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CERTIFICATE OF LIABILITY INSURANCE (214)�'�r� � DATE(MM/DD/YYYY) �"�"�R° CERTIFICATE OF LIABILITY INSURANCE o�25,2a,2 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 m the terms and condkions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the � certificate holder in lieu of such endorsement(s). � m PRODUCER CONTACT 'a NAME: Aon Risk Insurance Services West, Inc. pHONE (g66) 283-7122 F'0'X (847) 953-5390 m LOS Ang el es Ca offi ce (NC. No. Erzt): NC. No. : 9 707 Wilshire soulevard Suite 2600 ADDRESS: S LOS Ang21 e5 CA 90017-0460 USA INSURER(S) AFFORDING COVERAGE NAIC # Tetra Tech, Inc. 201 East Pine Street orlando FL 32801 USn INSURERA National Union Fire Ins Co of Pittsburgh 19445 iNSUrterts: insurance Company of the State of P.4 19429 iNSUReRC: Chartis Specialty insurance Company 26883 iNSUrtereD: Lexington Insurance Company 19437 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 570046772860 REVISIVN NUMlStK: 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 7HE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLIC�ES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Limits shown are as requested LTR TYPE OP INSURANCE INSR VWD POLICV NUMBE �qNyp LIMRS A GENERAL LL4BILITY GL EACH OCCURRENCE Sl, OOO, OOO X COMMERCIAL GENERAL LIABILITY PREMISES Ea occu�ence $1, 000, 000 CLAIMS-MADE X❑ OCCUR MED EXP (Any one person) �lO, OOO 1 PERSONAL&ADVINJURY S1�,000,000 � X X,C,U Coverege ��L 0 6 • � GENERALAGGREGATE SZ,OOO,OOO N r GEN'L AGGREGATE LIMIT APPLIES PER: O��'�' p � 0�[� �� I PRODUCTS - COMPIOP AGG E2 , 000 , 000 � PRO- f\L R�.�r�.. � POLICY X X LOC � A nuroenOBILE Lwslurv CA 170 7 1 10/Ol/2012 COMBINED SINGLE LIMIT $1, OOO, O00 i „ x ANY AUTO BODILY INJURY ( Per person) Z ALL OWNED SCHEDU�ED BODILY INJURY (Per accident) w AUTOS AUTOS PROPERTY DAMAGE � NON-0WNED V X HIRED AUTOS X AUTOS � Per accident I�r � m � X UMBRELtALIAB X OCCUR THIIOOOZ7 10/Ol/201110/Ol/2012 Ep,CHOCCURRENCE $lO,OOO,000 V EXCESS LIAB CLAIMS-MADE AGGREGATE SZO � OOO � OOO DED RETENTION B WORKERSCOMPENSATIONAND wCO20635697 10/Ol/201110/Ol/2012 WC STATU- OTH- 8 EMPLOYERS' LIABILRY Y/ N wCO20635698 10/01�2011 10/01�2012 X TORY LIMITS B ANY PROPRIETOR/ PARTNER/ EXECUTIVE � wCO20635699 ZO�OZ�Z011 LO�OZ�ZOZ? E.L. EACH ACCIDENT SZ � OOO � OOO OFFICER/MEMBER EXCLUDED? N� A E.L. DISEASE-EA EMPLOYEE . Sl � OOO , OOO (Mandatory In NH) IT yes, describe under E.L. DISEASE-POLICY LIMIT �1, �00 , 0�� DESCRIPTION OF OPERATIONS bebw c Contractor Prof CoP51952583 10/O1/2011 10/O1/2012 Each Clain 55,000,000 — Prof/POII Liab agggregate 55,000,000 � DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (AHach ACORD 101, Addkional Remarks Sehedule, if more space is requfred) City of Clearwater, Florida is included as additional tnsured as required by written contract, but limited to the operations of the Insured under said contract, with respect to the General �iability and auto Liability policies. General �iability and Auto �.' �iability evidenced herein is primary and non-contributory to other insurance available to the City of Clearwater, Florida, its �'� officers, officials, employees, and volunteers, but only to the extent required by written contract with the insured. A waiver of Subrogation is granted �n favor of Certificate Holder as required by written contract but limited to the operations of the � Insured under said contract, with respect to the General �iability and auto �iability policies. Cross Liability/Severability of interest is included under the General �iability policy where required by written contract. 5top Gap Coverage for the � CERTIFICATE HOLDER CANCELLATION � SHOULD ANY OF TNE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Clty Of Clearwater, Florida AUTHORIZEDREPRESENTATIVE Attn: City Clerk � P.O. Box 4748 �� a� �s�� O�f/�� Clearwater FL 33758-4748 u5A �/� ACORD 25 (2010/05) 07988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: 570000036654 �'�� ffi LOC #: ACOl2L3 �� ADDITIONAL REMARKS SCHEDULE Page � of � AGENCY NAMEDINSURED � Aon Risk Insurance Services West, inc. Tetra Tech, Inc. POLICY NUMBER See Certificate Number: 570046772860 CARRIER NAIC CODE see �ertificate Number: 570046772860 EFFECTIVEDATE: ADDITIONAL REMARKS fa.vecu �v� ��uvaiu�) OO 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD