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2007 SANITARY SEWER & MANHOLE REHABILITATION PROJECT - 07-0015-UT - CERTIFICATE OF LIABILITY INSURANCE (4)ACORD CERTIFICATE OF LIABILITY INSURANCE °A4 ?4/2009YYY' m, 5/1/2010 / PRODUCER Lockton Companies, LLC-1 Kansas City THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION 444 W. 47th Street Suite 900 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE , HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Kansas CityM064112-1906 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. (816) 960-9000 INSURERS AFFORDING COVERAGE NAIC # INSURED REYNOLDS INLINER LLC INSURER A: Old Republic Insurance Company 24147 426 2601 W. LAKE MARY BLVD., SUITE 129 INSURER B: A.M. BEST RATING A + XI LAKE MARY, FL 32746-3567 INSURER C: INSURER D: INSURER E: TS OF INSURANCE DOES A CONACT BETE SURERISIFIAAUTHO I ED REP ESENTATIVOE OR PROIDUCER AND THE CERTIFFICAE E HHOLIDER. COVERAGES LAYIN01 FK N 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. INSR DD' POLICY EFFECTIVE POLICY EXPIRATION LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE (MM/DD/YY) DATE (MM/DD/YY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 A X COMMERCIAL GENERAL LIABILITY MWZY 58310 5/1/2009 5/1/2010 DAMAGES ( RENTED PREMISES Ea occurence $ 500,000 CLAIMS MADE XX OCCUR MED EXP (Any one person) $ 10,000 X CONTRACTUAL PERSONAL & ADV INJURY $ 2,000,000 GENERAL AGGREGATE $ 5,000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGG $ 5,000,000 X POLICY PRO LOC JECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 2 000 000 A X ANY AUTO MWTB 20664 5/1/2009 5/1/2010 (Ea accident) , , ALL OWNED AUTOS BODILY INJURY (Per person) $ XXXXXXX SCHEDULED AUTOS X HIRED AUTOS BODILY INJURY X (Per accident) $ XXXXXXX NON-OWN ED AUTOS PROPERTY DAMAGE (Per accident) $ XXXXXXX GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ XXXXXXX ANY AUTO NOT APPLICABLE OTHER THAN EAACC $ XXXXXXX AUTO ONLY AGG $ XXXXXXX EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ XXXXXXX OCCUR CLAIMS MADE NOT APPLICABLE AGGREGATE $ XXXXXXX $ XXXXXXX UMBRELLA DEDUCTIBLE FORM $ XXXXXXX RETENTION $ $ XXXXXXX WC STATU- O I - X A WORKERS COMPENSATION AND MWC 11602400 (AOS) 5/1/2009 5/1/2010 R TORY LIMITS ER A EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE MWC 11602400 (WI) 5/1/2009 5/1/2010 E.L. EACH ACCIDENT $ 5,000,000 A OFFICER/MEMBER EXCLUDED? STOP GAP (ND OH WA WV ) E L DISEASE - EA EMPLOYEE $ 5 000 000 NO , , , , . . , 1 If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ 5,000,000 OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS RE: 2007 SANITARY SEWER AND MANHOLE REHABILITATION, PROJECT #07-0015-UT. CERTIFICATE HOLDER CANCELLATION 3560239 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION CITY OF CLEARWATER DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN 100 SOUTH MYRTLE AVENUE NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL CLEARWATER FL 33756 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHOR PRESENTATIVE ACORD 25 (2001/08) For questions regarding this certificate, contact the number listed in the 'Producer' section ab- and specify the chadWade'WINO1'. ©ACORD CORPORATION 1988