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CERTIFICATE OF LIABILITY INSURANCE (189) A CERTIFICATE OF LIABILITY INSURANCE Page 1 of 2 DATE 1 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.Astatementon this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Willis of New York, Inc. PHONE FAX c/o 26 Century Blvd. 877-945-7378 888-467-2378 P. O. Box 305191 E-MAIL certificatesQwillis.com Nashville, TN 37230-5191 INSURER(S)AFFORDINGOOVERAGE NAIC# INSURERA: Greenwich Insurance Company 22322-001 INSURED Atkins North America, Inc. INSURER B: American Guarantee & Liability Insurance 26247-001 2001 NW 107th Avenue INSURERC:X.L. Insurance Co. of America Inc. 40193-001 Miami, FL 33172-2507 INSURER D:Underwriter's at Lloyds 15792-001 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:16743129 REVISION NUMBER: THIS IS TO CERTIFY THAT 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.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE DD' SUB POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR A GENERAL LIABILITY Y Y CGG7409016 9/30/2011 9/30/2012 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY PREMISES E.occurence $ 1 000 000 CLAIMS-MADEIX IOCCUR MED EXP(Any one person) $ 300 000 X Contractual Liability PERSONAL&ADV INJURY $ 1,000,000 GENERALAGGREGATE $ 2,000,000 GENI AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OPAGG $ 2,000,000 POLICY -X] PRO- X LOC $ JFCT A AUTOMOBILE LIABILITY Y Y CAH7409017 9/30/2011 9/30/2012 COMBINED SINGLE LIMIT 2,000,000 (Ea accident) $ X ANYAUTO BODILY INJURY(Per person) $ ALLOWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS HIREDAUTOS NON-OWNED PROPERTYDAMAGE AUTOS (Peraccident) $ B X UMBRELLALIAB X OCCUR Y AUC50862107 9/30/2011 9/30/2012 EACH OCCURRENCE $ 1,000,000 EXCESS LAB CLAIMS-MADE AGGREGATE $ 1,000,000 DED RETENTION$ $ C WORKERS COMPENSATION Y CWG7409015 9/30/2011 9/30/2012 X wcsTATU- OTH- AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE N/A E.L.EACH ACCIDENT $ 11000,000 OFFICER/MEMBER EXCLUDED? lMandatory inNH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 D Professional/ B080111209P11 4/1/2011 4/1/2012 $1,000,000 Each Claim & Pollution $1,000,000 Annual Aggregate 11/11/1961 Retrodate DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach Acord 101,Additonal Remarks Schedule,if more space is required) Re: City of Clearwater. Effective April 1, 2011, Post, Buckley, Schuh & Jernigan, Inc., d/b/a PBS&J changed its name officially to Atkins North America, Inc. Underwriters at Lloyd's London AM Best Rating: A XV. Greenwich Insurance Companies Best Rating A XV American Guarantee and Liability Insurance Company Best Rating A XV CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Clearwater Engineer of Record AUTHORIZED REPRESENTATIVE 100 S. Myrtle Avenue Engineering t Engineering - Suite 220 Clearwater, FL 33756 Coll:3505426 Tpl:1338195 Cert:16743129 ©1988-2010ACORDCORPORATION.All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: 33004588 LOC#: ADDITIONAL REMARKS SCHEDULE Paged of 2 AGENCY NAMED INSURED Atkins North America, Inc. Willis of New York, Inc. 2001 NW 107th Avenue POLICY NUMBER Miami, FL 33172-2507 See First Page CARRIER NAIC CODE See First Page EFFECTIVEDATE: See First Page ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE XL Specialty Insurance Company Best Rating A+ XV Professional Liability policy written on claims-made basis. There are no Deductibles or Self-Insured Retentions on the General Liability, Automobile Liability and Workers Compensation and Umbrella coverages. Coverage for Contractual Liability is provided under the Auto Liability policy. City of Clearwater is included as an Additional Insured as respects to General Liability, Auto Liability and Umbrella Liability. General Liability and Auto Liability policy shall be Primary and Non-Contributory with any other insurance in force for or which may be purchased by Additional Insured. Waiver of Subrogation applies in favor of City of Clearwater with respects to General Liability, Auto Liability and Worker's Compensation, as permitted by law. ACORD 101 (2008101) Coll:3505426 Tpl:1338195 Cert:16743129 ©2008 ACORD CORPORATION.All rights reserved. The ACORD name and logo are registered marks of ACORD POLICY NUMBER:CGG7409016 COMMERCIAL GENERAL LIABILITY CG 20 10 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organ ization s : Locations Of Covered Operations Where required by written contract/agreement. Information required to complete this Schedule, if not shown above,will be shown in the Declarations. A. Section II — Who Is An Insured is amended to B. With respect to the insurance afforded to these include as an additional insured the person(s) or additional insureds, the following additional organization(s) shown in the Schedule, but only exclusions apply: with respect to liability for "bodily injury", "property This insurance does not apply to "bodily injury" or damage" or "personal and advertising injury" "property damage"occurring after: caused, in whole or in part, by: 1. All work, including materials, parts or 1. Your acts or omissions; or equipment furnished in connection with such work, on the project (other than service, 2. The acts or omissions of those acting on your maintenance or repairs) to be performed by or behalf; on behalf of the additional insured(s) at the location of the covered operations has been completed; or in the performance of your ongoing operations for 2. That portion of "your work" out of which the the additional insured(s) at the location(s) injury or damage arises has been put to its designated above. intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. CG 20 10 07 04 Copyright, ISO Properties, Inc., 2004 Page 1 of 1 POLICY NUMBER: CGG7409016 COMMERCIAL GENERAL LIABILITY CG20 37 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Additional Insured Person(s) Location And Description of Completed Operations Or Organization(s) Where required by written contract/agreement. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury" or "property damage" caused, in whole or in part, by "your work" at the location designated and described in the schedule of this endorsement performed for that additional insured and included in the "products- completed operations hazard". CG 20 37 07 04 © ISO Properties, Inc., 2004 Page 1 of 1 POLICY NUMBER: CAH7409017 COMMERCIAL AUTO CA 20 48 02 99 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED INSURED This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM GARAGE COVERAGE FORM MOTOR CARRIER COVERAGE FORM TRUCKERS COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by this endorsement. This endorsement identifies person(s)or organization(s)who are "insureds"under the Who Is An Insured Provision of the Coverage Form. This endorsement does not alter coverage provided in the Coverage Form. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Endorsement Effective Countersigned By: 9/30/2011 Named Insured: (Authorized Representative) Atkins North America, Inc. SCHEDULE Name of Person(s)or Organization(s): Any person or organization with whom you have agreed, through written contract, agreement or permit executed prior to the loss, to provide primary additional insured verbiage. (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to the endorsement.) Each person or organization shown in the Schedule is an"insured"for Liability Coverage, but only to the extent that person or organization qualifies as an"insured"under the Who Is An Insured Provision contained in Section II of the Coverage Form. CA 20 48 02 99 Copyright, Insurance Services Office Inc. 1998 Page 1 of 1 WAIVER OF TRANSFER RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name of Persons or Organization: Any person or organization with whom you have agreed in writing to waive any right of recovery prior to a loss. Information required to complete this Schedule, if not shown in the Declarations. The following is added to Paragraph 8. Transfer of Rights of Recovery Against Others To Us of Section IV— Conditions: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization and included in the "products- completed operations hazard". This waiver applies only to the person or organization shown in the Schedule above. This endorsement is executed by the Greenwich Insurance Company Premium$ Effective Date 9/30/2011 Expiration Date 9/30/2012 For attachment to Policy No. CGG7409016 Issued To Atkins North America, Inc. Countersigned by Authorized Representative Issued Sales Office and No. Rnd. Serial No. 17 CG 24 04 05 09 ©ISO Properties, Inc. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: Business Auto Coverage Form Garage Coverage Form Truckers Coverage Form Motor Carrier Coverage form SCHEDULE Premium: INCL Name of Persons or Organization: Any person or organization for whom you perform work under a written contract if the contract requires you to obtain this agreement from us, but only if the contract is executed prior to the injury or damage occurring. The TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US Condition is amended by the addition of the following: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your operations of a covered auto done under contract with that person or organization. This waiver applies only to the person or organization shown in the Schedule above. Policy No. CAH7409017 Issued By: Greenwich Insurance Company Effective Date 9/30/2011 Expiration Date 9/30/2012 Sales Office: 0001 Endt. Serial No.35 AX 12 10 02 05 B Page 1 of 1 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 03 13 (Ed. 4-84) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) This agreement shall not operate directly or indirectly to benefit any one not named in the Schedule. Schedule As required by written contract This endorsement changes the policy to which it is attached effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy) Endorsement Effective Policy No. CWG7409015 Endorsement No. Insured Atkins North America, Inc. Premium Insurance Company X.L. Insurance Co. of America Inc. WC 00 03 13 (Ed. 4/84) 1983 National Council on Compensation Insurance POLICY NUMBER: CGG7409016 COMMERCIAL GENERAL LIABILITY CG 02 24 10 93 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EARLIER NOTICE OF CANCELLATION PROVIDED BY US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Number of Days' Notice 60 (If no entry appears above, information required to complete this Schedule will be shown in the Declarations as applicable to this endorsement.) For any statutorily permitted reason other than nonpayment of premium, the number of days required for notice of cancellation, as provided in paragraph 2. of either the CANCELLATION Common Policy Condition or as amended by an applicable state cancellation endorsement, is increased to the number of days shown in the Schedule above. CG 02 24 10 93 Copyright, Insurance Services Office, Inc., 1992 Page 1 of 1 ❑ POLICY NUMBER: CAH7409017 XIC 405 1007 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CANCELLATION BY US This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM GARAGE COVERAGE FORM MOTOR CARRIER COVERAGE FORM TRUCKERS COVERAGE FORM BUSINESS AUTO PHYSICAL DAMAGE COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. Changes In Conditions The number of days required for notice of cancellation by us for any reason other than nonpayment of premium, as provided in either paragraph2 of the CANCELLATION Common Policy condition or as amended by an applicable state cancellation endorsement, is extended to the number of days shown in the schedule below. SCHEDULE Number of Days' Notice: 60 All other terms and conditions remain the same. (Authorized Representative) XIC 405 1007 ©2007, XL America, Inc. Page 1 of 1 Includes copyrighted material of Insurance Office, Inc., with its permission. WORKERS COMPENSATION AND EMPLOYER$JUABIlLITYINSURANCE POLICY WG990110 Md.1108) ' i THIS ENDORSEVENTOANGES THE POLICY,PLEASE READITCAREFULLY. EARLIER NOTICE OF CANCELLATION PROVIDED 9YUS ENDORSEMENT This endorsement modifies insurance provided under the following: WORKER$GOMPENSAT)QN AND EMPLOYERS'LiAB)LITY INSURANCE POLICY Numtizr of Days Nbtice: 3.0.. Qf no entry appears above,information required iq corpplefethis Schedule will be shown in the OeclaraBans as applicable to this endorsement) For any statutorily permitted reason other than nonpayment of premium,the number of days required for notloA of cancellation, as provided in PART SDC.