CERTIFICATE OF LIABILITY INSURANCE
ACORDTM CERTIFICATE
F LIABILITY INSURAN
DATE tMM/DDIVYI
06/01/00 OS/26/99
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
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
E
PRODUCER
71
Lockton Companies
P.O. Box 419351
Kansas City Mo 64141-6351
(913) 676.9000
13132 HDR ENGINEERING. INC.
ATTN: LOUIS J. PACHMAN
8404 INDIAN HILLS DRIVE
OMAHA NE 68114.4049
INSURERS AFFORDING COVERAGE
INSURED
INSURER A: ZURICH INSURANCE COMPANY
INSURER B: AMERICAN GUARANTEE & LIAB (ZURICH)
INSURER c: HARTFORD FIRE INSURANCE COMPANY
INSURER 0: CO NT CAS (VICTOR O. SCHINNERER)
INSURER E:
COVERAGES
23A
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,
IN;: TYPE OF INSURANCE POLICY NUMBER ~~~gY EFFECTIVE Pgk!fEYf~~J~~T.J$~ LIMITS
~ERAL LIABILITY EACH OCCURRENCE $ 1 000 000
A ~ COMMERCIAL GENERAL LIABILITY CP08022044 06/01199 06/01/00 FIRE DAMAGE (Anyone firel $ 1. 000 , 000
i--- ~ qAIMSMADE [X] OCCUR M~D EXP (Anyone person; $ 5,000
PERSONAL & ADV INJURY $ 1 000 000
i---
i--- GENERAL AGGREGATE $ 1 000,000
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 1 000 000
n POLICY n ~~?;. n LOC
~TOMOBILE LIABILITY COMBINED SINGLE LIMIT $
B ~ ANY AUTO BAP2292527 06/01199 06/01100 (Ea accident) 1 000.000
i--- ALL OWNED AUTOS BAP8022045 BODILY INJURY
$
SCHEDULED AUTOS TAP8024607 (Per personl XXXXXXXXXXX
i---
~ HIRED AUTOS BODILY INJURY
$
~ NON-OWNED AUTOS !Per accident) XXXXXXXXXXX
PROPERTY DAMAGE $
!Per accident) XXXXXXXXXXX
-. RAGE LIABILITY AUTO ONLY - EA ACCIDENT $
ANY AUTO NOT APPLICABLE OTHER THAN EA ACC $
AUTO ONLY: AGG $
EXCESS LIABILITY EACH OCCURRENCE $ XXXXXXXXXXX
D' OCCUR D CLAIMS MADE NOT APPLICABLE AGGREGATE $ XXXXXXXXXXX
$
R DEDUCTIBLE $
RETENTION $ $
WORKERS COMPENSATION AND X I WC STATU- I IOTH-
TORY LIMITS ER
C EMPLOYERS' LIABILITY 37WBRMX9752 06/01/99 06/01/00 100,000
E.L. EACH ACCIDENT $
M_ ----- -- "__, ___n___ _ --"--",-', ----,- -,----- " ----- ---- -. ---~------ ----surr-ouo-- -
E.L. DIsEASE. EAElvfpLOYEE -$
E.L. DISEASE - POLICY LIMIT $ 100 000
OTHER ARCH & ENG PLN113978408 PER CLAIM: $1,000,000
D PROFESSIONAL LIAB 06/01199 06/01100 AGGREGATE: $1,000,000
DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
CITY OF CLEARWATER, FLORIDA IS ADDITIONAL INSURED AS RESPECTS GENERAL LIABILITY AND AUTOMOBILE RECEIVED
LIABILITY .
MAY 2 8 1999
RISKuH A- ..
CERTIFICATE HOLDER I I ADDITIONAL INSURED; INSURER LETTER: CANCELLATION .
310118 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
CITY OF CLEARWATER DATE THEREOF. THE ISSUING INSURER WILL_~XrX MAIL ~ DAYS WRITTEN
RISK MANAGEMENT DEPARTMENT NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT.:e}O()O(lX~rXrXXl(~Xlt
ATTN: ETHEL RAYBURN ~l(JW(~lOO(l(Kmm)oo(~X~m~iXtiX~x.iOOCI~~~
PO BOX 4748
CLEARWATER FL 34618 KIlP~X~lt~
AUTHORIZED REPRESENTATIVE /?7L- ~~
I
ACORD 25-S (7/97) / tt'A'sORD CORPORATION 1988