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CERTIFICATE OF LIABILITY INSURANCE (238)�_•� � DATE(MM/DD/YYYY) '°`� ° CERTIFICATE OF LIABILITY INSURANCE o9�26,20,2 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR 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 policles may require an e�dorsement. A statement on this certifcate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Aon Risk insurance Services west, inc. �E' Los Ang el es CA Offi ce �a�NNa, ��; (866) 283-7122 aC No :(847) 953-5390 707 wilshire Boulevard e-tiw� suite 2600 n�wtess: ;LOS Angeles CA 90017-0460 USA ra Tech, Inc. East Pine Street ando FL 32801 USA INSURER(S) AFFORDING COVERAGE INSURERA National U�1011 Flfe If15 CO Of PlttSb iNSUrteRS: Insurance Company of the State of PA INSURERC: L2Xl�QtO� tnsurance Company INSURERD: CFldf't15 Specialty insurance Company INSURER E: INSURER F: NAIC # 19445 19437 26883 � m � r. c m 'a m '� O 2 COVERAGES CERTiFICATE NUMBER: 570047599078 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. Umits shown are as requested LTR 7'NPE OF INSURANCE IN R VWD P��CY NUMBER �DD MMID LIMITS A GENERAL LIABILITY GL 1 1 EACH OCCURRENCE S2 , 000 , 000 X COMMERCIAL GENERAL LIABILITY � �� pP S1, OOO, OOO PREMISES Ea occurrence CLAIMS-MADE X❑ OCCUR �a MED EXP (Any one person) �1� , �� PERSONALBADVINJURY EZ,OOO,OOO r X X,C,U Cove2ge OCT 0 9 2012 GENERALAGGREGATE 54,000,000 � GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG S4 , OOO , OOO $ POLICY X PRa X LOC �p n A CA 1 4 � 2012 1/Ol/2013 COMBINED SINGLE LIMIT � Au7oMOBIIE Lwetu7v ��.�.� S� �M f� ��. Ea accident El, 000, 000 -. B 9ti b't� X ANY AUTO BODILY INJURY ( Per person) � Z ALL OWNED SCHEDULED BODILY INJURY (Per accident) y AUTOS AUTOS �" NON-0WNED PROPERTY DAMAGE V X HIRED AUTOS X AUTOS Per accident IC � m C X UMBRELLALIAB X OCCUR TH1200022 10/Ol/2012 10/Ol/2013 EqCHOCCURRENCE EZO�OOO�OOO V IXCESSLIAB CLAIMS-MADE AGGREGATE ELO,OOO,OOO DED RETENTION A WORKERS COMPENSATION AND wC35896545 10�01�2012 lO�O1�2013 WC STATU- OTH- B EMPLOYERS'LIABILITY YIN wC35896542 10/Ol/2012 10/Ol/2013 x TORYLIMITS B OFFICERIMEMBEREXCLU ED7�CUTIVE � N�A yvC35896543 10/Ol/2012 10/Ol/2013 E.L.EACHACCIDENT $1,�� (Mandatory in N!q E.L. DISEASE£A EMPLOYEE Sl, OOO, OOO If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE-POLICY LIMIT Sl, OOO, OOO __ D COntfaCtO� arof COP51952583 10/O1/2012 10/O1/2013 EdCh Cldi� $5,000,000 Prof/POII Liab Agggregate 55,000,000 � DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Altaeh ACORD 101, Additional Remerks Schedule, ff more spaee is required) �� city of Clearwater, Florida is included as a,dditional rnsured as required by written contract, but limited to the operations of y� the tnsured under said contract, with respect to the General �iability and ,4uto �iability 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 in favor of Certificate Holder as required by written contract but limited to the operations of the insured under said contract, with respect to the �eneral �iability and auto �iability policies. Cross �iability/5everability � of tnterest is included under the General �iability policy where required by written contract. Stop �ap Coverage for the t�-� CERTIFICATE HOLDER CANCELLATION � SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Tk1E . EXPIRATION DATE THEREOF, NOTICE NALL BE DELIVERED IN ACCORDANCE WITH Tlff POLICY PROVISIONS. Cltj� of Clearwater, Florida AUTHORIZEDREPRESENTATIVE attn: City Clerk P.O. BOX 4745 �� i%��a� �� .�� Clearwater FL 33758-4748 USA �/� �7988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/OS) The ACORD name and logo are registered marks of ACORD ACOR�° �....-- AGENCY CUSTOMER ID: 570000036654 LOC #: ADDITIONAL REMARKS SCHEDULE AGENCY NAMEDINSURED aon rtisk tnsurance services west, inc. Tetra Tech, rnc. POLICY NUMBER see Certificate Number: 570047599078 CARRIER NAIC CODE See Certificate Number: 570047599078 EFFECTNEDATE: ADDITIONAL REMARKS Page 1 of 1 ACORD 707 (2008/01) OO 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD