CERTIFICATE OF LIABILITY INSURANCE (6)
PRODUCER
Lockton Companies
444 W. 47th Street, Suite 900
Kansas City Mo 64112.1906
(816) 960-9000
ACORn. CERTIFICATE OF LIABILITY INSURANCE 06/01/2006 D~~;o;;
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIRCATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
D
INSURED
1013472
HDR ENGINEERING, INC,
ATTN: LOUIS J. PACHMAN
8404 INDIAN HILLS DRIVE
OMAHA, NE68114-4049
COVERAGES
HDRINOI
SA
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.
I~: POLICY EFFECTIVE ~';!~~~?N
TYPE OF INSURANCE POLICY NUMBER DA LIMITS
GENERAL LIABILITY EACH OCCURRENCE $ 1 000 000
-
A X COMMERCIAL GENERAL LIABILITY GL03504583 06101/2005 06/01/2006 FIRE OAMAGE (Anv one firel $ 1 000,000
I CLAIMS MADE ~ OCCUR MED EXP (Anv one oerson) $ 10 000
- PERSONAL & ADV INJURY $ 1000,000
- GENERAl AGGREGATE $ 2 000 000
~'L AGGREGATE LIMIT AP~ PER: PRODUCTS - COMPIOP AGG $ 2 000 000
POLICY Tx1 ~~8r X LOC
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
- $ 2,000,000
B ~ ANY AUTO BAP3504584 06/01/2005 06/01/2006 (Ea accident)
B ALL OWNED AUTOS TAP3504586 06/01/2005 06/01/2006 BODILY INJURY XXXXXXX
I-- $
SCHEDULED AUTOS (Per person)
I--
~ HIRED AUTOS BODILY INJURY XXXXXXX
$
~ NON-OWNED AUTOS (Per accident)
PROPERTY DAMAGE $ XXXXXXX
(Per accident)
GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ XXXXXXX
R ANY AUTO NOT APPLICABLE OTHER THAN EA ACC $ XXXXXXX
AUTO ONLY: AGG $ XXXXXXX
EXCESS LIABILITY EACH OCCURRENCE $ 1,000,000
B ~ OCCUR o CLAIMS MADE AUC3808400 06101/2005 06/01/2006 AGGREGATE $ 1.000 000
R [K] UMBREllA (EXCLUDES PROF. LIAB) $ XXXXXXX
DEDUCTIBLE FORM $ XXXXXXX
RETENTION $ $ XXXXXXX
C WORKERS COMPENSATION AND 90-]4910-0] 0610]/2005 06101/2006 X l~rfR~~~~~T~ I IgJH-
C EMPLOYERS' LIABILITY 90-]4910-02 06101/2005 06101/2006 E.L. EACH ACCIDENT $ 1.000.000
E.L. DISEASE - EA EMPLOYEE $ 1 000 000
E.L. DISEASE - POLICY LIMIT $ 1 000 000
D OTHER PLAI13978408 06/0112005 06/0112006 PER CLAIM: $1,000,000. AGG: $1,000,000.
ARCHS & ENGS PROFESSIONAL
UABILITY
DESCRIPTION OF OPERATlONSlLOCATlONSlVEHICLESlEXCLUSlONS ADDED BY ENDORSEMENTISPEClAL PROVISIONS
CITY OF CLEARWATER, FLORIDA IS ADDmONALINSURED AS RESPECTS GENERAL LIABll.ITY AND AUTOMOBn.E LIABILITY.
ATE HOLDER I I ADDITIONAL INSURED' INSURER LETTER: 14TlnN
310118 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
CITY OF CLEARWATER DATE THEREOF. THE ISSUING INSURER WILL &NO&A-lOR TO MAIL ~ DAYS WRITTEN
RISK MANAGEMENT DEPARTMENT NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,OUT FAllUR& TO DO SO SHJI&.L
ATTN: ETHEL RAYBURN
PO BOX 4748 IMPOS& NO OIilUC A1=/ON QR 1I111i11L1TY OF AN'( KINO UPON TN& INSUR&R, irS f.Q1iNRj OR
CLEARWATER FL 34618 REPRIi&&mft..TIIIliS.
AUTHORIZED REPRESENTATIVE ~ .# --L-
I
ACORD25-S 19 For ~ns regarding this oerlincate, _the number 1_ In the 'Pnld_ section above and specify the cHenlcode '1fIlRIN01'. I) ACORD CORPORATION 1988
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