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CERTIFICATE OF LIABILITY INSURANCE (4)A °.a CERTIFICATE OF LIABILITY INSURANCE Page 1 of 2 04/`28/20 9' PRODUCER 877-945-7378 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Willis Insurance Services of California, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 26 century Blvd. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P. 0. Box 305191 Nashville, TX 37230-5191 INSURERS AFFORDING COVERAGE NAIC# INSURED URS Corporation INSURERA:National Union Fire Ins Cc of Pittsburgh 19445-100 600 Montgomery Street, 25th Floor INSURERB:Zurich American insurance Company 16535-100 San Francisco, CA 94111 INSURERC:Insurance Company of the State of PA 19429-100 INSURER D: Lloyds 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 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 Dni Irlcc Arr P;r ATP I IMITR cHC)WN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR DD' TYPEOFINSURANCE POLICY NUMBER POLICMEFFEp TIVE OOLICYEXPIRAVION LIMITS A GENERAL LIABILITY CL0919652 5/1/2009 5/1/2010 EACHOCCURRENCE $ 2,000,000 ][ COMMERCIAL GENERAL LIABILITY PRMAGEJOtaoc arence $ ] ()OD 000 CLAIMS MADE [Z OCCUR MED EXP (Anyone person) $ 10,000 X XCU BFPD PERSONAL & ADV INJURY $ 2,000,000 l Liabilit C t t GENERAL AGGREGATE $ 2,000,000 -!- on rac ua GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 PRO, POLICY X JEC LOC B AUT OMOBILE LIABILITY BAP938512500 5/1/2009 5/1/2010 COMBINED SINGLE LIMIT $ 2 000 000 X ANY AUTO (Ea accident) , , ALLOWNEDAUTOS BODILY INJURY $ SCHEDULEDAUTOS (Per person) HIREDAUTOS c1 1 D ( BODILY INJURY $ NON-OWNED AUTOS NON-O ?r R? i+ MAY ) Peraccid aCCld ent) ( PR PERTYDAMAGE $ w (Per ocldent) GARAGE LIABILITY ?? - -. - _,... _....-----..__..... w, rHLIITDONLY-EAACGIDEN7 $ ANY AUTO 3ER OTHER THAN EA ACC S C? wp AUTO ONLY: AGG $ EXCESS/ UMBRELLA LIABILITY rR1NG EACHOCCURRENCE $ OCCUR CLAIMSMADE ?NG,N AGGREGATE $ DEDUCTIBLE $ R RETENTION $ $ L, WORKERS COMPENSATION WC4990858 1/l/2009 1/1/2010 g WCYLM ER A AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVEY7 WC4990859 1/1/2008 1/1/2010 E-L. EACH ACCIDENT $ 2,000,000 A OFFICER/MEMBER EXCLUDED? (MandatoryinNH) WC4990862 l/l/2009 1/1/2010 E.LDISEASE - EAEMPLOYEE $ 2 000,000 C If yes, describe under SPECIAL PROVISIONS below WC4990857 WC4 90860 14142009 14142 010 E.L. DISEASE - POLICY LIMIT, _ 1 $ 2,000.000 D B OTHER Professional Liability w/Limited Contractual - Claims Made Policy- PE0801821 PEO801657 6502371 5/l/2009 5/1/2009 5/1/2010 5/1/2010 $1,000,000 Each Claim $1,000,000 Aggregate DESCRIPTION OF OPERATIONS/ LOCATIONS / VEHICLES! EXCLUSIONS ADDED 5Y ENDORSEMbN I / bF'1_'f41AL F'HUV1b1UN5 Clearwater City Property - Brownfield Rehabilitation 901-927 Cleveland St. Project No.: 12002390 State of Florida is an Additional Insured as respects General & Auto Liability. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL _10 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 City of Clearwater R RESENTATIVES. A _ 112 south Osceola Avenue U REPRESEJqATIVE Clearwater, FL 33766 ACORD 25 (2009/01) Coll:2684313 Tpl:919436 Cert:124588 4 ©1988-2009ACORDCORPORATI .Allrightsreserved The ACORD name and logo are registered marks of ACORD 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). DISCLAIMER This Certificate of Insurance 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 (2009/01) Caii:2684313 Tpl:919436 Cert:12458884