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CERTIFICATE OF LIABILITY INSURANCE (83) CERTIFICATE OF LIABILITY INSURANCE DATE(MM?DD/YYYY) 05/28/2009 PRODUCER Aon Risk Services South, Inc. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY Franklin TN Office AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS 501 Corporate Centre Drive CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE suite 300 COVERAGE AFFORDED BY THE POLICIES BELOW. Franklin TN 37067 USA INSURERS AFFORDING COVERAGE NAIC # PHONE-(866) 283-7122 FAX- 847 953-5390 INSURED INsURERA: Lexington Insurance Company 19437 •• w ARCADIS U.S., Inc. Dr Ste 200 630 Pl INSURER B: aza Highlands Ranch co 80129-2379 USA INSURER C: q b rr INSURER D: 1'+ m ro INSURER E: p SIR aoDl i es Der terms and conditions of the r i cv 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. LIMITS SHOWN ARE AS REQUESTED LTR INSR LTR ADD 1NSRD TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS ATE MlDD/YYYY DATE MM/DD ERAL LIABILITY EACH OCCURRENCE COMMERCIAL GENERAL LIABILITY DAMAGH TO RENTED PREMISES (Ea occurrence) CLAIMS MADE ? OCCUR ME V one Person PERSONAL & ADV INJURY GENERAL AGGREGATE GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG PRO- POLICY ? ? LOC 17 JECT AUTOMOBILE LIABILITY F:_. ,-._-....- ......-..-. COMBINED SINGLE LIMIT ANY AUTO .. (Ea accident) ALL OWNED AUTOS ' BODILY INJURY SCHEDULED AUTOS i -' (Per person) HIRED AUTOS j J N 4 j BODILY INJURY NON OWNED AUTOS ` (Per accident) PROPERTY DAMAGE (- (Per accident) - GARAGE LIABILITY AUTO ONLY, EA ACCIDENT ANY AUTO OTHER THAN EA ACC R AUTO ONLY AGG EXCESS / UMBRELLA LIABILITY EACH OCCURRENCE OCCUR ? CLAIMS MADE AGGREGATE .. DEDUCTIBLE WC STATU- OTH- WORKERS COMPENSATION AND EMPLOYERS' LIABILITY E.L. EACH ACCIDENT ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERMIEMBER EXCLUDED? E.L. DISEASE-EA EMPLOYEE (Mandatory In NH) E.L. DISEASE-POLICY LIMIT if s, describe under SPECIAL PROVISIONS Wow A 015448957 06/01/2009 06/01/2010 each claim $5,000,000 OTHER Prof. & Poll. Liaihlity Annual Aggregate $5,000,000 Contractor Poll DESCRIPTION OF OPERATIONS/LOCATIONS/VEMCLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS RE: PHASE I, 1498 S. GREENWOOD AVE. FOR PROFESSIONAL LIABILITY COVERAGE, THE AGGREGATE LIMIT IS THE TOTAL INSURANCE AVAILABLE FOR CLAIMS PRESENTED WITHIN THE POLICY PERIOD FOR ALL OPERATIONS OF THE INSURED. THE LIMIT WILL BE REDUCED BY PAYMENTS OF INDEMNITY AND EXPENSE.. CANCELLATION PROVISION SHOWN HEREIN IS SUBJECT TO SHORTER rn O m ko rn O O Z d d U CERTIFICATE HOLDER CANCEI'LLA'110-N ¦ CITY OF CLEARWATER SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION ATTN : CITY CLERK DATE THEREOF, TAE ISSUING INSURER WILL ENDEAVOR TO MAIL P.O. BOX 4748 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. - - NO OBLICATION OR ILITY TO DO SO SL CLEARWATER FL 33758-4748 USA OFT ANYLKINDUPON THEINSURER,,IOTSAGENTSORREPPE ENLTATIIVES. AUTHORIZED REPRESENTATIVE ACORD 25 (2009/01) 01988-2009 ACORD CORPORATION. All rights reserved= The ACORD Dame and logo are registered marks of ACORD Attachment to ACORD Certificate for ARCADIS U.S., Inc. The terms, conditions and-provisions noted below are hereby attached to the captioned certificate as additional description of the coverage afforded by the insurer(s). This attachment does not contain all terms, conditions, coverages or exclusions contained in the policy. INSURED ARCADIS U.S., Inc. 630 Plaza or Ste 200 Highlands Ranch CO 80129-2379 USA INSURER INSURER ADDMONAL POLICIES If a policy below does not include limit information, refer to the corresponding policy on the AC:ORIJ certificate form for policy limits. riVSR LTR ADD'L INSRD TYPE OF INSURANCE POLICY NUMBER POLICY DESCRIPTION POLICY EFFECTIVE DATE POLICY EXPIRATION DATE LIMITS OTHER X Claims-Made Professional Liabil El il El and Contractors El Pollution Liability DESCRIPTION OF OPERATIONS/LOCATTONS/VEMCLES/EXCLUSIONS ADDED BY (INDORSEMENT/SPECIAL PROVISIONS OR LONGER TIME PERIODS DEPENDING ON THE JURISDICTION OF, AND REASON FOR, THE CANCELLATION. Certificate No : 570034662305