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CERTIFICATE OF LIABILITY INSURANCE (225)Client#: 216019 20MCKIMCRE ACORD,� CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYY) 8/28/2012 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 certiflcate 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 endorsemeM. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER NAME: BBBT Insurance Services, Inc. ac"N EX�: 919 281-4500 Post Office Box 13941 E-MAIL ac, r,o :$$$7468761 ADDRESS: Durham, NC 27709 INSURER�S) AFFORDING COVERAGE NAIC I 919 281-4500 H rtf d U d INSURED McKim and Creed Inc 1730 Varsity Dr Ste 500 Raleigh, NC 27606-2689 INSURER A: a or n erwnters Insurance 30104 iNSUReR s: Hartford Casualty Insurance Com 29424 �NSUReR c: HartFord Ins Co of the Midwest 37478 INSURER D : INSURER E : 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. NOTIMTHSTANDING 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 ADDL SUB POLICY EFF POLICY EXP LIMITS INSR WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY A GENERAL LIABILITY 22UUNNN0633 ��� �2 09/05/201 EACH OCCURRENCE $'I OOO OOO X COMMERCIAL GENERAL LIABILITY �&�j���T � oN�„8° �� $3OO OOO CLAIMS-MADE � OCCUR MED EXP (My one person) $ � 0 00� SLP Q `O 1� PERSONAL & ADV INJURY $'I �OOO�OOO GENERALAGGREGATE $Z�OOO�OOO GEN'L AGGREGATE LIMIT APPLIES PER: ����Ci '°� � ��� � PRODUCTS - COMP/OP AGG $Z�OOO�OOO POLICY X PE � LOC � $ (; AUTOMOBILE LIABILITY 22UENPG9685 9/05/2012 09/05/201 COMBINED SINGLE LIMIT ,� 000 000 Ea acciden� � , X ANY AUTO BODILY INJURY (Per person) $ ALL OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS AUTOS X HIRED AUTOS X NON-0NMED PROPERTY DAMAGE $ AUTOS Per accident $ B �( UMBRELLA LIAB X OCCUR 22XHUNN5410 9/05/2012 09/05/201 EACH OCCURRENCE $�� Q0� 0�� EXCESS LIAB CLAIMS-MADE AGGREGATE $'I O OOO OOO DED X RETENTION $O $ B WORKERS COMPENSATION 22WBCF7186 9/05/2012 09/05/201 X� STATU- OTH- AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y� N E.L. EACH ACCIDENT $� OOO OOO OFFICER/MEMBER EXCLUDED? � N / A (Mandffiory in NH) E.L. DISEASE - EA EMPLOYEE $� OOO OOO If yes, describe under DESCRIPTION OF OPERATIONS below f.L. DISEASE - POLICY LIMIT $') �OOO�OOO DESCRIPTION OF OPERATIONS / LOCATONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space ia required) The City of Clearwater is included as an additional insured with respects to all coverage except Workers' Compensation where required by written contract before a loss. Such coverage is primary and non contributory. A Waiver of Subrogation also applies in favor of the City of Clearwater for CGL and Automobile Liability coverage where required by written contract, before a loss. a thirty (30) day notice of cancellation shall be given the Certi�cate Holder prior to cancellation or non renewal. CI of Clearwater SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE tY THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Attn: City Clerk ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 4748 Clearwater, FL 33758 AUTNORIZED REPRESENTA7NE O 7988-2010 ORD CORPORATION. All rights reserved. ACORD 25 (2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD #59146081 /M9145771 JAW Client#: 292011 80MCKIMCRE ACORD� CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 08/31 /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 NpMEp' Cyndy Cagle � BB&T Insurance Services, Inc. a�"N �, 336 547-2137 F^" 3378 West Friendly Ave., E�,� ac, No : 8888318409 Ste.400 AooRess: ccagle@bbandt.com INSURER(3) AFFORDING COVERAGE NAIC # Greensboro, NC 27410 iNSUReRa:XL Specialty Insurance Company 37885 INSURED McKim 8 Creed� If1C. INSURER B: 1730 Varsity Drive #500 iNSUr�R c: Raleigh, NC 27606 INSURER D: INSURER E : � 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. LTRR NPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP IN R YWD POLICY NUMBER MMIDD MM/DD LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY PREMISES EaE�rrence $ CLAIMS-MADE � OCCUR � � � MED EXP (My one person) $ PERSONAL & ADV INJURY $ GENERALAGGREGATE $ GEN'LAGGREGATELIMITAPPLIESPER: SE O � �Y� PRODUCTS-COMP/OPAGG $ POLICY PE a LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO �' ��� ��� �� ODI�Y�INJURY (Par person) $ ALL OWNED SCHEDULED L���� ���� , D�� AUTOS AUTOS BODILY INJURY (Per accident) $ HIRED AUTOS NON-0WNED PROPERTY DAMAGE $ AUTOS Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCE33 LWB CLAIMS-MADE AGGREGATE $ DED RETENTION $ $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y� N E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED7 ❑ N / A � (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ If yes, describa under DESCRIPTION OF OPERATIONS below ___ E.L. DISEASE - POLICY LIMIT $ A Professional DPR9702907 9/05/2012 09/05/201 $5,000,000 Per Claim Liability $7,000,000 Aggregate DESCRIPTION OF OPERATIONS / LOCATIONS ! VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) City of Clearwater SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Artff: CI�/ CI@fIC ACCORDANCE WITH THE POLICY PROVISIONS. P.O. Box 4748 Clearwater, FL 33758-4748 AUTHORIZED REPRESENTATIVE �.�. �. C'y�. O 1988-2010 ACORD CORPORATION. Ail rights reserved. ACORD 25 (2010/05) � of � The ACORD name and logo are registered marks of ACORD #S9175459/M9175311 CC1 Client#: 292011 80MCKIMCRE DATE (MM/DD/YYYY) ACORD,� CERTIFICATE OF LIABILITY INSURANCE 08/31/2012 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 hoider 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 NpMEA T Cy�dy Cagle BB&T Insurance Services, II1C. PHONE 336 547-2137 F^" n�c No � : ,vc, No : 8888318409 3318 West Friendly Ave., E�'"^"- cca le bbandt.com ADDRESS: 8 � St@. 4OO � INSURER�S) AFFORDING COVERAGE NAIC # Greensboro, NC 27410 �r,suReRa: X� Specialty Insurance Company 37885 INSURED . IWCIIRFR R • McKim & Creed, Inc. 243 North Front Street Wilmington, NC 28401 INSURER C : INSURER D : INSURER E : IN3URER F : 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. LTRR TYPE OF INSURANCE NSR VWD POLICY NUMBER MI�DDY EFF M�ppY EXP LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY PREMISES EaE�urrence S CLAIMS-MADE � OCCUR MED EXP (My one person) $ PERSONAL & ADV INJURY $ GENERALAGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: ��'s� PRODUCTS - COMP/OP AGG $ POUCY � EC LOC � �.. �.=%' $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident ANY AUTO �Ep � �0�� BODILY INJURY (Per person) $ ALL OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS AUTOS PROPERTY DAMAGE $ NON-OWNED �L Peraccident HIRED AUTOS AUTOS �� �:�.r�. '� � �I�J � $ UMBRELLA LJAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE � � AGGREGATE $ DED RETENTION $ $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS' LIABILITY Y/ N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? ❑ N / A (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - PO�ICY LIMIT $ A Professional DPR9702907 9/05/2012 09/05/201 $5,000,000 Per Claim Liability $7,000,000 Aggregate DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 707, Addltional Remarks Sehedule, if more apace is required) CI of Clearwater SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE tY THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Airl: Cltj/ CI@PI( ACCORDANCE WITH THE POLICY PROVISIONS. P.O. Box 4748 Clearwater, FL 33758-4748 AUTHORIZED REPRESENTATIVE �F�4.. �. C.�d.. O 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05j � of � The ACORD name and logo are registered marks of ACORD #S9180185/M9180161 CC1 ACORD,. CERTIFICATE OF LIABILITY INSURANCE i DATE (MM /DD/YYYY) 8/28/2013 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 BB&T Insurance Services, Inc. Post Office Box 13941 Durham, NC 27709 919 281 -4500 CONTACT NAME: (A/C POp, NNE o, Ext): 919 281-4500 FAX (A/C, No): 8887468761 E -MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Hartford Underwriters Insurance 30104 INSURED McKim and Creed Inc 1730 Varsity Dr Ste 500 Raleigh, NC 27606 -2689 INSURER B : Hartford Casualty Insurance Co 29424 INSURER C: Farmington Casualty Company 41483 INSURER D : Hartford Ins Co of the Midwest 37478 INSURER E : X INSURER F : PERSONAL & ADV INJURY 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 LTR TYPE OF INSURANCE ADDLSUBR INSR WVD POLICY NUMB91 77S ..- �,,_(MM/DDIYYYYLIMM/DD/YYYYL 22UUNNN0633 1„ ', POUCY EFF 09/05/2013 POUCY EXP 09/05/2014 LIMITS EACH OCCURRENCE $1,000000 A GENERAL X UABILITY COMMERCIAL GENERAL LIABILITY PREMISES (EaEoNccurrDence) $300,000 MED EXP (Any one person) $10,000 $1,000,000 CLAIMS -MADE X OCCUR PERSONAL & ADV INJURY GENERAL AGGREGATE $2,000,000 PRODUCTS - COMP /OP AGG $ 2,000,000 GEML AGGREGATE POLICY LIMIT APPLIES JEOT PER LOC $ D AUTOMOBILE X X LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS X SCHEDULED NON -OWNED AUTOS 22UENPG9685 09/05/2013 09/05/2014 (Ea adeDtSINGLE LIMIT 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ B X UMBRELLA LAB EXCESS UAB X OCCUR CLAIMS-MADE 22XHUNN5410 09/05/2013 09/05/2014 EACH OCCURRENCE $10,000,000 AGGREGATE $10,000,000 $ DED X RETENT ON $10000 C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORlPARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below Y / N N N / A U B4123T366 09/05/2013 09/05/2014 X RY LIMITS W- E.L. EACH ACCIDENT $1,000 000 $1,0011,000 E.L. DISEASE - EA EMPLOYEE E.L. DISEASE - POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) The City of Clearwater is included as an additional insured with respects to all coverage except Workers' Compensation where required by written contract before a loss. Such coverage is primary and non contributory. A Waiver of Subrogation also applies in favor of the City of Clearwater for CGL and Automobile Liability coverage where required by written contract, before a loss. a thirty (30) day notice of cancellation shall be given the Certificate Holder prior to cancellation or non renewal. CERTIFICATE HOLDER CANCELLATION City of Clearwater Attn: City Clerk PO Box 4748 Clearwater, FL 33758 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 ACORD 25 (2010/05) 1 of 1 #S11001193/M10999991 ®1588-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD JAW lien -, 216019 20MCKIMCRE ACORD,., CERTIFICATE OF LIABILITY INSURANCE ATE IM�MrI�Iat�YY-YI DATE 812812013 , 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 IN1SURER(Sh AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT.If the certificate holder Is an ADDITIONAL INSURED,the policy( )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 endorsernent(e). PRODUCER CONTACT BEI&T Insurance Services, Inc. 9 A� 919 261 00 Post w cc Ma '191 E AM Ext: t- ,Nrrl: 8$87468761 ADDRESS. Durham, NC 27709 INSU'RENS)AFFORDING COVERAGE NAIL 0 919 281®4500 INSURERA:Hartford Underwriters Insurance 30104 INSURED INSURER B;Hartford Casualty Insurance Co X29424 McKim and Creed Inc INSURER C:Farmington Casualty Company 141483 1730 Varsity Dr Ste 5 I Raleigh, X7606-2689.. INSURER D a Hartford-._Ins of a Midwest ,37478 INSURER E: INSURER F: 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 VMTH RESPECT To MICH 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 SHOVM MAY HAVE BEEN REDUCED BY PAID CLAIMS,. ----- PtUCY EFF P6LfCY 0 INSR TYPE CF INSU INSURANCE A LL L..I LTR PO NUMBER MWD MIDD w ` LINTS w u . a. OENERAL LIABILITY 22UU NNO633 0910512013 0910512014 EACH OCCURRENCE $1,000,000 E RENTEC7 COMM E RcIA3L GENE RAIL ielAaesLITY ���i � �� �, �, I X300 000 . CLAIMS-MADE EXII OCCUR MED EXP(Any one $101900 - PERSONAL&ADV INJURY $1,000,000 A GENERAL AGGREGATE $2,000,000 GWL AGGREGATE LIMIT APPLIES PER- PRODU CTS-COMPIOPAGG $2,000,000 POLICY Fj JaRO T LOOa � $ 3 OOF,hB]NED SINGLE LIMIT At9T4� bRILeLIAI$I 22lJEN'P9fi8 0 9113 091051201aaccf $1,000,000 X ANY AUTO BODILY INJURY(Per person) €$ ALL G EU SCHEDULED � �t � .��oljne',,I� HfIdILYINJURY(Per aco tJ',$ A I45 N N UI EB Yv4I 5.,t. PROPERTY DAMAGE $ HIRED AUTOS AAUTO$ � Par accident $ IsRL ecI�R i22XHUNNS410 0910612013 0910612014 EACH OCCURRENCE $10,000,000 EXCESS LiAI# _ cL s MS ,AI E AGGREGATE $10,000,000 0E® I X1 RgTr2NTlON$10000 uwM7�I�eMZSCOUt�eN;rATIo�I � .,._.._ STATU- OTFI- WO KERSCCOMP`LIABILITY U413T365 910512013 091051201 �E ANY PROPRIETC1RMART'NERIEXECU°TIVE Y F N ! E L ACCIDENT ACCIDEN $I 000''-.000 OFFICERIMEMBER EXCLUDED? NIA ( arMlAlatry in NIM) E L DISEASE-EA EMPLOYEE $1,000 000 If Yes,describe Andes DESCRIPTION OF OPERATIONS below E L DISEASE-POLICY LIMIT $1 0'00 000 I 3 DESCRIPTION OF OPE T1ONS f LOCATIONS 1 VEHICLES(Attach ACORC 181,Addi clonal Racnarks Schedule,K more space Is regLdrad) Client#0992 Engineer Record CERTIFICATE HOLDER CANCELLATION City 1 tarp Engineering r1n SHOULD ANY OF THE ABOVE DESCRIBED€OLICIES BE CANCELLED BEFORE gi THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Dept,Ste 220 ACCORDANCE WITH THE POLICY PROVISIONS, Dina Katsougrakis PO Box 4748 AUTHORIZED REPRESENTATIVE Clearwater, FL 33756 1 86®2010 ACCRD CORPORATION.All rights reserved. ACCRD 25(2010105) 1 of 1 The ACCRD,tame and logo are registered rraft of ACCRD 11'0011 10999991 JAW (Ault*: zuzui ISUMI:rtIMI:t( ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDNYYY) 9 /06 /2 9/06/2013 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 BB &T Insurance Services, Inc. 2108 W. Laburnum Avenue, Suite 300 Richmond, VA 23227 CONTACT NAME: Jenny Fisher PHONE FAX (A/c, No, Ext): 804 678 -5025 (/C, No): 888 - 751 -3010 E-MAIL DSS: jjfisher@bbandt.com INSURER(S) AFFORDING COVERAGE NAIC # INSURERA: XL Specialty Insurance Company 37885 INSURED McKim & Creed Inc. 1730 Varsity Drive #500 Raleigh, NC 27606 INSURER B : —71 F ; • INSURER C : INSURER D : $ INSURER E : $ INSURER F : CERTIFICATE 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 LTR TYPE OF INSURANCE ADDL INSR SUER WVD POLICY NUMBER POLICY EFF (MM /DD/YYYY) POLICY EXP (MM /DD/YYYY) LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY —71 F ; • ^`° EACH OCCURRENCE $ PREMISES (Ea orNcTu ence) $ CLAIMS -MADE OCCUR MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER PRO- ri 7 POLICY n JECT LOC PRODUCTS - COMP /OP AGG $ $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS _ SCHEDULED AUTOS NON -OWNED AUTOS 4 .v.... ... .. ,, tf ... .. _. .. COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY P (er accident) $ PROPERTY DAMAGE (Per accident) $ $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED I I RETENT ON $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below Y / N N / A - WC STATU- I TORY LIMITS OTH- ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ A Professional Liability DPR9702907 09/05/2013 09/05/2014 $5,000,000 Per Claim $7,000,000 Aggregate DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) CERTIFICATE HOLDER CANCELLATION City of Clearwater Att: Dina Katsougrakis Municipal Services Building 100 South Myrtle Clearwater, FL 33756 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 ACORD 25 (2010/05) ©1988 -2010 ACORD CORPORATION. All rights reserved. 1 of 1 The ACORD name and logo are registered marks of ACORD wlente: twin un i tfUM{rRIMI�Kt AUUKUTM CERTIFICATE OF LIABILITY INSURANCE DATE(MM /DD/YYYY) 9/06/2013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. THIS POLICIES 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 BB &T Insurance Services, Inc. 2108 W. Laburnum Avenue, Suite 300 Richmond, VA 23227 CONTACT NAME Jenny Fisher PHONE FAX (A/C, No, Ext): 804 678 -5025 (A/C No): 888 - 751 -3010 ADDRESS: jjfisher @bbandt.com INSURER(S) AFFORDING COVERAGE NAIC # INSURERA: XL Specialty Insurance Company 37885 INSURED McKim & Creed Inc. 1730 Varsity Drive #500 Raleigh, NC 27606 INSURER B : INSURER C : EACH OCCURRENCE INSURER D: E PREMISES EaE uErrence) INSURER E : INSURER F : CLAIMS -MADE COVERAGES 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 LTR TYPE OF INSURANCE ADDL INSR SUBR WVD POUCY NUMBER POUCY EFF (MM /DD/YYYY) POLICY EXP (MM/DD/YYYY) LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY i EACH OCCURRENCE $ E PREMISES EaE uErrence) $ CLAIMS -MADE OCCUR MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY n JECT LOC PRODUCTS - COMP /OP AGG $ $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS _ SCHEDULED AUTOS NON -OWNED AUTOS COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ UMBRELLA LIAB EXCESS LIAB — OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENT ON $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below Y / N N / A WC STATU- TORY LIMITS OTH- I ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ -A Professional Liability DPR9702907 09/05/2013 09/05/2014 $5,000,000 Per Claim $7,000,000 Aggregate DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) CANCELLATION 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 ACORD 25 (2010/05) © 1988-2010 ACORD CORPORATION. All rights reserved. 1 of 1 The ACORD name and logo are registered marks of ACORD