CERTIFICATE OF LIABILITY INSURANCE (203)�1
`�� °� CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY)
6/1/2013 5/22/2012
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 WANED, subJect to
the terms and condkions of the policy, certain policies may require an endorsement A statement on this certificate does not confer �ights to the
certificate holder in lieu of such endorsement(s).
PRODUCER Lockton Companies, LLC-1 Kansas City .
444 W. 47th Street, Suite 900 ac No e� : ac No :
Kansas City 64112-1906 E•MAIL
(816) 960-9000
INSURED HDR ENGINEERING, INC.
1013472 �404 INDIAN HILLS DRIVE
OMAHA NE 68114-4049
Hartford Fire Insurance Company
St. Paul Fire and Marine Insurance Company
Sentinel Insurance Compan , Ltd.
Zurich American Insurance Comn
COVERAGES HDRINOI SA CERTIFICATE NUMBER: 10609419 REVISION NUMBER: XXX����X
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 ADDL SUBR PM�ICY EFF POLICY EXP LIMITS
TYPE OF INSURANCE � POLICY NUMBER
A GENERAL LIABILITY N rJ 37CSEQU0950 6/1/2012 6/1/2013 EACH OCCURRENCE 1 OOO OOO
DAMAGE TO RENTED
X COMMERCIAL GENERAL LIABILITY PR MI E a occurrence 1 OOO OOO
CLAIMS-MADE � OCCUR MED EXP M one rson 1 � ���
X CO11tr8CtU3I LtBb. PERSONAL & ADV INJURY $ 1 OOO OOO
GENERAL AGGREGATE $ 2 OOO OOO
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2 OOO OOO
OLI Y X JE � X L $
Ej AUTOMOBILE LIABILITY N N 37CSEQU0951 (AOS) 6/1/2012 6/1/2013 EOMB�ICeD�SINGLE LIMIT $ 2 OOO OOO
A X ANYAUTO 37CSE U0952(HI 6/1/2�12 6/1/2�13 BODILYINJURY(Perperson) $ XXXX���
A ALL OWNED SCHEDULED 37MCP�U1160 (�� 6/1/2012 6/1/2013
AUTOS AUTOS BODILY INJURY (Per accident $�X��XXX
X HIRED AUTOS X qONOSWNED Per a�idenDAMAGE $ XXX�����
$ X������
B X UMBRELLA LIAB X OCCUR N N ZUP-1OR64084-12-NF 6/1/2012 6/1/2013 EACH OCCURRENCE $ 1 OOO OOO
EXCESS LIAB CLAIMS-MADE (EXCLUDES PROF. LIAB) AGGREGATE $ 1 OOO OOO
DED X RETENTION$O $ XXX����X
C ANDEMPLO ERS'LABILI�TY Y/N N 91WE0ffi000 %/1/iOI2 i/I/iO13 X WRYLIMIT OTH-
OFFICERIMEM ER�EXCLUDED? ECUTIVE � N� A E.L. EACH ACCIDENT $ 1 OOO OOO
(Mantlatory in NH) � E.L. DISEASE - EA EMPLOYEE 1 OOO OOO
It yes, desciibe under 1
DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT 1 OOO OOO
D ARCHS & ExGS N rJ EOC9260026-OS 6/1/2012 6/1/2013 PER CLauvt: $t,000,000. AGG:
PROFESSIONAL $1,000,000.
LIABILITY
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES ryAttach ACORD 107, Addittonal Remarks Schedule, if more space is required)
RE: 2009-2012 CTTY OF CLEARWATER - ENGINEER OF RECORD AGREEMENT FOR PROFESSIONAL SERVICES. THE CITY OF CLEARWATER,
FLORIDA ARE NAMED AS ADDITIONAL INSURED ON GENERAL AUTOMOBILE, AND EXCESS LIABILITY AS PER WRITTEN CONTRACT, ON
A PRIMARY, NON-CONTRIBUTORY BASIS` RO�'rATION APPLIES WHERE APPLICABLE BY LAW. SEVERABILITY OF
INTERESTS APPLIES.
�F
V
MAY 2 9 2012
CERTIFICATE HOLDER CANCELLATION See Attachments
�FF�C�
���� S�� pEpr SNOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
10609419 AUTHORIZED REPRESENTATIVE
CITY OF CLEARWATER, FLORIDA
ATTN: CITY CLERK
PO BOX 4748
CLEARWATER FL 33754
ACORD 25 (2010/05) O 9 8-2010 AC ORPORATION. All rights reserved
The ACORD name and logo are registered marks of ACORD
POLICY NUMBER: 37CSEQU0950
HARTFORD
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED BY CONTRACT OR AGREEMENT -
OPTION II
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
Name Of Additional Insured Person(s) Or Organization(s):
Blanket coverage as required by written contract.
