- I IUE~-
WORKERS COMPENSATI()N Af-lD X TORY LIMITS
B EMPLOYERS' LIABILITY WVA2103056 10/01/03 10/01/04 $ 500,000
ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT
OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ 500,000
~~~M'ts~~~v~g?6~s below E.L. DISEASE - POLICY LIMIT $500,000
OTHER
C ARCH/ENG PROF LIAB ABA 1333326027 10/01/03 10/01/04 EA. CLAIM 10,000,000
CLAIMS MADE BASIS. DBD. AS STATED ON POLICY AGGREGATE 15,000,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS IRECEIVED
PROJECT NAME: 5-YEAR ENGINEER OF RECORD CONTRACT.THE CERTIFICATE HOLDER
NAMED AS AN ADDITIONAL INSURED WITH RESPECT TO THE GENERAL LIABILITY.
OCT 2 0 2003
CITY OF CLEA~WATHl
CERTIFIC TE HOLDER ANCELLATIO I'UtlLIG YVUHK::i C0NSTRW'v",
A
C
N
i,' t"N
CITY OF CLEARWATER,
ATTN: ALICE ECKMAN
100 S. MYRTLE AVENUE
CLEARWATER, FL 33758
CLEARWA 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 A"l.Y KIN
REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
Robert L. Coleman
ACORD 25 (2001/08)