CERTIFICATE OF LIABILITY INSURANCE (218)Client#: 11507 INTEENG34
ACORD,� CERTIFICATE OF LIABILITY INSURANCE Dg/15/ 012�
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 pol�cy(ies) must be endorsed. If SUBROGATION IS WANED, 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(sl.
PRODUCER
USI/Suncoast-Tampa
P.O. Box 22668
Tampa, FL 33622-2668
813 289-5200
INSURED
Interfiow Engineering, LLC
14499 N. Dale Mabry Hwy., Ste. 139
Tampa, FL 33G18
ia"c No, �n: $�3 289-5200 � �a�
ADDRE38:
CUSTOMER ID A:
INSURER(3) AFFORDING COVERAGE
�NSUr�Rn: Phoenix Insurance Company
msur�R s: Travelers Casualty $ Surety Co
iNSUr�RC: XL Specialty Insurance Company
INSURER D :
813 289-4561
NAIC #
25623
31794
t;t�vt�ti►latJ GERTIFICATE 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 �S SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
IN 7ypE OF INSURANCE D UBR OLICY EFF POLICY EXP
POLICY NUMBER MMIDD MM/DD LIMRS
A GENERAL LIABILITY 6801922L734 6/06/2012 06/06/201 EACH OCCURRENCE $� 00� 00�
X COMMERCIALGENERALLIABILITY �� �� PREMISES EaEoccurrenca Si3OOO,OOO
CLAIMS-MADE � OCCUR MED EXP (My one person) $ � O,OOO
PERSONAL & ADV INJURY $'I �OOO�OOO
�11G 16 012 GENERALAGGREGATE $Z,OOO�OOO
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG 32�000�000
POLICY PRa LOC p S
A AUTOMOBILE LIABILITY 68019221.�.�(��� �� �^� OB/OG/LO� COMBINED SINGLE LIMIT
LdG:�' � (Ea accidenQ a� QQQ Q��
ANY AUTO
BODILY INJURY (Per person) $
ALL OWNED AUTOS
BODILY INJURY (Per accident) $
SCHEDULED AUTOS PROPERTY DAMAGE
X HIRED AUTOS (Per acadent) $
X NON-0WNED AUTOS $
$
_ UMBRELLA LIAB pCCUR EACH OCCURRENCE S
EXCESS LIAB CLAIMSMADE AGGREGATE S
DEDUCTIBLE $
RETENTION
a
B WORKERS COMPENSATION U69096Y735 3/12/2012 03/1 Z/201 X WC STATU- OTH-
AND EMPLOYERS' LIABILITY Y I N
ANVPROPRIETOR/PARTNER/EXECUTIVE E.L.EACHACCIDENT $��OOO�OOO
OFFICER/MEMBER EXCLUDEDI � N�A E.L. DISEASE - EA EMPLOYEE $�,OOO�OOO
(Mandatory In NH)
If yes, desaibe under
DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $i OOO�OOO
C Professional DPS9702020 6/06/2012 06/06/201 $1,000,000 per claim
Liabili �1,000 000 annl a r.
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHiCLE3 (Attach ACORD 101, AddiGonal Remarks Scheduie, lf more space ia requirad)
Professional Liability is written on a claims made and reported basis.
City of Clearwater SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
Attention• City Clerk THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
' ACCORDANCE WITH THE POLICY PROVISIONS.
P.O. Box 4748
Clearwater, FL 33758-4748 AUTHORIZED REPRESENTATIVE
OL9� �. O�--OL.o .�---.
�1988-2009 ACORD CORPORATION. All rights reserved.
ACORD 25 (2009/09) 1 Of 1 The ACORD name and logo are registered marks of ACORD
#S401990/M389052 �MB