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CERTIFICATE OF LIABILITY INSURANCE (215)Client#: 2588 METZWIL3 ACORD,M CERTIFICATE OF LIABILITY INSURANCE °;;oz�2o,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 certiflcate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions 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). PRODUCER NAME: ISU Suncoast Insurance Assoc ac No EX� : 813 289-5200 ac, No : 813 289-4561 P.O. Box 22668 - a� ADDRESS: Tampa, FL 33622-2668 CUSTOMERID#: 813 289-5200 INSURED Metzger & Willard, Inc 8600 Hidden River Parkway Suite 550 Tampa, FL 33637 COVERAGES CERTIFICATE NUMBER: INSURER(S) AFFORDING COVERAGE iNSUReR n: Travelers Property Cas Co of Am iNSUReR s: Travelers Indemnity Company iNSUReRC: Travelers Casualty & Surety Co iNSUReR o: XL Specialty Insurance Company iNSUReR e: Travelers Indemnity Co of Ameri REVISION NUMBER: NAIC # 25674 1194 7885 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. TYPE OF INSURANCE DDL BR POLICY EFF POLICY EXP LIMITS N R D POLICY NUMBER MM/DD MM/DD A GENERALLIABILITY 6805984L291 11/01/2011 11/01/201 EACHOCCURRENCE $1000000 X COMMERCIAL GENERAL LIABILIN PREM SES Ea occTu ence S� ,OOO�OOO CLAIMS-MADE � OCCUR MED EXP (Any one person) $� ��0�0 PERSONALBADVINJURY $�,OOO,OOO GENER,4L AGGREGATE $Z�OOO�OOO GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $Z,OOO,OOO POLICY PR� LOC $ E AUTOMOBILE LIABILITY BA2978L856 � I2011 08/10/201 COMBINED SINGLE LIMIT (Ea accident) $� �Q� OQO X ANY AUTO BODILY INJURY (Per person) $ ALL OWNED AUTOS JUL 0 5 2 12 BODILY INJURY (Per accident) $ SCHEDULED AUTOS PROPERTY DAMAGE X HIRED AUTOS �� (Per accident) $ X NON-OWNED AUTOS �rEICI!'V. �R�"" $ � g CS DEPT $ B X UMBRELLALIAB X occuR CUP7602Y745 11/01/2011 11/01/201 EACHOCCURRENCE $1000000 EXCESS LIAB CLAIMS-MADE AGGREGATE $� OOO OOO DEDUCTIBLE $ X RETENTION � OOOO $ C WORKERSCOMPENSATION �JB76�2Y62$ 11/01/2011 11/01/201 X wCSTATU- OTH- AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVEY� N E.L. EACH ACCIDENT $SOO,OOO OFFICER/MEMBER EXCLUDED? � N�A (Mandatory In NH) E.L. DISEASE - EA EMPLOYEE $rJOO�OOO If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $rJOO,OOO D Professional DPR9702259 06/27/2012 06/27/201 $1,000,000 per claim Liabili $1,000,000 annl a r. DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 701, Additional Remarks Schedule, If more spaca fs required) Professional Liability coverage is written on a claims-made and reported basis. Re: Engineer of Record RFQ #16-12. City of Clearwater Attn: City Clerk P.O. Box 4748 Clearvvater, FL 33758-4748 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ►j` ° 1�� , I � 1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) 1 of 1 The ACORD name and logo are registered marks of ACORD #S392835/M392816 AGB Client#: 2588 METZV111L3 DATE (MM/DD/YYYY) ACORD,M CERTIFICATE OF LIABILITY INSURANCE 7,02�20�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 NEGATNELY 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. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER NAME: iSU Suncoast Insurance Assoc PHONE g13 289-5200 ac, No : 813 289-4561 AIC No Ext : P.O. BOX ZLSF18 ADDRES3: Tampa, FL 33622-2668 CUSTOMER ID #: 813 289-5200 INSURER(S) AFFORDING COVERAGE NAIC # INSURED Metzger & Willard, Inc 8600 Hidden River Parkway Suite 550 Tampa, FL 33637 u+suReRa: Travelers Property Cas Co of Am �NSUr�Re: Travelers Indemnity Company iNSUr�RC: Travelers Casualty & Surety Co �NSUaeRU: XL Specialty Insurance Company iNSUReR e: Travelers Indemnity Co of Ameri 794 � � INSURER F: I 1 COVERAGES CERTIFICATE NUMBER: 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. IIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IN R 7YPE OF INSURANCE D UBR pOLICY NUMBER MM%DD EF� MM%DD � LIMITS A GENERALLIABILITY 6805984L291 17/07/2011 11/01/201 EACHOCCURRENCE s1 000 000 X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $� ,OOO�OOO CLAIMS-MADE � OCCUR MED EXP (Any one person) $�O,OOO PERSONAL & AOV INJURY $� �OOO�OOO GENERALAGGREGATE $Z�OOO�OOO GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $Z�OOO�OOO POLICY PR� LOC $ E AUTOMOBILE LIABILITY BA2978L856 �� 1 08/10/201 COMBINED SINGLE LIMIT $ (Ea accident) � �Q� ��0 X ANY AUTO BODILY INJURY (Per person) S ALL OWNED AUTOS �uL p AO�^ SCHEDULED AUTOS L L BODILY INJURY (Per aa:ident) $ PROPERTY DAMAGE $ X HIRED AUTOS � (Per accident) a X NON-0WNED AUTOS y^�� C�� DS p� N� r`C D f i $ 4rJ B X UMBRELLALIAB �X OCCUR CUP7602Y74 11/01/2011 11/01/201 EACHOCCURRENCE $� �0� �� EXCESS LIAB C�p,��,�,g_�p�nE AGGREGATE $� OO _ OOO --- � -�-- —��-- DEDUCTIBLE $ X RETENTION � OOOO $ C WORKERSCOMPENSATION (�B]6�2Y62$ 11/01/2011 11/01/201 X WCSTATU- OTH- AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERlEXECUTIVEY� N�A E.L. EACH ACCIDENT $SOO�OOO OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $rJ��O� If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $SOO,OOO D Professional DPR9702259 6/27/2012 06/27/201 $1,000,000 per claim Liabili $1,000 000 annl a r. DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Professional Liability coverage is written on a claims-made and reported basis. Re: Engineer of Record RFQ #16-12. City of Ciearwater Attn: City Clerk P.O. Box 4748 Clearwater, FL 33758-4748 I�A]:I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE OL9� �n 0�--� �--- � 1988-2009 ACORD CORPORATION. All rights reserved. ACORO 25 (2009/09) 1 of 1 The ACORD name and logo are registered marks of ACORD #S392915/M392816 JMB Client#: 2588 METZWIL3 ACORD� CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) 7/06/2012 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 WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in Ifeu of such endorsement(s). PRODUCER NAME: ISU Suncoast Insurance Assoc PHONE g13 289-5200 j0''� P.O. Box 22668 N�A Lo E�e : ,vc, No : 813 289-4561 ADDRESS: Tampa, FL 33622-2668 8�3 289-52�� CUSTOMERID#: INSURED Metzger 8� Willard, Inc 8600 Hidden River Parkway Suite 550 Tampa, FL 33637 COVERAGES CERTIFICATE NUMBER: INSURER(S) AFFORDING COVERAGE NAIC # iNSUReR a: Travelers Property Cas Co of Am 25674 iNSUReR e: Travelers Indemnity Company 25658 iNSUReR c: Travelers Casualty 8 Surety Co 31194 iNSUReR �: XL Specialty Insurance Company 37885 iNSUReR e: Travelers Indemnity Co of Ameri 25666 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. TR NPE OF INSURANCE N R POLICY NUMBER MM%DD EFF MM%DD �P LIMITS A GENERAL LIABILITY 6805984L291 11/01/2011 11/01/201 EACH OCCURRENCE $1 000 000 X COMMERCIAL GENERAL LIABILITY PREM SES Ea oNcu ence $� �OOO�OOO CLAIMS-MADE a OCCUR MED EXP (Any one person) $� ��0�� PERSONAL & ADV INJURY $� �OOO�OOO GENERAL AGGREGATE $Z�OOO�OOO GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $Z�OOO�OOO POLICY PR� LOC $ E AUTOMOBILE IIABILITY BA2978L856 �� %' 0/2012 08/10/201 COMBINED SINGLE LIMIT $ X ANY AUTO ��i' (Ea aceident) 1 000 000 BODILY INJURY (Per person) $ ALL OWNED AUTOS BODILY INJURY (Per accident) $ SCHEDULED AUTOS JllL 0 9 2 12 PROPERTY DAMAGE $ X HIRED AUTOS (Per accident) %� NON-OWNED AUTOS o��rl/� �� f A� ty.� $ � J P'1�iygi $ B X UMBRELLA LIAB X OCCUR CUP7602Y745 / 011 11/01/201 EACH OCCURRENCE $� 000 �00 EXCESS LIAB CLAIMS-MADE AGGREGATE $� OOO OOO CEDUCTI3LE � $ X RETENTION � OOOO $ C WORKERSCOMPENSATION U676�2Y628 11/01/2011 11/01/201 X wCSTATU- OTH- AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVEY � N E.L. EACH ACCIDENT $�JOO�OOO OFFICER/MEMBER EXCLUDED? � N/A (Mandatory In NH) . E.L. DISEASE - EA EMPLOYEE $rJ��O�� If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $rJOO�OOO D Professional DPR9702259 06/27/2012 06/27/201 $1,000,000 per claim Liabilit $1,000,000 annl a r. DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additionai Remarks Schedule, If more space Is required) Professional Liability coverage is written on a claims-made and reported basis. Re: Engineer of Record RFQ #16-12. CERTIFICATE HOLDER City of Clearwater Attn: City Clerk P.O. Box 4748 Clearwater, FL 33758-4748 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE pL� �+- 0�9--ot.� ,�t,•----. � 1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009109) 1 of 1 The ACORD name and logo are registered marks of ACORD #S393531 /M393512 AGB Client#: 2588 METZWIL3 ACORD� CERTIFICATE OF LIABILITY INSURANCE Dg/14/2012� 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 WAIVED, subject to the terms and conditions 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). PRODUCER NAME: USI/Suncoast-Tampa- P"o"E g13 289-5200 813 289-4561 �uc no � : ac, Na : P.O. Box 22668 ADDRESS: Tampa, FL 33622-2668 813 289-5200 CUSTOMER �D t: INSURERf31 AFFORDING COVERAGE NAIC M INSURED Metzger & Willard, Inc 8600 Hidden River Parkway Suite 550 Tampa, FL 33637 iNSU�Ra: Travelers Property Cas Co of Am 25674 iNSUr�R e: Travelers Indemnity Company 25658 �NSUr�a c: Travelers Casualiy 8� Surety Co 31194 iNSUReRO: XL Specialty Insurance Company 37885 �NSUr�R e: Travelers Indemnity Co of Ameri 25666 COVERAGES CERTIFICATE NUMBER: 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. I S D POLICY EFF POLICY EXP LIMITS TYPE OF INSURANCE POLICY NUMBER MMIDD MMIDD A GENERAL LIABILITY 6805984L291 � �� i �11 11/01/201 EACH OCCURRENCE a1 000 000 X COMMERCIAL GENERAL LIABiLITY PREMISES Ea acwrrence $� OOO�OOO CLAIMSMADE � OCCUR MED EXP (My one person) $� O,OOO �� PERSONAL&ADVINJURY a1��0�� GENERALAGGREGATE $2�000�000 GEN'L AGGREGATE LIMIT APPLIES PER: A� �y PRODUCTS - COMP/OP AGG $Z�OOO�OOO PRO- �9`��iZ. i�a�� i�C�� P'i�W $ POLICY LOC E AUTOMOBILE LIABILITY gA2978L8 �,� �,,�� - $N OIZO� COMBINED SINGLE LIMIT $ (Ea acadent) � �00 Op0 X ANY AUTO BODILY INJURY (Per person) L ALL OWNED AUTOS BODILY INJURY (Per ecddent) $ SCHEDULED AUTOS PROPERTY DAMAGE $ X HIRED AUTOS (Per acddenl) X NON-0WNEDAUTOS a a B X UMBRELLALIAB X occuR CUP7602Y745 11/01/2011 11/01/2d1 EACHOCCURRENCE s1000000 EXCESSLIAB CWMS-MADE AGGREGATE $i OOOOOO DEDUCTIBLE S X RerENnON 70000 $ C WORKERSCOMPENSATION UB]6�2Y628 11/01/2011 11/01/201 X WCSTATU- OTH- AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNEWEXECUTIVEY � N E.L. EACH ACCIDENT $SOO�OOO OFFICER/MEMBER EXCLUDEDT � N/A (Mandatory In NN) E.L. DISEASE - EA EMPLOYEE $SOO�OOO Ifyes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $SOO�OOO D Professional DPR9702259 6/27/2012 06/27/201 57,000,000 per claim Liabilit $1,000,000 annl a r. DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Addttional Remarks Schedule, if mwe space Is requlred) Professional Liability coverage is written on a ciaims-made and reported basis. Re: Engineer of Record RFQ #16-12. City of Clearwater Attn: City Clerk P.O. Box 4748 Clearwater, FL 33758-4748 SHOULD ANY OP THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE OL� � 0�--� �•�--_. � 1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) 1 Of 1 The ACORD name and logo are registered marks of ACORD #S401871/M393512 JMB Client#: 2588 METZWIL3 ACORD�, CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 7/06/2012 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 WAIVED, subJect to the terms and conditions 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). PRODUCER ONTACT NAME: ISU Suncoast Insurance Assoc PHONE g13 289-5200 F°'X 813 289-4561 P.O. Box 22668 MA1Lo Ext : AIC, No : ADDRESS: Tampa, FL 33622-2668 cER 813 289-5200 CUSTOMER ID #: INSURED Metzger & Willard, Inc 8600 Hidden River Parkway Suite 550 Tampa, FL 33637 INSURER(S) AFFORDING COVERAGE NAIC # iNSUReRa: Travelers Property Cas Co of Am 25674 iNSUReR s: Travelers Indemnity Company 25658 iNSUReR c: Travelers Casualty 8� Surety Co 31194 iNSUReR o: XL Specialty Insurance Company 37885 ir,suReR e: Travelers Indemnity Co of Ameri 25666 COVERAGES CERTIFICATE NUMBER: 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 DDL UBR pOLICY NUMBER MM/DD EFF MM%DD �P LIMITS A GENERAL LIABILITY 6805984L291 11/01/2011 11/01/201 EACH OCCURRENCE $1 000 000 DAMAGETO RENTED X COMMERCIAL GENERAL LIABILITY P�° PREMISES Ea occurrence $� OOO OOO CLAIMS-MADE � OCCUR ��&� � MED EXP (Any one person) $� �� PERSONAL & ADV INJURY $� �OOO�OOO ��r � � 2012 GENERALAGGREGATE $Z�OOO�OOO GEN'L AGGREGATE LIMIT APPLIES PER: V PRODUCTS - COMP/OP AGG $Z,OOO,OOO POLICY PR� LOC 'r " $ E AUTOMOBILE LIABILITY BA2978L85f�� 1� 8/10/201 COMBINED SINGLE LIMIT (Ea accident) $� 00� ��Q X ANY AUTO BODILY INJURY (Per person) $ ALL OWNED AUTOS BODILY INJURY (Per accident) $ SCHEDULED AUTOS PROPERTY DAMAGE X HIRED AUTOS (Per accident) $ X NON-OWNED AUTOS $ $ B �( UMBRELLALIAB X OCCUR CUP7602Y745 11/01/2011 11/01/201 EACHOCCURRENCE $� �� EXCESS LIAB CLAIMS-MADE AGGREGATE $� OOO OOO DEDUCTIBLE $ X RETENTION � OOOO $ C WORKERSCOMPENSATION U67602Y628 11/01/2011 11/01/201 X WCSTATU- OTH- AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVEY � N E.L. EACH ACCIDENT $�JOO�OOO OFFICER/MEMBER EXCLUDED? � N�A (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $rJ�O�� If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $rJOO OOO D Professional DPR9702259 6/27/2012 06/27/201 $1,000,000 per claim Liabilit $1 000,000 annl a r. DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Professional Liability coverage is written on a claims-made and reported basis. Re: Engineer of Record RFQ #16-12. City of Clearwater Attn: City Cierk P.O. Box 4748 Clearwater, FL 33758-4748 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE pL9u� �+. Q�.D..-ot� .�.----- � 1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) 1 Of 1 The ACORD name and logo are registered marks of ACORD #S393531/M393512 AGB