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 include as an additional insured the person(s) or
organization(s) shown in the Schedule above with whom you agreed in a written contract or written
agreement to provide insurance such as is afforded under this policy, but only with respect to liability
for "bodily injury", "property damage" or "personal and advertising injury" caused by:
1. Your acts or omissions or the acts or omissions of those acting on your behalf:
a. In the performance of your ongoing operations for such additional insured at the project(s) or
location(s) designated in the Schedule;
b. In connection with your premises owned by or rented to you and shown in the Schedule; or
c. In connection with "your work" for the additional insured at the project(s) or location(s)
designated in the Schedule and included within the "products-completed operations hazard", but
only if:
(1). The written contract or agreement requires you to provide such coverage to such additional
insured at the project(s) or location(s) designated in the Schedule; and
(2). This Coverage Part provides coverage for "bodily injury" or "property damage" included within
the "products-completed operations hazard".
2. The acts or omissions of the additional insured in connection with their general supervision of your
operations at the projects or locations designated in the Schedule.
B. The insurance afforded to these additional insureds applies only:
1. If the "occurrence" or offense takes place subsequent to the execution of such written contract or
written agreement; and
2. While such written contract or written agreement is in force, or until the end of the "policy period",
whichever is earlier.
C. With respect to the insurance afforded to these additional insureds under this endorsement, the
following additional exclusion applies:
This insurance does not apply to "bodily injury", "property damage" or "personal and advertising
injury" arising out of the rendering of or the failure to render any professional architectural,
engineering or surveying services by or for you, including:
1. The preparing, approving, or failing to prepare or approve maps, shop drawings, opinions,
reports, surveys, field orders, change orders, designs or specifications; and
2. Supervisory, inspection, architectural or engineering activities.
Miscellaneous Attachment : M5509
Certificate ID : 10609419
D. How Limits Apply To Additional Insureds
The most we will pay on behalf of the additional insured shown in the Schedule is the lesser of:
1. The limits of insurance specified in the written contract or written agreement; or
2. The Limits of Insurance shown in the Declarations.
Such amount shall be a part of and not in addition to Limits of Insurance shown in the Declarations
and described in this Section.
E. Duties Of Additional Insureds In The Event Of Occurrence, Offense, Claim Or Suit
The Duties Condition in Section IV - Conditions is replaced by the following and applies to the
additional insured shown in the Schedule:
1. Notice Of Occurrence Or Offense
The additional insured must see to it that we are notified as soon as practicable of an "occurrence"
or an offense which may result in a claim. To the extent possible, notice should include:
a. How, when and where the "occurrence" or offense took place;
b. The names and addresses of any injured persons and witnesses; and
c. The nature and location of any injury or damage arising out of the "occurrence" or offense.
2. Notice Of Claim
If a claim is made or "suiY' is brought against the additional insured, the additional insured must:
a. Immediately record the specifics of the claim or "suiY' and the date received; and
b. Notify us as soon as practicable.
The additional insured must see to it that we receive written notice of the claim or "suiY' as soon as
practicable.
3. Assistance And Cooperation Of The Insured
The additional insured must:
a. Immediately send us copies of any demands, notices, summonses or legal papers received in
connection with the claim or "suiY';
b. Authorize us to obtain records and other information;
c. Cooperate with us in the investigation or settlement of the claim or defense against the "suiY ;
and
d. Assist us, upon our request, in the enforcement of any right against any person or organization
which may be liable to the insured because of injury or damage to which this insurance may
also apply.
4. Obligations At The Additional Insureds Own Cost
No additional insured will, except at that insured's own cost, voluntarily make a payment, assume
any obligation, or incur any expense, other than for first aid, without our consent.
5. Additional Insureds Other Insurance
If we cover a claim or "suiY' under this Coverage Part that may also be covered by other insurance
available to the additional insured, such additional insured must submit such claim or "suit" to the
other insurer for defense and indemnity.
However, this provision does not apply to the extent that you have agreed in a written contract or
written agreement that this insurance is primary and non-contributory with the additional insured's
own insurance.