—CONDITIONS, D,Cancelation of the Workers"Compensation and Employers'liability Insurance:Poky or as amended by an applicable state.cancellation Endorsement,is increased to - - tlle nuin6er of days shown_in the Schedule above, All otho terms and cpriditions remaln fhasaine. r TNs endorsement chanpegjhe policy to which if is attached and is of,`orwo on the dater ad unlesq otherwisd sfMod. (The k&pim,,on bblbw is required only when thi;endorsem ent is issuedsu6sequent fq preparat[on of the pblioy,) Endorsement 05-11- Poky No, Endorsement No, IosuredXL Insurance , CWG7409015 lhdmo—Company Co,mtrasigned by_ , WC 99.01 10 ` Ed.i1Q8 02onMAmmv,in'c, Willis Limited FTNEX G.1obal Willis CONTRACT ENDORSEMENT INSURED; WS Atkins FIc and as more fully deflaed in the contract PERIOD; I April 2011 to 31 March 2012 TVPF,'a Insurancoof UK PI Generic Primary UNIQUE NtkRKFT REFERENCE. B0301 11 209P]I END0RSElYffiNTRETjFRFNCF,- 0002 EFFECTIVE DATE. 1 April 2011 local standard time at the address of the Insized. It is hereby noted and agreed that with effect from the effective date above the ffil]Millg General Condition is added to the policy: "If INSURERS cancel this policy prior to its expiry date by notice to the INSURER for any reason,INSURMS will send written notice of cancellation to the persons or organisations listed in the schedule to be created and maintained I by the y NSURED(the"Cancellation Notice Schedule")at least 36 days prior to the cancellation date applicable to the policy. This notice will be inn addition to any notice to the INSURED. 'I lie INSURED will provide an updated copy of the Cancellation Notice Schedule to Insurers on a Monthly basis. The notice referenced in this endorsement is intended only to be a courtesy notification to the person(s)or organisation(s)named in the QqncelWion Notice Schedule in the event of a pending cancellation of coverage. INSURERS have no legal obligation of any kind to any such person(s) or organisatioli(s). Any failure to provide advance notice of cancellation to the persoll(s)or orpnimtion(q)named in the Cancellatiott'Notice Schedule will impose no obligntion or liability of any kind upon INSURERS,will not extend any policy cancellation date and will not negate any cancellation of the policy, INSURERS are not responsible for verifying any information in any Cancellation Notice Schedule,nor are INS(MRS responsible for any incorrect information that the WSURED may use." All other terms and conditions remain unaltered. Ow I W:11h,ha-nd RJ,500, Vk Willis Limited FENEX Global Willis CONTRACT ENDORSEMENT INSURED: WS AtUis Pic and as more ftilly defined in The Contract PERIOD: I April 2011 to 31 N larch 2012 TYPE: Insurance Of UK PI Generic Primary UNIQUE AE%,RKET REFERENCE: BOSOI I1209PI l EN'DORSEN,]- T REFERENCE: 0004 EFFEC'TIV'E DATE: I April 2011 local standard time at the address of the Insured It is hereby understood and agreed that with effect from the Effective Date above the INSURED is amended to read as follows: "ENSURED A) W S Atkins plc forinefly W S Atkins Ltd andior Associated and/or Subsidiary Companies and Partnerships including but not limited to Faithful+Gould(formerly Haiiscoinb Faithful S-- Gould)and the Houston-Texas office of MSL Engineering Ltd and as more fully defined herein but excluding the entities listed as INSURED B). B) The Atkins North America Holdings Corporation which is comprised of the follow-ing entities: Atkins North America lnc: Atkins Michif4an Inc: Atkins.P.A.: Peter R Bio'vvii Construction,hic: Atkins C'qribe.LLP:and the entities formerly known as: The PBSJ Corporation Post.Buckley.Schuh S-Jernigan.Inc.doing business as PBS&J. PBS&J,P.A. PBS&J Caribe Engineering,C.S.P. PBSL",J Constructors,Inc. PBS,U International.Inc. PBSM Construction Services,Inc. Willis Limited FINER Global Willis CONTKA,CT ENDORSEMENT UNIQUE ALARKET REFERENCE: BOSOI I1209PI l ENDORSEMENT REFERENCE: 000=1 Seminole Development Corporation Past Buckley de aigrrtina S.A. John Powell&associates.hic Jolur Powell&Associates Jalui Powell&Associates,a Sole Proprietor Durham Teclurologies..Inc. Welker&associates Tri-Line Associates.Inc. W.I400&Associates.Inc. Croslin&associates.Inc. Land&Water Consulting EIP Associates Eco Science Coiporation Peter Brown Construction_Inc. PBS&J Caribe.LLP ancliar associated arrcl'ar Subsidiary Companies and Partnerships and as more Hilly defined herein.- All other terns and conditions remain malter•ed. ,j A �