CERTIFICATE OF LIABILITY INSURANCE (2)
ACORDru CERTIFICAT
DATE (MMIDDIYY)
OF LIABILITY INSURANC 06/01/2001 OS/25/2000
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
V I~
PRODUCER
LOCKTON COMPANIES
444 W. 47TH STREET, SUITE 900
(816) 960-9000
KANSAS CITY MO 64112-1906
INSURED HDR ENGINEERING. INC.
13132 ATTN: LOUIS J, PACHMAN
8404 INDIAN HILLS DRIVE
OMAHA NE 68114-4049
ANN NEWBERG - TAMPA
COVERAGES PA.
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,N~~ TYPE OF INSURANCE POLICY NUMBER ':,q,';!~Y EFFECTIVE POLICY EXPIRATION LIMITS
0
~ERAL LIABILITY EACH OCCURRENCE $ 1 nnn nnn
A y COMMERCIAL GENERAL LIABILITY CP08022044 06/0 I /2000 06/01/200 I FIRE DAMAGE tAn one fire' $ 1 nnn nnn
I CLAIMS MADE [X] OCCUR MED EXP (Anyone oerson\ $ " nnn
PERSONAL & ADV INJURY $ 1N\I) ....,
~
GENERAL AGGREGATE $ 1 nnn nnn
~
~'L AGGRE~ LIMIT AP~ PER: PRODUCTS-COM~OPAGG $ 1 nnn nnn
POLICY y ~~R,: X LOC
~OMOBILE LIABILITY COMBINED SINGLE LIMIT $ ],000,000
B lL ANY AUTO BAP2292527 06/01/2000 06/01/2001 (Ea accident)
- ALL OWNED AUTOS BAP8022045 BODILY INJURY
$ XXXXXXX
SCHEDULED AUTOS T AP8024607 (Per person)
-
lL HIRED AUTOS BODILY INJURY
$ XXXXXXX
lL NON-OWNED AUTOS (Per accident)
- PROPERTY DAMAGE $ XXXXXXX
(Per accident)
~RAGE LIABILITY AUTO ONLY - EA ACCIDENT $ y
ANY AUTO NOT APPLICABLE OTHER THAN EA ACC $
AUTO ONLY: AGG $
EXCESS LIABILITY EACH OCCURRENCE $ X X
0' OCCUR D CLAIMS MADE NOT APPLICABLE AGGREGATE $ )()( XXXX
R 0 UMBRELLA $
DEDUCTIBLE FORM , ~ X XXXX
RETENTION $ $
C WORKERS COMPENSATION AND 37WBRMX9752 06/01/2000 06/01/200] I X Iwc STATU- I 1s>;rH-
EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $ Inn nnn
-- '-.,. -- - ---- ------- --_._,-- - --- - --.. --~--_._- --'------- ---- ---- ---,---- "--_._._--,-,---,- -'--- -. -- - ---- iEt'UiSEAse.c1:A EMI'tOYEE $ - , Hln n.,n-- --"---
E.L. DISEASE - POLICY LIMIT $ "nn nnn
D OTHER PLNI13978408 06/0 I /2000 06/0 I/200 I PER CLAIM: $1,000,000 AGGREGATE:
ARCH & ENG PROFESSIONAL $1,000,000
LIAB
DESCRIPTION OF OPERATlONSIlOCATlONSlVEHICLESlEXCLUSlONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
CITY OF CLEARWATER, FLORIDA IS ADDITIONAL INSURED AS RESPECTS GENERAL LIABILITY AND AUTOMOBILE LIABILITY.
CERTII=ICATI= I-lOLDER I I ADDITIONAL INSURED' INSURER LETTER: C.6NCI=LLATION nrlrlrl
310118 CITY OF CLEARWATER SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
RISK MANAGEMENT DEPARTMENT RECEIVED DATE THEREOF, THE ISSUING INSURER WILL IiNgiP"OR TO MAlL --JO- DAYS WRITTEN
ATTN:ETHELRAYBURN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT F^llUR& TO gO SO SMAll
PO BOX 4748 JUN n 6 I!~POSIi NO OlllIG'\TION OR ll^lllllTY OF ^NY KINg UPON fMIi INSURliR, ITS ^GENTS OR
CLEARWATER FL 34618 ?Ono RliPR&S&NT^ TI"&S.
AUTHORIZED REPRESENTATIVE ~/~~
I RISK P-A L\ t\llll.l t: l~ r:f\ IT
ACORD 25-5 (7/97)
@ ACORD CORPORATION 1988