6. Knowledge Of An Occurrence, Offense, Claim Or Suit
Paragraphs 1. and 2. applies to the additional insured only when such "occurrence", offense, claim
or "suit" is known to:
a. The additional insured that is an individual;
b. Any partner, if the additional insured is a partnership;
c. Any manager, if the additional insured is a limited liability company;
d. Any "executive officer" or insurance manager, if the additional insured is a corporation;
e. Any trustee, if the additional insured is a trust; or
f. Any elected or appointed official, if the additional insured is a political subdivision or public entity.
F. Other Insurance
With respect to insurance provided to the additional insured shown in the Schedule, the Other
Insurance Condition Section IV - Conditions is replaced by the following:
1. Primary Insurance
Miscellaneous Attachment : M5509
Certificate ID : 10609419
a. Primary Insurance When Required By Contract
This insurance is primary if you have agreed in a written contract or written agreement that this
insurance be primary. If other insurance is also primary, we will share with all that other
insurance by the method described in 3. below.
b. Primary And Non-Contributory To Other Insurance When Required By Contract
If you have agreed in a written contract or written agreement that this insurance is primary and
non-contributory with the additional insured's own insurance, this insurance is primary and we
will not seek contribution from that other insurance.
Paragraphs a. and b. do not apply to other insurance to which the additional insured has been added
as an additional insured or to other insurance described in paragraph 2. below.
2. Excess Insurance
This insurance is excess over any of the other insurance, whether primary, excess, contingent or
on any other basis:
a. Your Work
That is Fire, Extended Coverage, Builder's Risk, Installation Risk or similar coverage for "your
work' ;
b. Premises Rented To You
That is fire, lightning or explosion insurance for premises rented to you or temporarily occupied
by you with permission of the owner;
c. Tenant Liability
That is insurance purchased by you to cover your liability as a tenant for "property damage" to
premises rented to you or temporarily occupied by you with permission of the owner;
d. Aircraft, Auto Or Watercraft
If the loss arises out of the maintenance or use of aircraft, "autos" or watercraft to the extent
not subject to Exclusion g. of Section I- Coverage A- Bodily Injury And Property Damage
Liability;
e. Property Damage To Borrowed Equipment Or Use Of Elevators
If the loss arises out of "property damage" to borrowed equipment or the use of elevators to
the extent not subject to Exclusion j. of Section I- Coverage A- Bodily Injury And Property
Damage Liability; or
f. When You Are Added As An Additional Insured To Other Insurance
That is any other insurance available to you covering liability for damages arising out of the
premises or operations, or products and completed operations, for which you have been added
as an additional insured by that insurance.
When this insurance is excess, we will have no duty under Coverages A or B to defend the
insured against any "suit" if any other insurer has a duty to defend the insured against that "suiY'.
If no other insurer defends, we will undertake to do so, but we will be entitled to the insured's
rights against all those other insurers.
When this insurance is excess over other insurance, we will pay only our share of the amount of
the loss, if any,that exceeds the sum of:
a. The total amount that all such other insurance would pay for the loss in the absence of this
insurance; and
b. The total of all deductible and self-insured amounts under all that other insurance.
We will share the remaining loss, if any, with any other insurance that is not described in this
Excess Insurance provision and was not bought specifically to apply in excess of the Limits of
Insurance shown in the Declarations of this Coverage Part.
3. Method Of Sharing
If all of the other insurance permits contribution by equal shares, we will follow this method also.
Under this approach each insurer contributes equal amounts until it has paid its applicable limit of
insurance or none of the loss remains, whichever comes first.
If any of the other insurance does not permit contribution by equal shares, we will contribute by
limits. Under this method, each insurer's share is based on the ratio of its applicable limit of
insurance to the total applicable limits of insurance of all insurers.
Hartford Form #HS2481
Miscellaneous Attachment : M5509
Certificate ID : 10609419
POLICY NO. 37CSEQU0951
HARTFORD
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED AND
RIGHTS OF RECOVERY AGAINST OTHERS
This endorsement modifies insurance provided under the following:
BUSINESS AUTO COVERAGE FORM
A. Any person or orgaRization whom you are required by contract to name as additional insured 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 of Section II - LIABILITY COVERAGE.
B. For any person or organization for whom you are required by contract to provide a waiver of
subrogation, the Loss Condition - TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO
US is applicable.
Name of Additional Insured Person(s) of Organization(s):
Blanket coverage as required by written contract.
Hartford Form #HA9913
Miscellaneous Attachment : M6986
Certificate ID : 10609419