CERTIFICATE OF LIABILITY INSURANCE (184)Client#: 2962 SDIENVI3
ACDRDTM CERTIFICATE OF LIABILITY INSURANCE °o9ioai�o��'
THIS CERTIFICA7E IS ISSUED AS A MATTER QF INFOF2MATI�N ONLY AND GONFER$ NO RIGHT$ UPON 7HE CERTIFICATE HOLDER. THIS
CERTIFICATE DO�S NOT AFFIRMATIVELY QR NEGA7IVELY AMEND, EXTEND QR ALTER THE COV�RAGE AtfFORDED BY THE PQLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NQT CONSTI7UTE A CONTRACT BET'W��N THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR pROl7UCER, AND THE CERTIFICA7E HOLDER.
IMP�RTANT: If the cartlfcate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGA71pN IS WAIVE�, subject to
the terms and conditians of th� policy, certain policies may requlre an endorsement. A statement on this certlTlcate dpes not confer rights ta the
certificate holder in lieu of such endorsement(s).
PRO�UCER NAME:
ISU Suncoast Insurance Assoc PM�N� 813 289-5200 aC, Na : 8132894561
A/C No Ext :
P.O. Box 22668 E-�+�
anoRess:
Tampa, FL 33622-2668
cusYOM�a io u:
n�� �no_��nn
iNSUReo
S D I Environmental Services, Inc.
3903 Premier North Drive
Tampa, FL 33678
INSURER(S) AFFORDING COVERAGE
INSURERA: EndUfAflCe 14i110i1Call rw1�i@C�d�t�/ �11
iNSUReR s: Travelers Indemn�ty Company
wsuReR c: Travelers Casualty and Surety C
INSURER D :
INSURER E :
NAIC #
4171 S
19038
COV�RAGES CERTIFICATE NUMBER: REVISIpN NUMBER:
THIS IS TQ GER7IFY THAT THE POLICIES OF INSLIRANCE LISTEb BELOW HAVE BEEN ISSUED TQ THE INSURED NAMED ABOVE FOR THE POLICY P�RIQD
INDICA7�D. NOTWITHSTANDING ANY REQUIREMENT, 7ERM �R CONDITION OF ANY CONTRACT OR �TMER bOCUMENT WITH RESPECT TO WHICH TMIS
CERTIFICATE MAY BE ISSUED OR MAY P�RTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT 7q ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLIGIES. LIMITS SHOWN MAY HAVE BE�N REDUGED BY PAID CLAIMS.
S UBR pOLICY EFF POLICY F�(P LIMITS
7YPE OF INSURANCE POLIGY NUMBER MM/DD MM/DD/YYYY
A GENERAL LIA6141TY ECC10101310500 09/02/2011 09/0?./�07 EACH OCCURRENCE s1,000 000
G O RE TED
X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrenca $5O OOO
CIAIMS-MAOE � OCCUR MED EXP (My one person) $rJ�OOO
PERSONAL & ADV INJURY $� �OUO OOO
GEN�w+LAGGREGA7� $2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER�:� PRODUCTS - COMPlOP AGG $'I �OOO�OOD
POLICY PR� LOC �u $
g AUTOMOBILE LIABILITY BA2562L144 �7/29/2011 07/29/201 COMBINED SINGLE LIMIT $
(Ea eccident) � 000 �Q�
ANYAU70 80DILYINJURY(Perperson) S
ALL OWNE� AUTOS BODILY INJURY (Par accident) $
SCHEOULED AUTOS
PROPERTY DAMAGE $
X HIRED AUTOS (Per eccident)
$
X NON-OWNE� AUTOS ,w.,,,,,,_,_�,,,
$
g X UMBRELLA LIAB occuR CUP6416Y164 6/30/2011 �Bl30/207 EACH OCCURRENCE $1 000�000
EXCESS LIAB CLAIMS-MADE AGGREGATE $� OOO OOq
❑EDl1CT18LE $
_. �EN�6 "'�6-�61� --. ___�.w._ _. ...� — — - - ��.-- -
� WORKERSCOMPEN5ATION U67082Y944 9/01/2071 09/01/201 X WGSTATU- O7H-
AN� EMPLOYERS' LIABILITY �
ANY PROPRIETORlPARTNEWEXECU7IVEY❑ E.L. EACH ACCI�ENT $'I �OOO�OOO
OFFICERlMEMBER EXCLUPEI7? N N�A`
(Mandatory In NH) E.L. DISEASE - EA EMPLOYEE $� ,OOO,OOO
If yas, describe undar
DESCRIPTION OF OPEFiA710N5 below E.L. DISEASE - POLICY LIMIT $� OOO dOO
A Professional ECC10101310500 9/02/2011 09/021201 $1,OOU,D00 per claim
Liabilit $1,000,000 annl a r.
D�8CRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 701, Additlonal Ramarks Schedule, If more space Is requlred)
Professional Liability coverage is written on a claims-made and reported basis.
i�
.....� ,� �..�...
City of Clearwater ��� � � ����
Attn: City Clerk
PO Box 4T48 . �:'��pAb=,� �C�:C.�.�+�a�,T� d�1�"^'��.d
Clearwat�r, FL 33758-4748 �_�,�'�����'�/w �;rw� �j��d'
SHpULb ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRA710N dATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCQRDANCE WITM THE PDLICY PROVISIDNS.
AU7HORIZEI7 REPRESENTATIVE
OL� •� Qe9--� ,�----�
fra7988-2009 ACORD C�RPORATION. All rights reserved.
ACQRD 25 (2009/09) 7 of 1 The ACORD name and logo are registered marks of ACORD
#5338427/M338424 MRL